Understanding motivators and barriers of hospital-based obstetric and pediatric health care worker influenza vaccination programs in Australia

Tuckerman, Jane; Shrestha, Lexa; Collins, Joanne; Marshall, Helen

doi:10.1080/21645515.2016.1153204

Cited by 9 publications

(18 citation statements)

References 33 publications

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“…In addition to distrust in health authorities and employers, nurses in eight studies (Australia, Canada, Cyprus, Germany, Greece, Israel, Italy, Poland, Romania and Lithuania) were mistrustful of vaccines and their health benefits. 10–14 , 20 , 21 Commonly expressed concerns regarding vaccines by nurses included mistrust of newer vaccinations, mistrust in vaccine efficacy, concerns regarding vaccine side-effects and concerns regarding vaccine content.…”

Section: Resultsmentioning

confidence: 99%

“…Physicians were highly concerned about the overall quality and safety of vaccines. 11 , 20 , 21 , 24–29 …”

Section: Resultsmentioning

confidence: 99%

“…Physicians were highly concerned about the overall quality and safety of several vaccines across nine studies (Australia, Canada, Croatia, Cyprus, England, France, Germany, Greece, Israel, Italy, Lithuania, the Netherlands, Poland, Romania and USA). 11 , 20 , 21 , 24–29 In five studies, physicians doubted the efficacy of the influenza vaccine. 11 , 15 , 20 , 26 , 29 For example, even when presented with scientific evidence supporting the administration of the influenza vaccine, primary care physicians in one study still doubted its effectiveness.…”

Section: Resultsmentioning

confidence: 99%

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Health care provider trust in vaccination: a systematic review and qualitative meta-synthesis

Ahmad

Akande

Majid

2022

European Journal of Public Health

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Background Vaccine hesitancy is a growing issue globally amongst various populations, including health care providers. This study explores the factors that influence vaccine hesitancy amongst nurses and physicians. Methods We performed a qualitative meta-synthesis of 22 qualitative and mixed-method studies exploring the factors that may contribute to vaccine hesitancy amongst nurses and physicians. We included all articles that mentioned any aspect of trust concerning vaccination, including how trust may influence or contribute to vaccine hesitancy in nurses and physicians. Results Our findings revealed that vaccine hesitancy amongst nurses stemmed predominantly from two factors: distrust in health authorities and their employers, and distrust in vaccine efficacy and safety. Both nurses and physicians had a precarious relationship with health authorities. Nurses felt that their employers and health authorities did not prioritize their health over patients’ health, provided inaccurate and inconsistent vaccine information, and were mistrustful of pharmaceutical company motives. Like nurses, physicians were also skeptical of pharmaceutical company motives when it came to vaccination. Additionally, physicians also held doubts regarding vaccine efficacy and safety. Conclusions The relationship health care providers or their patients have with health authorities and other providers regarding vaccination serves as unsystematic clinical experiences that may bolster vaccine hesitancy. Providing accurate and tangible information to emphasize the safety and efficacy of vaccines to health care providers may help address their specific concerns that may ultimately increase vaccine uptake.

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Section: Resultsmentioning

confidence: 99%

“…Physicians were highly concerned about the overall quality and safety of vaccines. 11 , 20 , 21 , 24–29 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Health care provider trust in vaccination: a systematic review and qualitative meta-synthesis

Ahmad

Akande

Majid

2022

European Journal of Public Health

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“…The strength of the study is connected with the setting in which it was carried out: a large, reference and only paediatric hospital with all the different pediatric subspecialties. To the best of our knowledge, only a few studies on the issue have been reported so far in literature [ 49 , 50 , 51 ].…”

Section: Discussionmentioning

confidence: 99%

Seasonal Influenza Vaccination in Health Care Workers. A Pre-Post Intervention Study in an Italian Paediatric Hospital

Gilardi

Gattinara

Vinci

et al. 2018

IJERPH

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Despite relevant recommendations and evidences on the efficacy of influenza vaccination in health care workers (HCWs), vaccination coverage rates in Europe and Italy currently do not exceed 25%. Aim of the study is to measure the variations in vaccination coverage rates in an Italian pediatric hospital after a promotion campaign performed in the period October–December 2017. The design is a pre-post intervention study. The intervention is based on a wide communication campaign and an expanded offer of easy vaccination on site. The study was carried out at Bambino Gesù Children’s hospital in Rome, Italy, on the whole population of HCWs. Univariate and multivariate statistical analyses were performed. Vaccination coverage rate increased in 2017/18 campaign compared with the 2016/17 one (+95 HCWs vaccinated; +4.4%). The highest increases were detected in males (+45.7%), youngest employees (+142.9%), mean age of employment (+175%), other HCWs (+209.1%), Emergency Area (+151.6%) and Imaging Diagnostic Department (+200.0%). At multivariate logistic regression, working in some departments and being nurses represents a higher risk of being unvaccinated. Although the vaccination coverage rate remained low, a continuous increase of the coverage rate and development of a different consciousness in HCWs was highlighted. The study significantly identified the target for future campaigns.

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“…The most described symptoms were headaches, pains during the injection, and muscular pains after the injection and fever [15,16]. Only one serious side effect was mentioned, which was Guillain-Barré syndrome [16]. This fear of side effects could be explained by bad vaccine experiences or by a colleague's experience: " .…”

Section: Risks and The Duty To Be Healthymentioning

confidence: 99%

Nurses’ Influenza Vaccination and Hesitancy: A Systematic Review of Qualitative Literature

et al. 2022

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Vaccine hesitancy (VH) is defined as “delaying or refusing a secure vaccine despite its availability”. This hesitancy affects caregivers and more specifically nurses. The purpose of this study is to assess determinants of influenza VH in the nurse’s community. We conducted a systematic review of qualitative literature according to criteria of Preferred Reporting Items for Systematic Review and Meta-Analysis and Enhancing Transparency in Reporting the synthesis of Qualitative Research from 2009 until October 2020. Eleven qualitative studies analysed (ten thematic content analyses and one grounded theory method) found three main factors in VH. The first determinant was the benefit–risk equation considered as unfavourable due to an ineffective vaccine and fears about adverse effects as the pain of the injection. Wrong immunological beliefs brought into hesitancy. Disease barriers (hand washing and masks) and personal immunity were regarded as more effective than the vaccine. Lastly, dehumanised vaccination and the difficulties of access to healthcare were institutional determinants. Nurses ask for a vaccine promotion by hierarchy and doctors with transparent information and respect for autonomy. The availability of vaccines and methods of pain control seem to be some tracks to reduce nurses’ VH.

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Understanding motivators and barriers of hospital-based obstetric and pediatric health care worker influenza vaccination programs in Australia

Cited by 9 publications

References 33 publications

Health care provider trust in vaccination: a systematic review and qualitative meta-synthesis

Health care provider trust in vaccination: a systematic review and qualitative meta-synthesis

Seasonal Influenza Vaccination in Health Care Workers. A Pre-Post Intervention Study in an Italian Paediatric Hospital

Nurses’ Influenza Vaccination and Hesitancy: A Systematic Review of Qualitative Literature

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