Between persuasion and compulsion: The case of COVID-19 vaccination in Canada

Dubé, Ève; Gagnon, Dominique; MacDonald, Noni E.

doi:10.1016/j.vaccine.2022.05.053

Cited by 10 publications

(6 citation statements)

References 40 publications

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“…Esses enfermeiros encontraram inicialmente a não conformidade com as medidas preventivas de saúde pública e subvacinação em um contexto de debate social e político polarizado sobre a letramento vacinal, história do sistema de APS e ideologia de direitos humanos 35 . Diferentemente dos colegas brasileiros, os canadenses lidaram com incentivos incomuns de compensação para vacinação, contrários aos princípios fundamentais de educação em saúde comunitária, extensão e redução de barreiras de acesso aos serviços de APS 36 .…”

Section: Discussionunclassified

Introspecções Canadenses-Brasileiras Para a Enfermagem Transcultural: Uma Exploração Dos Contextos Da Enfermagem De Saúde Comunitária

Zanchetta

Souto

Metersky

et al. 2023

Texto contexto - enferm.

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RESUMO Objetivo: analisar as características distintas, as incongruências e a harmonia entre as características da Enfermagem de saúde comunitária canadense e brasileira bem como suas respectivas práticas. Método: pesquisa etnográfica realizada em unidades básicas de saúde (cidade de João Pessoa, Brasil). A coleta de dados ocorreu no período de julho a setembro de 2018 e incluiu observação participante direta, não estruturada de interações sociais coletivas e entre profissionais e clientela. Houve registro digital estruturado de relatos das observações de campo pela pesquisadora, assim como imersão social em ambientes comunitários. O diário de campo foi analisado tematicamente para construir o significado da prática comparativa de Enfermagem. Resultados: a análise dos relatos das observações identificou desafios e oportunidades para promover mudanças sustentáveis e criar um ambiente de apoio. As competências dos enfermeiros para a promoção da saúde estão em consonância com perspectivas conceituais, políticas e éticas. Entre as práticas diferenciadas observadas destaca-se que, no Brasil, a prática de prescrição tem sido bem estabelecida, pois, legalmente, os enfermeiros estão autorizados a prescrever dentro dos programas de atenção primária à saúde. No Canadá, os enfermeiros receberam autorização para fazê-lo, após um treinamento específico e sob certo escopo da prática avançada. A análise temática revelou singularidades nas informações apreendidas, incongruência entre as práticas de Enfermagem de saúde comunitária Brasil-Canadá e harmonia entre tais práticas contextuais que compuseram as evidências empíricas. Conclusões: esta pesquisa revelou a compatibilidade entre a prática canadense e brasileira, assim como características próprias dos enfermeiros brasileiros nessa prática. Inquestionavelmente, as evidências resumem-se à consolidação da bem estabelecida cooperação Brasil-Canadá no campo da atenção primária à saúde. Essas evidências abordam a perspectiva política de cooperação para a saúde global.

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Section: Discussionunclassified

Introspecções Canadenses-Brasileiras Para a Enfermagem Transcultural: Uma Exploração Dos Contextos Da Enfermagem De Saúde Comunitária

Zanchetta

Souto

Metersky

et al. 2023

Texto contexto - enferm.

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“…CHNs encountered initial non-compliance to public health preventative measures and under-vaccination within a context of polarizing social and political debate about vaccine literacy, PHC system history, and human rights ideology 35 . Differently from the Brazilian colleagues, Canadian CHNs dealt with uncommon compensation incentives for vaccination contrary to the key principles of community health education, outreach, and reduction of access barriers to PHC services 36 .…”

Section: /19mentioning

confidence: 99%

Canadian-Brazilian Insights for Transcultural Nursing: An Exploration of Community Health Nursing Contexts

Zanchetta

Souto

Metersky

et al. 2023

Texto contexto - enferm.

