Health Literacy, Vaccine Confidence and Influenza Vaccination Uptake among Nursing Home Staff: A Cross-Sectional Study Conducted in Tuscany

Lorini, Chiara; Collini, Francesca; Gasparini, Francesca; Paolini, Diana; Grazzini, Maddalena; Ierardi, Francesca; Galletti, Giacomo; Zanobini, Patrizio; Gemmi, Fabrizio; Bonaccorsi, Guglielmo

doi:10.3390/vaccines8020154

Cited by 29 publications

(42 citation statements)

References 43 publications

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“…Further, the study finds the concerns raised in the survey by nurses related to hospital resources and the lack of reported usage regarding psychological therapy as a transference coping strategy lend some evidence of organizational gaps whereby access to the service might be limited (or non-existent). This study’s findings ultimately support literature raising awareness of the importance of health literacy in risk communication, 41 , 56–58 as well as literature seeking to further understand the sources of stress among frontline nurse staff. 14 , 16 , 19 , 20 , 22–24 , 51 …”

Section: Discussionsupporting

confidence: 73%

Major Stressors and Coping Strategies of Frontline Nursing Staff During the Outbreak of Coronavirus Disease 2020 (COVID-19) in Alabama

Ali

Cole²,

Ahmed³

et al. 2020

JMDH

161

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Background: Studies suggest that nursing staff during pandemics such as H1N1 Influenza and COVID-19 exhibit higher than usual stress levels due to an increasingly overburdened healthcare system and increasing infection rates. This study aims to investigate the major stressors and coping strategies reported by nurses working directly with potentially infectious patients in Alabama, United States, during the COVID-19 pandemic. Materials and Methods: A cross-sectional questionnaire study was conducted with nursing staff working in hospital settings in the state. The questionnaire was completed by 109 nurses working in hospitals that treated COVID-19 patients. Results: Around 71% of the nursing staff were concerned about receiving more COVID-19 patients and exhibited heightened workload-related stress resulting from taking care of infected patients. The study found that most nurses (82%) are stressed about getting their friends and family infected. Overall, younger, less experienced nurses reported more stress levels compared to older, senior-level nurses. Findings suggest that many nurses fail to perceive protective measures as an effective coping strategy, with only 75% reporting problem-solving strategies such as hand washing and wearing a face mask, and only 60% avoiding public transportation and crowded spaces. Findings also suggest a lack of organizational support including psychiatric assistance, with no nurses reportedly seeking psychological therapy. Conclusion:The COVID-19 pandemic increased the stress level of the nursing staff in Alabama. The study finds that the cases in the state of AL are still increasing dramatically, which can overwhelme the healthcare system and escalate nurse stress levels.

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Section: Discussionsupporting

confidence: 73%

Major Stressors and Coping Strategies of Frontline Nursing Staff During the Outbreak of Coronavirus Disease 2020 (COVID-19) in Alabama

Ali

Cole²,

Ahmed³

et al. 2020

JMDH

161

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“…A nudge intervention with a contextual analysis of choice architecture of vaccination acceptance or refusal was proposed to the Chief Officers of 28 Tuscan NHs that had participated in a previous study, conducted in 2018, with the aim of investigating influenza vaccination acceptance among staff of NHs, as described in a recent publication [ 12 ]. Eight of them voluntary joined the study.…”

Section: Methodsmentioning

confidence: 99%

“…From 15th July to 15th August 2020, a cross-sectional survey was conducted among Tuscan NHs, using a questionnaire almost completely comparable to that previously used in many different settings (NHs, hospital, university) [ 12 , 27 , 28 , 29 ]. It was administered on-line (the Chief Officer of each NHs shared the link to his staff) to collect individual data regarding influenza vaccination (self-reported) in 2018–2019 (yes/not), in 2019–2020 (yes/not), or intention to be vaccinated in 2020–2021 seasons (very likely, fairly likely, less likely, unlikely), knowledge, awareness, and attitudes concerning influenza and influenza vaccination (Likert-type), as well as demographic, educational, and health information.…”

Section: Methodsmentioning

confidence: 99%

“…For this reason, vaccination of the NHs staff that give assistance to older people is required in order to contribute in reducing the outbreaks and their burden [ 8 ]. Nonetheless, influenza vaccination uptake among staff in NHs is generally low [ 9 , 10 , 11 , 12 ]. Reasons for such a low influenza vaccination uptake may include a wide range of factors that can be encompassed within the phenomenon of vaccine hesitancy, that refers to “delay in acceptance or refusal of vaccination despite availability of vaccination services” [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…A recent research conducted in Tuscany (Italy) in 28 NHs revealed that only about 16.6% of the staff was vaccinated against influenza in 2017–2018, and 28.4% declared the intention to get the vaccine in 2018–2019; moreover, vaccine confidence was the strongest predictor of vaccine acceptance [ 12 ]. Considering these results, a new study was conducted in a sample of Tuscan NHs to understand the choice architecture of influenza vaccination acceptance or refusal among the staff of nursing homes and to promote vaccination acceptance using the nudge approach.…”

