Exploring vaccine hesitancy in care home employees in North West England: a qualitative study

Dennis, Amelia; Robin, Charlotte; Jones, Leah; Carter, Holly

doi:10.1136/bmjopen-2021-055239

Cited by 12 publications

(22 citation statements)

References 39 publications

(42 reference statements)

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“…For social opportunity, seeking advice and information from family and friends and work colleagues was commonplace, and had resulted in some colleagues who were initially reluctant to accept the vaccine to change their minds. This suggests that social opportunity is an enabler that should be harnessed in future interventions, with more emphasis on enabling conversations between colleagues and their managers within the CH context to understand concerns and fears of the consequences of those who are vaccine hesitant and how best to address these apprehensions (Dennis et al, 2022;Giebel et al, 2021). Especially if a positive vaccine attitude is endorsed or modelled by a senior member of staff or someone who has a leadership role within the CH or from the wider healthcare community to promote the bene ts of vaccination, this can have a signi cant impact (Biswas et Motivation was the most complex aspect of vaccine uptake.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing staff attitudes to COVID-19 vaccination in care homes in England: A qualitative study

Friedrich

Forbes

Jhass

et al. 2023

Preprint

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Background. The COVID-19 pandemic disproportionately affected people living and working in UK care homes causing high mortality rates. Vaccinating staff members and residents is considered the most effective intervention to reduce infection and its transmission rates. However, uptake of the first dose of the COVID-19 vaccine in care homes was variable. We sought to investigate factors influencing uptake of COVID-19 vaccination in care home staff to inform strategies to increase vaccination uptake and inform future preparedness. Methods. Twenty care home staff including managerial and administrative staff, nurses, healthcare practitioners and support staff from nine care homes across England participated in semi-structured telephone interviews (March-June 2021) exploring attitudes towards the COVID-19 vaccine and factors influencing uptake. We used thematic analysis to generate themes which were subsequently deductively mapped to the Capability, Opportunity, Motivation-Behaviour (COM-B) model. The Behavioural Change Wheel (BCW) was used to identify potential intervention strategies to address identified influences. Results. Enablers to vaccine uptake included the willingness to protect care home residents, staff and family/friends from infection and the belief that vaccination provided a way back to normality (reflective motivation); convenience of vaccination and access to accurate information (physical opportunity); and a supporting social environment around them favouring vaccination (social opportunity). Barriers included fears about side-effects (automatic motivation); a lack of trust due to the quick release of the vaccine (reflective motivation); and feeling pressurised to accept vaccination if mandatory (automatic motivation). Conclusions We identified influences on COVID-19 vaccine uptake by care home staff that can inform the implementation of future vaccination programmes. Strategies likely to support uptake include information campaigns and facilitating communication between staff and managers to openly discuss concerns regarding possible vaccination side effects. Freedom of choice played an important role in the decision to be vaccinated suggesting that the decision to mandate vaccination may have unintended behavioural consequences.

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Section: Discussionmentioning

confidence: 99%

Factors influencing staff attitudes to COVID-19 vaccination in care homes in England: A qualitative study

Friedrich

Forbes

Jhass

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Findings regarding reasons for lack of vaccine acceptance among staff are consistent with and expand upon prior work. Such work has found lack of acceptance resulting from the concerns about the effectiveness of the vaccine, mistrust of authorities, and beliefs that the vaccine was developed too quickly and without sufficient testing (Berry et al, 2021; Christiano et al, 2021; Dennis et al, 2022; Digregorio et al, 2022; Harrison et al, 2021). Our findings also add to the limited literature on strategies to promote staff vaccine acceptance.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccination Among Skilled Nursing Facility Staff: Challenges and Strategies Identified by Administrators

et al. 2023

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COVID-19 vaccinations are critical for mitigating outbreaks and reducing mortality for skilled nursing facility (SNF) residents and staff, yet uptake among SNF staff varies widely and remains suboptimal. Understanding which strategies are successful for promoting staff vaccination, and examining the relationship between vaccination policies and staff retention/turnover is key for identifying best practices. We conducted repeated interviews with SNF administrators at 3-month intervals between July 2020 and December 2021 ( n = 156 interviews). We found that COVID-19 vaccines were initially met with both enthusiasm and skepticism by SNF staff. Administrators reported strategies to increase staff vaccine acceptance, including incentives, one-on-one education, and less stringent personal protective equipment requirements. Federal and state vaccination mandates further promoted vaccine uptake. This combination of mandates with prioritization of the vaccine by SNFs and their leadership was successful at increasing staff vaccination acceptance, which may be critical to increase staff booster uptake from its current suboptimal levels.

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“…Second, our sample has been recruited online and trough a certain element of snowball sampling and is thus not fully representative of the countries included in the study. However, this kind of sampling strategy has been extensively used to assess COVID-19 vaccine hesitancy [ 61 , 62 ]. Here, in particular, the sample contains a higher proportion of highly educated respondents, who tend to be more hesitant.…”

Section: Discussionmentioning

confidence: 99%

Information and vaccine hesitancy: Evidence from the early stage of the vaccine roll-out in 28 European countries

et al. 2022

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The success of mass vaccination programs against SARS-CoV-2 hinges on the public’s acceptance of the vaccines. During a vaccine roll-out, individuals have limited information about the potential side-effects and benefits. Given the public health concern of the COVID pandemic, providing appropriate information fast matters for the success of the campaign. In this paper, time-trends in vaccine hesitancy were examined using a sample of 35,390 respondents from the Eurofound’s Living, Working and COVID-19 (LWC) data collected between 12 February and 28 March 2021 across 28 European countries. The data cover the initial stage of the vaccine roll-out. We exploit the fact that during this period, news about rare cases of blood clots with low blood platelets were potentially linked to the Oxford/AstraZeneca vaccine (or Vaxzeveria). Multivariate regression models were used to analyze i) vaccine hesitancy trends, and whether any trend-change was associated with the link between the AstraZeneca vaccine ii) and blood clots (AstraZeneca controversy), and iii) the suspension among several European countries. Our estimates show that vaccine hesitancy increased over the early stage of the vaccine roll-out (0·002, 95% CI: [0·002 to 0·003]), a positive shift took place in the likelihood of hesitancy following the controversy (0·230, 95% CI: [0·157 to 0·302]), with the trend subsequently turning negative (-0·007, 95% CI: [-0·010 to -0·005]). Countries deciding to suspend the AstraZeneca vaccine experienced an increase in vaccine hesitancy after the suspensions (0·068, 95% CI: [0·04 to 0·095]). Trust in institutions is negatively associated with vaccine hesitancy. The results suggest that SARS-CoV-2 vaccine hesitancy increased steadily since the beginning of the vaccine roll-out and the AstraZeneca controversy and its suspension, made modest (though significant) contributions to increased hesitancy.

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Exploring vaccine hesitancy in care home employees in North West England: a qualitative study

Cited by 12 publications

References 39 publications

Factors influencing staff attitudes to COVID-19 vaccination in care homes in England: A qualitative study

Factors influencing staff attitudes to COVID-19 vaccination in care homes in England: A qualitative study

COVID-19 Vaccination Among Skilled Nursing Facility Staff: Challenges and Strategies Identified by Administrators

Information and vaccine hesitancy: Evidence from the early stage of the vaccine roll-out in 28 European countries

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