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Objective: to analyze the distinct features, incongruencies, and harmony between the features of Canadian-Brazilian community health nursing as well their practices. Method: ethnographic research conducted in primary healthcare clinics (city of João Pessoa, Brazil). Data collection unfolded from July to September 2018 and included direct, unstructured participant observation of collective social and professional-clientele interactions, with a structured personal digital log and reports of the researcher's observations, as well as social immersion in community settings. The fieldwork log was thematically analyzed to build the meaning of the comparative nursing practice. Results: analysis of observations’ reports identified challenges and opportunities to promote sustainable changes and create a supportive environment. Nurses’ competencies to promote health are in consonance with conceptual, political, and ethical sounding perspectives. Among the distinctive practices observed was that in Brazil, the prescribing practice has been well-established because legally the registered nurses are allowed to prescribe within the primary healthcare programs. In Canada, registered nurses have been granted authority to do so, upon receipt of specific training and under certain scope of advanced practice. Thematic analysis revealed uniqueness of the grasped information, incongruence between community health nursing practices and harmony between contextual practices of Brazil-Canada community health nursing composed the empirical evidence. Conclusions: this research uncovered the compatibility between Canadian and Brazilian practice as well as intricate features of Brazilian community health nurses. Unquestionably, the evidence sums up to the consolidation of the well-established Brazil-Canada cooperation in the field of primary health care. This evidence addresses the political perspective of cooperation for global health.

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“…Vaccine equity is highly complex and goes beyond ensuring a sufficient procurement of vaccines and reducing end-user vaccine costs. It is also shaped by factors such as accessibility to vaccines and the confidence in their efficacy and the health actors delivering them (2, 5, 6). Vaccine access and confidence are, in turn, influenced by social and economic conditions like physical environment, culture, and experiences of discrimination, racism, and historical trauma (6).…”

Section: Introductionmentioning

confidence: 99%

“…The COVID-19 pandemic was a global health emergency of unprecedented nature that resulted in an estimated 6.9 million deaths globally and 52,000 in Canada between January 2020 and May 2023 (1). The rapid spread of the novel coronavirus prompted all high-resource countries to institute a myriad of prevention and control measures and invest massively in developing, procuring, and distributing vaccines (2). With the increased availability of COVID-19 vaccines, calls for vaccine equity within and among countries emerged (3)(4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Strengthening access to and confidence in COVID-19 vaccines among equity-deserving populations across Canada: An exploratory qualitative study

Bashir,

Ouedraogo,

Dharma

et al. 2024

Preprint

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Introduction: There is a need to reflect on the COVID-19 vaccine distribution across Canada and the extent to which they considered equity-deserving populations. This paper examined and compared strategies implemented by six Canadian provinces to increase access and promote the uptake of COVID-19 vaccines among selected priority populations. We also explored the factors that impacted the implementation of these strategies. Methods: In six provinces (Alberta, British Columbia, Manitoba, Nova Scotia, Ontario, and Quebec), we conducted an environmental scan of provincial rollout documents and media sources reporting vaccine distribution among selected priority populations:First Nations, Inuit, and Metis; Black communities; essential workers; people experiencing homelessness; and people with disabilities. We subsequently interviewed 39 key informants to validate the environmental scan results, identify additional strategies to increase COVID-19 vaccine uptake, and uncover perceptions of the facilitators and challenges that influenced the strategies’ implementation. Results: Through the environmental scans and key informant interviews, we identified that provincial health authorities employed a panoply of strategies to overcome geographic, financial, and attitudinal barriers to COVID-19 vaccines experienced by the priority populations. Most provinces implemented walk-in, mobile, and pop-up vaccination clinics, mobilized public and private health workforce, and designed multilingual communication materials. Facilitators in implementing COVID-19 vaccination strategies included fostering inter-governmental cooperation, harmonizing communication efforts, leveraging existing relationships and networks, and ensuring representation and leadership of community partners. Challenges to implementing COVID-19 vaccination strategies included uncoordinated communication efforts, inadequate distribution of vaccines to areas with the greatest need, mistrust in the government and healthcare system, vaccine hesitancy, and lack of cultural competence by vaccine providers. Conclusions: This study highlights the divide between well-intentioned strategies and interventions and the reality of on-the-ground implementation. The findings offer valuable insights and can inform the implementation of strategies to distribute vaccines equitably in future large-scale vaccination efforts in Canada and globally.

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Between persuasion and compulsion: The case of COVID-19 vaccination in Canada

Cited by 10 publications

References 40 publications

Introspecções Canadenses-Brasileiras Para a Enfermagem Transcultural: Uma Exploração Dos Contextos Da Enfermagem De Saúde Comunitária

Introspecções Canadenses-Brasileiras Para a Enfermagem Transcultural: Uma Exploração Dos Contextos Da Enfermagem De Saúde Comunitária

Canadian-Brazilian Insights for Transcultural Nursing: An Exploration of Community Health Nursing Contexts

Strengthening access to and confidence in COVID-19 vaccines among equity-deserving populations across Canada: An exploratory qualitative study

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