Healthcare Workers’ Attitudes towards Mandatory COVID-19 Vaccination: A Systematic Review and Meta-Analysis

Politis, Marios; Sotiriou, Sotiris; Doxani, Chrysoula; Stefanidis, Ioannis; Ζιντζαράς, Ηλίας; Rachiotis, Georgios

doi:10.3390/vaccines11040880

Cited by 15 publications

(8 citation statements)

References 111 publications

(189 reference statements)

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“…However, more than half of the participants (58.1%) believed that COVID-19 vaccine should be mandatory for the HCWs. This data are in line with those reported in previous studies where the mandate for HCWs is largely supported ( 21 , 22 ), although lower values have been observed in France (35%) ( 23 ), US (35%) ( 24 ), and UK (18%) ( 25 ). It was described that mandatory vaccination does not represent an incentive for HCWs to get vaccinated, and in some cases, it seems to be associated with a decrease in vaccine adherence ( 21 ).…”

Section: Discussionsupporting

confidence: 93%

Impact of the COVID-19 pandemic on behavioral changes in healthcare workers in Italy

Sansone,

Miraglia del Giudice,

Della Polla

et al. 2024

Front. Public Health

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IntroductionDuring the COVID-19 pandemic, adherence to wearing face mask and washing hands procedures and achieving high COVID-19 vaccine coverage among healthcare workers (HCWs) were essential to minimize morbidity and possible death and limit the transmission of the virus. The objectives of the cross-sectional survey were to explore the influence of COVID-19 on the use of preventive measures and vaccination willingness among HCWs in the southern part of Italy and the associated factors.MethodsThe survey was carried out from 15 June 2023 to 15 July 2023 among 521 HCWs who worked in three randomly selected public hospitals. All data were collected through a self-administered questionnaire.ResultsHCWs had a positive change in the use of preventive measures if they did not often/always use them before the pandemic, but they are using in the current epidemiologic context and they were willing to use in a future epidemic situation. A positive change in the adherence to face mask-wearing (24.6%) was more likely among those with at least 5 years of university degree, nurses/midwives, and who had worked in COVID-19 wards. A positive change in alcohol-based hand rubbing (3.1%) was more likely in HCWs in Emergency/Critical/Infectious Diseases wards compared with medical wards. HCWs who were more likely to believe that the COVID-19 vaccine should be mandatory for them (58.1%) had at least 5 years of university degree, in Emergency/Critical/Infectious Diseases wards compared with surgical and medical wards, had received more than three doses of this vaccine, were more concerned to get infected during their activity, and had received information from scientific journals. HCWs more willing to receive the COVID-19 vaccine every year (39.8%) were males, physicians, those in Emergency/Critical/Infectious Diseases wards compared with medical wards, who had received more than three doses of this vaccine, who believed that this vaccine should be mandatory for HCWs, and who needed additional information.DiscussionThe survey showed that the COVID-19 pandemic had an impact on the use of preventive measures among HCWs, not necessarily for the improvement or increase. Educational messages on the importance of these measures regarding the promotion and recommendation of the vaccine need to be investigated and applied among HCWs in order to reduce vaccination gaps and the spread of the infection.

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Section: Discussionsupporting

confidence: 93%

Impact of the COVID-19 pandemic on behavioral changes in healthcare workers in Italy

Sansone,

Miraglia del Giudice,

Della Polla

et al. 2024

Front. Public Health

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“…HCWs in the region of the Americas had the highest in acceptance (70%), Asian and African Regions trailed behind with 67% and 57% acceptance. Whilst Europe HCWs had an overall 59% acceptance [ 37 ]. However, the pooled overall prevalence of acceptance rate was lower than the acceptance rate in four previous national cross-sectional studies with more than 2,000 participants (76.4% [ 4 ], 77.3% [ 24 ], and 90.12% [ 16 ], and 96.0% [ 31 ] respectively, slightly higher than the result in two national studies with more than 1000 participants, which indicated an overall acceptance rate of 52.7% [ 28 ], and 55.4% [ 26 ] respectively, and higher than the results of a multinational study with 3,856 participants, which indicated an acceptance rate of 54.5% [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Mpox vaccine acceptance among healthcare workers: a systematic review and meta-analysis

