Increasing influenza vaccination coverage in healthcare workers: a review on campaign strategies and their effect

Schumacher, Sofie; Salmanton‐García, Jon; Cornely, Oliver A.; Mellinghoff, Sibylle C.

doi:10.1007/s15010-020-01555-9

Cited by 79 publications

(57 citation statements)

References 38 publications

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“…Evidence that these characteristics and attitudes are associated with vaccine uptake could be useful in targeting vaccine messaging and outreach to nursing staff who are at risk for not getting vaccinated. According to recent systematic reviews assessing the effectiveness of interventions to improve influenza vaccine uptake among healthcare workers, multicomponent interventions (e.g., on-site vaccination, vaccination stands with educational material, incentives, and mandates) show promise to increase vaccination within this population and may be an equally effective strategy for the COVID-19 vaccine [ 24 , 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccine Hesitancy and Uptake among Nursing Staff during an Active Vaccine Rollout

et al. 2021

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Even with the availability of COVID-19 vaccines, factors associated with vaccine hesitancy and uptake among nurses are unknown. This study evaluated COVID-19 vaccine hesitancy and uptake of nursing staff during one of the first COVID-19 vaccine rollouts in the United States. A cross-sectional survey was conducted during February 2021 among nursing staff working in a large medical center in central United States. There were 276 respondents; 81.9% of participants were willing to receive the vaccine during the initial rollout, 11.2% were hesitant, and only 5.1% were unwilling. The hesitant group was likely to report having inadequate information to make an informed decision about whether to receive the vaccine (45.2%) and about vaccine expectations (32.3%). The majority (83.3%) received at least one dose of the vaccine. Having greater than 10 years’ work experience (OR 3.0, 95% CI 1.16–7.9) and confidence in vaccine safety (OR 7.78, 95% CI 4.49–13.5) were significantly associated with vaccine uptake. While our study indicates higher vaccine uptake among nursing staff during an active vaccine rollout, there remains sustained hesitancy and unwillingness to uptake. For those hesitant to receive the COVID-19 vaccine, public health efforts to provide more data on side effects and efficacy may help increase vaccine uptake.

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Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccine Hesitancy and Uptake among Nursing Staff during an Active Vaccine Rollout

et al. 2021

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“…challenge [25]: For example, cases of TTS were reported among persons who had received the ChAdOx1 nCov-19 vaccine, after which many HCWs who had been vaccinated with first dose expressed concerns about vaccination with the second dose. Therefore, our campaign focused on addressing concerns related to TTS.…”

Section: Plos Onementioning

confidence: 99%

Effect of a hospital-wide campaign on COVID-19 vaccination uptake among healthcare workers in the context of raised concerns for life-threatening side effects

et al. 2021

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Background All healthcare workers (HCWs) in Yongin Severance Hospital were allocated to receive the ChAdOx1 nCov-19 vaccine according to national policy. A report of thrombosis and thrombocytopenia syndrome (TTS) associated with ChAdOx1 nCoV-19 led to hesitancy about receiving the second dose among HCWs who had received the first dose. Methods From 7 to 14 May, 2021, we performed a survey to identify the factors associated with hesitancy about receiving the second vaccine dose among HCWs at the hospital who had received the first dose of the vaccine. Based on survey results, a hospital-wide campaign was implemented on 18 May 2021 to improve vaccine coverage. HCWs who completed the second dose completed a self-administered questionnaire to evaluate the effect of the campaign. Findings Of 1,171 HCWs who had received the first dose of the vaccine, 71.5% completed the online survey, of whom 3.7% refused to take the second dose and 22.3% showed hesitancy. Hesitancy to receive a second dose was significantly associated with age under 30 years and concerns about TTS, and was less common among those who trusted effectiveness and safety of the vaccine. Among HCWs who received the first dose, 96.2% completed vaccination with the second dose between 27 May and 4 June, 2021. Of those who answered the questionnaire asked about the timing of their decision to receive the second dose, 57.1% reported that they were motivated by the hospital-wide campaign. Conclusion A tailored intervention strategy based on a survey can improve COVID-19 vaccination uptake among HCWs.

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“…[76] As effective as they are [77], incentives may also be considered as a recognition for responsible action considering the positive externalities of COVID-19 vaccination in protecting oneself as well as other people.…”

Section: Prioritize Vaccination Incentives (Vaccination Certi Cates and Time Off Work And Money?)mentioning

confidence: 99%

Investigating the Intention to Receive the COVID-19 Vaccination in Macao: Implications for Vaccination Strategies

Ung

et al. 2021

Preprint

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Background: Understanding the intention of receiving COVID-19 vaccines is important to inform effective vaccination strategies. This study aimed to investigate such intention, identify the key influencing factors, and determine the most important intention predictors using a theoretically principled model. Methods: An online, cross-sectional survey method was implemented in Macao in May 2021. People aged 18 years or above and residing in Macao for 12 months prior to the study were recruited through social media. Intention to receive COVID-19 vaccines and the main constructs of the protection motivation theory and the health belief model were the main measures.Descriptive statistics, Pearson correlation and multiple linear regression were used for data analysis.Results: A total of 552 valid responses were received. Among the respondents, 79.5% aged between 25 and 54 years old, 59.4% were female, and 88% had a bachelor degree or above; 62.3% of the respondents indicated their intention to receive COVID-19 vaccination while 19.2% were hesitant and 18.5% did not have any intention. While 67.0% believed COVID-19 infection was life-threatening, only 19.0% thought they were at risk of getting infected. Control variables such as age, gender, education level, and having travel plans were significantly correlated with intention. Significant associations between intention with perceived severity, perceived susceptibility, maladaptive response reward, self-efficacy, response-efficacy, response cost, social attitude, social norm, past experience and information seeking behaviorwere identified (p<0.05). The most important positive predictors of intention were “being able to make arrangement to receive the vaccine” (β=0.333, P<0.001), “a sense of social responsibility” (β = 0.326, P<0.001), and “time off from work after vaccination” (β = 0.169, P<0.001), whereas “concerns over vaccine safety” (β = - 0.124, P < 0.001) and“relying on online resources for vaccine information” (β = -0.065, P <0.05)were negative predictors. Perceived severity was not a predictor of intention.Conclusion: Multi-component strategies to enhance health literacy that supports well-informed decision-making, increase vaccination convenience, promote social responsibility, and provide time-off incentivesareamong the key considerations in designing and improve vaccination campaigns in Macao.

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Increasing influenza vaccination coverage in healthcare workers: a review on campaign strategies and their effect

Cited by 79 publications

References 38 publications

COVID-19 Vaccine Hesitancy and Uptake among Nursing Staff during an Active Vaccine Rollout

COVID-19 Vaccine Hesitancy and Uptake among Nursing Staff during an Active Vaccine Rollout

Effect of a hospital-wide campaign on COVID-19 vaccination uptake among healthcare workers in the context of raised concerns for life-threatening side effects

Investigating the Intention to Receive the COVID-19 Vaccination in Macao: Implications for Vaccination Strategies

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