Vaccination in Healthcare Workers: Risk Assessment, Planning, Strategy of Intervention and Legal Implications

Rapisarda, Venerando; Ledda, Caterina; Maltezou, Helena C.

doi:10.2217/fmb-2018-0235

Cited by 9 publications

(11 citation statements)

References 14 publications

(18 reference statements)

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“…Consequently, to sustain vaccine-acquired herd immunity and vaccination policies, the immunization coverage of the HCP must reach the fixed threshold rates [ 31 ]. Understanding HCP knowledge and attitudes towards VPDs vaccination is essential to understand these issues and consent to recommend an opposite approach to advance immunization coverage rates [ 32 , 33 ]. Moreover, the newly developed vaccines against COVID-19 could be influenced by vaccine hesitancy among HCP [ 34 ].…”

Section: Introductionmentioning

confidence: 99%

Attitudes of Healthcare Personnel towards Vaccinations before and during the COVID-19 Pandemic

Ledda

Costantino

Cuccia³

et al. 2021

IJERPH

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Vaccines constitute highly effective tools for controlling and eliminating vaccine-preventable diseases (VPDs) and are assessed to avert between two to three million deaths per year globally. Healthcare personnel (HCP) constitute a priority group for several vaccinations. However, studies indicate significant rates of vaccine hesitancy among them and, therefore, of acceptance of vaccination recommendations. This cross-sectional study was conducted in a university hospital in Southern Italy to assess the knowledge and attitudes of HCP about VPDs before and during the COVID-19 pandemic, estimate their intention to get vaccinated against COVID-19, and search for determinants that may influence their choice. A self-administered questionnaire was used. HCP improved their knowledge about VPDs and were more favorable to vaccinations in September–December 2020 compared to January–December 2019. Overall, 75% of respondents would get a COVID-19 vaccine. Our findings indicate a potential role of the ongoing COVID-19 pandemic on Italian HCP’s knowledge and attitudes towards vaccines.

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Section: Introductionmentioning

confidence: 99%

Attitudes of Healthcare Personnel towards Vaccinations before and during the COVID-19 Pandemic

Ledda

Costantino

Cuccia³

et al. 2021

IJERPH

Self Cite

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“…Vaccines are among the most successful and cost-effective public health tools and have greatly contributed to eliminating or controlling several serious vaccine-preventable diseases over the past century [7]. Not only do vaccines prevent the vaccinated individual from developing a potentially serious illness, but they also help protect entire communities by reducing the spread of infectious agents (herd immunity) [7].…”

Section: Introductionmentioning

confidence: 99%

What Prompts Doctors to Recommend COVID-19 Vaccines: Is It a Question of Positive Emotion?

et al. 2021

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Vaccines are among the most successful and cost-effective public health tools and have greatly contributed to eliminating or controlling several serious vaccine-treatable diseases over the past century. To curb the spread of COVID-19, efficacious vaccination is emerging as essential in mitigating the disease and preventing deaths. Health care workers (HCW) are one of the first groups to receive vaccinations, so it is important to consider their attitudes to COVID-19 vaccination to better address barriers to widespread vaccination acceptance. This study aimed to evaluate variables that are linked with the recommendation of vaccines and intention to take-up vaccination against COVID-19 among the HCWs, in the context of the current pandemic. The study was conducted during the first week of the vaccination campaign dedicated to Italian HCWs, beginning in December 2020, and it involved all doctors in a public hospital in Sicily. The following questionnaires were administered: (1) The perceived vaccine trust questionnaire, measuring the degree of trust in vaccines by healthcare professionals both in general and for the protection of healthcare professionals themselves and patients; (2) the positive and negative affect scale-state (PANAS), for assessing positive and negative emotions in relation to their work as “frontline care providers”; (3) The locus of control of behaviour (LCB) to measure the extent to which subjects perceive responsibility for their personal behaviour (internal vs. external); (4) recommendation vaccines item, referring to the intention to recommend vaccination. The findings suggest that socio-demographic control variables (age, gender, and seniority) showed little or no predictive power in vaccine recommendation, while vaccine confidence, positive emotions, and internal locus of control were excellent predictors of vaccine recommendations by doctors. Younger doctors, both in age and experience, are more confident in vaccines and recommend them more frequently. It is essential to improve institutional communication addressed to doctors to enhance their role as vaccination facilitators.

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“…However, in Italy, the flu vaccination coverage rates in high-risk groups were considerably low during the 2018/2019 season [ 4 ]. In this context, healthcare workers (HCWs) play a fundamental role as behavior models and a reliable source of advice for patients, especially in the healthcare context, as they can become spreaders of influenza and other vaccine-preventable disease (VPD) infections among patients [ 5 , 6 , 7 , 8 ]. In addition, influenza vaccination of HCWs is recommended during seasonal epidemics of influenza in order to limit absenteeism among personnel and subsequent disruption of healthcare services [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Attitudes and Perception of Healthcare Workers Concerning Influenza Vaccination during the 2019/2020 Season: A Survey of Sicilian University Hospitals

et al. 2020

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Influenza is an infectious disease with a high impact on the population in terms of morbidity and mortality, but despite International and European guidelines, vaccination coverage rates among healthcare workers (HCWs) remain very low. The aim of the present study was to evaluate influenza vaccination adherence in the three Sicilian University Hospitals of Catania, Messina, and Palermo and to understand the attitudes and perceptions of vaccinated healthcare workers and the main reasons for vaccination refusal. A cross-sectional survey through a self-administered questionnaire was conducted during the 2019/2020 influenza season. Overall, 2356 vaccinated healthcare workers answered the questionnaire. The main reason reported for influenza vaccination adherence during the 2019/2020 season was to protect patients. Higher self-perceived risk of contracting influenza and a positive attitude to recommending vaccination to patients were significantly associated with influenza vaccination adherence during the last five seasons via multivariable analysis. Fear of an adverse reaction was the main reason for influenza vaccine refusal. In accordance with these findings, Public Health institutions should develop and tailor formative and informative campaigns to reduce principal barriers to the immunization process and promote influenza vaccination adherence among HCWs.

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Vaccination in Healthcare Workers: Risk Assessment, Planning, Strategy of Intervention and Legal Implications

Cited by 9 publications

References 14 publications

Attitudes of Healthcare Personnel towards Vaccinations before and during the COVID-19 Pandemic

Attitudes of Healthcare Personnel towards Vaccinations before and during the COVID-19 Pandemic

What Prompts Doctors to Recommend COVID-19 Vaccines: Is It a Question of Positive Emotion?

Attitudes and Perception of Healthcare Workers Concerning Influenza Vaccination during the 2019/2020 Season: A Survey of Sicilian University Hospitals

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