Mektebi,

Elsaid,

Yadav

et al. 2024

BMC Public Health

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Introduction Mpox is a zoonotic viral disease that emerged in May 2022 and has since shown a high prevalence in non-mpox-endemic areas, resulting in an outbreak that caused more than 84,000 cases in 110 countries around the globe. Several vaccines are available to prevent the disease, and multiple studies have been conducted to assess the attitudes of different populations toward receiving the mpox vaccine. This study systematically reviews all the studies conducted on mpox vaccine acceptance/hesitancy among healthcare workers. Methods A systematic literature search was conducted through four electronic databases, including PubMed, Scopus, Web of Science, and Google Scholar, up to March 2023. Studies that described mpox vaccine acceptance/hesitancy among healthcare workers were included, and the data were extracted using a uniform extraction sheet. Following the extraction, the meta-analysis included ten studies with 7322 healthcare workers. Three researchers independently assessed the risk of bias in the included study using the Newcastle–Ottawa Scale (NOS). Results Ten studies were included in the review. This review indicates that the prevalence of mpox vaccine acceptance was 58.5%, and the prevalence of mpox vaccine hesitancy was 41.5%. There was a higher prevalence of acceptance in countries located in Asian and African areas compared to those in North America and Europe, estimated at 68% and 44.3%, respectively. Among the studies conducted solely among physicians, there was a high prevalence of mpox vaccine acceptance, at 77.1%, compared to 49% in studies that included all healthcare workers. Conclusion There is a significant variation in the prevalence of mpox vaccine acceptance among different populations. Further research is needed to identify the factors that contribute to this variation and to develop interventions to increase vaccine acceptance. In addition, it is important to promote research on mpox vaccine acceptance and hesitancy among healthcare workers in countries where data is limited. This research will help policymakers develop effective policies to increase acceptance and reduce the disease burden.

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“…Both strategies may be implemented concurrently if found beneficial. Healthcare workers (HCWs) are frequently the focus of vaccine mandates, partly due to their moral responsibility to prevent harm to patients and other considerations related to their roles [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

SARS-CoV-2 vaccine breakthrough infection and the evaluation of safety precaution practice before and after vaccination among healthcare workers in South West, Nigeria

Oni,

Osho,

Odesanmi

et al. 2024

BMC Public Health

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Introduction Worldwide, it has been reported that fully vaccinated people still die of COVID-19-associated symptoms, generating public uncertainty about the safety and effectiveness of the vaccines. Hence, this research is aimed at assessing the incidence of COVID-19 breakthrough infection among vaccinated Health Workers and the possible effect of changes in the practice of post-vaccination safety precautions. Method This was a Health facility-based descriptive cross-sectional study. Data were collected using self-administered questionnaires distributed at the participant’s work unit across the selected health facilities. The nasopharyngeal specimen was also obtained from the participants and analysed using STANDARD Q COVID-19 Ag Test rapid chromatographic immunoassay for the detection of antigens to SARS-CoV-2. All data were input and analyzed using SPSS version 20. Results There was a statistically significant relationship between the vaccination status of respondents and the post-vaccination test result (χ2 = 6.816, df = 1, p = 0.009). The incidence of COVID-19 infection among the vaccinated and unvaccinated HCWs was 2% and 8% respectively. 5 of the 15 respondents who tested positive for COVID-19 had been fully vaccinated. However, all 5 of them did not practice safety measures after vaccination. None of the respondents who practised safety measures after vaccination tested positive for COVID-19. The remaining 10 respondents that tested positive for COVID-19 had not been vaccinated though they practised safety precautions. Conclusion Vaccination and the practice of safety precautions will go a long way to preventing future COVID-19 breakthrough infections.

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Healthcare Workers’ Attitudes towards Mandatory COVID-19 Vaccination: A Systematic Review and Meta-Analysis

Cited by 15 publications

References 111 publications

Impact of the COVID-19 pandemic on behavioral changes in healthcare workers in Italy

Impact of the COVID-19 pandemic on behavioral changes in healthcare workers in Italy

Mpox vaccine acceptance among healthcare workers: a systematic review and meta-analysis

SARS-CoV-2 vaccine breakthrough infection and the evaluation of safety precaution practice before and after vaccination among healthcare workers in South West, Nigeria

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