Healthcare workers’ views on mandatory SARS-CoV-2 vaccination in the UK: A cross-sectional, mixed-methods analysis from the UK-REACH study

Woolf, Katherine; Gogoi, Mayuri; Martin, Christopher; Papineni, Padmasayee; Lagrata, Susie; Nellums, Laura B; McManus, I. C.; Guyatt, Anna L; Melbourne, Carl; Bryant, Luke; Gupta, Amit; John, Catherine; Carr, Sue; Tobin, Martin D.; Simpson, Sandra; Gregary, Bindu; Aujayeb, Avinash; Zingwe, Stephen; Reza, Rubina; Gray, Laura J.; Khunti, Kamlesh; Pareek, Manish

doi:10.1016/j.eclinm.2022.101346

Cited by 33 publications

(59 citation statements)

References 43 publications

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“…Our study indicates that more than half of the participants agreed with mandating COVID-19 vaccination for health care professionals. However, vaccine mandate studies are divided, both supporting [ 28 , 50 ] and against [ 41 , 51 ] the mandates. By the end of April 2022, more than 8 months after introducing legislation for the mandatory vaccination of HCW, 9.3% of HCW continue to refuse vaccination, despite financial and professional adverse consequences.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Predictors of COVID-19 Vaccination Acceptance among Greek Health Care Workers and Administrative Officers of Primary Health Care Centers: A Nationwide Study Indicating Aspects for a Role Model

et al. 2022

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Background: Τhe study aims to identify factors associated with COVID-19 vaccine acceptance and to investigate knowledge and perceptions of Primary Health Care Centers (PHCC) personnel, who acted as pioneers in the national COVID-19 vaccination strategy. Methods and Materials: A nationwide cross-sectional survey was conducted by distributing an online anonymous questionnaire comprising 25 questions during the first semester of 2021. Results: Approximately 85.3% of the 1136 respondents (response rate 28.4%) were vaccinated or intended to be. The acceptance of seasonal flu vaccine (aOR: 3.29, 95%CI: 2.08–5.20), correct COVID-19 vaccine knowledge (aOR: 8.37, 95%CI: 4.81–14.59) and lack of concern regarding vaccine novelty (aOR: 6.18, 95%CI: 3.91–9.77) were positively correlated with vaccine acceptance. Vaccinated respondents were more likely to be physicians (aOR: 2.29, 95%CI: 1.03–5.09) or administrative staff (aOR: 2.65, 95%CI: 1.18–5.97) compared to nursing stuff. Reasons for vaccine hesitancy included inadequate information (37.8%) and vaccine safety (31.9%). Vaccine acceptance was strongly correlated (Spearman’s correlation coefficient r = 0.991, p < 0.001) between PHCC personnel and the general population of each health district. Conclusions: COVID-19 vaccine acceptance among PHCC personnel in Greece was comparably high, but specific groups (nurses) were hesitant. As the survey’s target population could serve as a role model for the community, efforts should be made to improve COVID-19 vaccine acceptance.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Predictors of COVID-19 Vaccination Acceptance among Greek Health Care Workers and Administrative Officers of Primary Health Care Centers: A Nationwide Study Indicating Aspects for a Role Model

et al. 2022

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“…In fact, many HCWs are against mandatory vaccination, with surveys showing opposition as high as 57% [55]. However, other HCWs have supported mandates, for reasons including reducing the risk of illness for themselves and patients, especially vulnerable populations [141].…”

Section: Infringement On Personal Rightsmentioning

confidence: 99%

COVID-19 Vaccination Hesitancy among Healthcare Workers—A Review

2022

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The COVID-19 pandemic and its associated vaccine have highlighted vaccine hesitancy among healthcare workers (HCWs). Vaccine hesitancy among this group existed prior to the pandemic and particularly centered around influenza vaccination. Being a physician, having more advanced education, and previous vaccination habits are frequently associated with vaccine acceptance. The relationship between age and caring for patients on COVID-19 vaccination is unclear, with studies providing opposing results. Reasons for hesitancy include concerns about safety and efficacy, mistrust of government and institutions, waiting for more data, and feeling that personal rights are being infringed upon. Many of these reasons reflect previous attitudes about influenza vaccination as well as political beliefs and views of personal autonomy. Finally, several interventions to encourage vaccination have been studied, including education programs and non-monetary incentives with the most effective studies using a combination of methods.