Section: Introductionmentioning

confidence: 99%

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Promoting Influenza Vaccination among Staff of Nursing Homes According to Behavioral Insights: Analyzing the Choice Architecture during a Nudge-Based Intervention

Lorini

Ierardi²,

Gatteschi³

et al. 2020

Vaccines

Self Cite

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(1) Background: Influenza vaccination uptake in nursing home (NH) workers is uncommon. The aim of this study was to understand the choice architecture of influenza vaccination acceptance or refusal among them and to promote vaccination acceptance using the nudge approach. (2) Methods: In autumn 2019, a nudge intervention with a contextual qualitative analysis of choice architecture of vaccination was performed among the staff of eight Tuscan NHs. In summer 2020, a cross-sectional study including the staff of 111 NHs (8 in the nudge, 103 in the comparison group) was conducted to assess the impact of the nudge intervention in promoting vaccination uptake. (3) Results: Macro-categories of motivations for vaccination uptake that emerged from the qualitative analysis were risk perception, value dimension, and trust, while those regarding refusal were risk perception, distrust, value dimension, and reasons related to one’s health. Considering the cross-sectional study, influenza vaccination uptake in the 2018–2019 season was similar in the two groups (23.6% vs. 22.2% respectively, in the nudge and comparison group), but significantly different in the 2019–2020 season: 28% in the nudge vs. 20% in the comparison group. Also, the intention to get the vaccine in the 2020–2021 season was significantly different in the two groups: 37.9% in the nudge and 30.8% in the comparison group. (4) Conclusions: Nudge interventions-simple, fast, low cost-could be effective in promoting vaccination acceptance among NH workers and the analysis of choice architecture could be useful in improving tailored, new nudge interventions aimed at modifying irrational biased and cognitive errors.

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COVID‐19 vaccine uptake, conspiracy theories, and health literacy among Black individuals in Canada: Racial discrimination, confidence in health, and COVID‐19 stress as mediators

Cénat,

Farahi,

Dalexis

et al. 2024

Journal of Medical Virology

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Factors influencing vaccine uptake in Black individuals remain insufficiently documented. Understanding the role of COVID‐19 related stress, conspiracy theories, health literacy, racial discrimination experiences, and confidence in health authorities can inform programs to increase vaccination coverage. We sought to analyze these factors and vaccine uptake among Black individuals in Canada. A representative sample of 2002 Black individuals from Ontario, Quebec, Alberta, Nova Scotia, New Brunswick, British Columbia, and Manitoba, aged 14 years or older completed questionnaires assessing vaccine uptake, health literacy, conspiracy theories, racial discrimination experiences, COVID‐19‐related stress, and confidence in health authorities. Mediation analyses were conducted to assess (1) the effect of health literacy on COVID‐19 vaccination uptake through confidence and need, COVID‐19 related traumatic stress, and racial discrimination, and (2) the effect of conspiracy beliefs on COVID‐19 vaccination uptake through the same factors. Overall, 69.57% (95% confidence interval, 67.55%–71.59%) of the participants were vaccinated and 83.48% of them received two or more doses. Those aged 55 years and older were less likely to be vaccinated, as well as those residing in British Columbia and Manitoba. Mediation models showed that the association between health literacy and COVID‐19 vaccine uptake was mediated by confidence in health authorities (B = 0.02, p < 0.001), COVID‐19‐related stress (B = −0.02, p < 0.001), and racial discrimination (B = −0.01, p = 0.032), but both direct and total effects were nonsignificant. Lastly, conspiracy beliefs were found to have a partial mediation effect through the same mediators (B = 0.02, p < 0.001, B = −0.02, p < 0.001, B = −0.01, p = 0.011, respectively). These findings highlight the need for targeted interventions to address vaccine hesitancy and inform approaches to improve access to vaccinations among Black communities.

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Health Literacy, Vaccine Confidence and Influenza Vaccination Uptake among Nursing Home Staff: A Cross-Sectional Study Conducted in Tuscany

Cited by 29 publications

References 43 publications

Major Stressors and Coping Strategies of Frontline Nursing Staff During the Outbreak of Coronavirus Disease 2020 (COVID-19) in Alabama

Major Stressors and Coping Strategies of Frontline Nursing Staff During the Outbreak of Coronavirus Disease 2020 (COVID-19) in Alabama

Promoting Influenza Vaccination among Staff of Nursing Homes According to Behavioral Insights: Analyzing the Choice Architecture during a Nudge-Based Intervention

COVID‐19 vaccine uptake, conspiracy theories, and health literacy among Black individuals in Canada: Racial discrimination, confidence in health, and COVID‐19 stress as mediators

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