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“…vulnerable in their workplace or in their finances and kind of lose out twice-not being treated well by the government and then lose out from this." (P81, Doctor, Mixed, AA) These sentiments along with preference for non-coercive strategies for improving vaccine uptake may have influenced HCWs vaccine decision and also their opposition to the UK government's mandatory vaccination order [21], which has now been revoked following a public consultation in February 2022 [29]. "It's never been suggested before that everybody should be vaccinated for something of this sort.…”

Section: Plos Onementioning

confidence: 99%

“…Therefore, a rigorous exploration of HCWs' views on COVID-19 vaccines and factors which influence these views is essential. This is critical to understand the uptake of COVID-19 vaccine booster doses and also to determine how policies such as mandatory vaccination could influence vaccine decision-making [20,21]. In order to address these key questions, we carried out a qualitative study to investigate (a) HCWs attitudes towards the COVID-19 vaccine; (b) their perceptions about the vaccine; and (c) factors influencing vaccine decision making.…”

Section: Introductionmentioning

confidence: 99%

“The vaccination is positive; I don’t think it’s the panacea”: A qualitative study on COVID-19 vaccine attitudes among ethnically diverse healthcare workers in the United Kingdom

Gogoi

Wobi²,

Qureshi³

et al. 2022

PLoS ONE

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Background Globally, healthcare workers (HCWs) were prioritised for receiving vaccinations against the coronavirus disease-2019 (COVID-19). Previous research has shown disparities in COVID-19 vaccination uptake among HCWs based on ethnicity, job role, sex, age, and deprivation. However, vaccine attitudes underpinning these variations and factors influencing these attitudes are yet to be fully explored. Methods We conducted a qualitative study with 164 HCWs from different ethnicities, sexes, job roles, migration statuses, and regions in the United Kingdom (UK). Interviews and focus groups were conducted online or telephonically, and recorded with participants’ permission. Recordings were transcribed and a two-pronged analytical approach was adopted: content analysis for categorising vaccine attitudes and thematic analysis for identifying factors influencing vaccine attitudes. Findings We identified four different COVID-19 vaccine attitudes among HCWs: Active Acceptance, Passive Acceptance, Passive Decline, and Active Decline. Content analysis of the transcripts showed that HCWs from ethnic minority communities and female HCWs were more likely to either decline (actively/passively) or passively accept vaccination—reflecting hesitancy. Factors influencing these attitudes included: trust; risk perception; social influences; access and equity; considerations about the future. Interpretation Our data show that attitudes towards COVID-19 vaccine are diverse, and elements of hesitancy may persist even after uptake. This has implications for the sustainability of the COVID-19 vaccine programme, particularly as new components (for example boosters) are being offered. We also found that vaccine attitudes differed by ethnicity, sex and job role, which calls for an intersectional and dynamic approach for improving vaccine uptake among HCWs. Trust, risk perception, social influences, access and equity and future considerations all influence vaccine attitudes and have a bearing on HCWs’ decision about accepting or declining the COVID-19 vaccine. Based on our findings, we recommend building trust, addressing structural inequities and, designing inclusive and accessible information to address hesitancy.

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Healthcare workers’ views on mandatory SARS-CoV-2 vaccination in the UK: A cross-sectional, mixed-methods analysis from the UK-REACH study

Cited by 33 publications

References 43 publications

Prevalence and Predictors of COVID-19 Vaccination Acceptance among Greek Health Care Workers and Administrative Officers of Primary Health Care Centers: A Nationwide Study Indicating Aspects for a Role Model

Prevalence and Predictors of COVID-19 Vaccination Acceptance among Greek Health Care Workers and Administrative Officers of Primary Health Care Centers: A Nationwide Study Indicating Aspects for a Role Model

COVID-19 Vaccination Hesitancy among Healthcare Workers—A Review

“The vaccination is positive; I don’t think it’s the panacea”: A qualitative study on COVID-19 vaccine attitudes among ethnically diverse healthcare workers in the United Kingdom

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