Trust and the demand for autonomy may explain the low rates of immunizations among nurses

Baron‐Epel, Orna; Madjar, Batya; Grefat, Rami; Rishpon, Shmuel

doi:10.4161/hv.22503

Cited by 15 publications

(13 citation statements)

References 31 publications

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“…Furthermore, some studies have reported the influence of perceived autonomy in the healthcare workers’ decisions about accepting vaccination for pertussis and for influenza[ 21 , 29 , 52 – 54 ]. Parents’ ‘right to choose yourself’ has previously been described in studies of the acceptance of measles, mumps, and rubella (MMR) vaccine[ 55 ].…”

Section: Discussionmentioning

confidence: 99%

Intention to Accept Pertussis Vaccination for Cocooning: A Qualitative Study of the Determinants

Visser¹,

Hautvast²,

Velden³

et al. 2016

PLoS ONE

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ContextSeveral countries have reported a resurgence of pertussis in the last decades. This puts infants (especially <6 months) at risk of severe complications, because they are too young to be fully protected by vaccination. The global pertussis initiative has proposed pertussis vaccination of young infants’ close contacts, in order to reduce pertussis transmission and the burden of the disease on infants. Our aim is to explore the perceived determinants (barriers and facilitators) of intention to accept vaccination among the possible target groups of pertussis vaccination for cocooning. Consideration of these determinants is necessary to optimise the uptake of the vaccination.MethodsWe conducted 13 focus groups and six individual semi-structured interviews with members of possible target groups for pertussis cocooning (i.e. parents, maternity assistants, midwives, and paediatric nurses) in the Netherlands. Here, both maternal pertussis vaccination as well as pertussis cocooning has not been implemented. The topic list was based on a literature review and a barrier framework. All interviews were transcribed verbatim and two researchers performed thematic content analysis.FindingsThe participants’ risk perception, outcome expectations, general vaccination beliefs, moral norms, opinion of others, perceived autonomy, anticipated regret, decisional uncertainty, and perceived organisational barriers were all factors that influenced the intention to accept pertussis vaccination for cocooning.DiscussionThis study has identified nine perceived determinants that influence the intention to accept pertussis cocooning vaccination. We add the following determinants to the literature: perceived cost-effectiveness (as a concept of outcome expectations), justice (as a concept of moral norms), anticipated regret, and decisional uncertainty. We recommend considering these determinants in vaccination programmes for pertussis cocooning vaccination. Experience, information and trust emerged as predominant themes within these determinants. These themes require particular attention in future research on vaccination acceptance, especially with regard to their role in use and implementation in policy and practice.

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Section: Discussionmentioning

confidence: 99%

Intention to Accept Pertussis Vaccination for Cocooning: A Qualitative Study of the Determinants

Visser¹,

Hautvast²,

Velden³

et al. 2016

PLoS ONE

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“…In spite of an extensive campaign, vaccination rates of hospital workers in Israel in 2014 ranged between 10-70 %, depending on the hospital. Likewise, compliance of nurses in Mother and Child Health Centers (MCHC) with recommended vaccines is far from being satisfactory [ 16 ]. Attitudes of HCW in Israel to vaccination have been examined in a number of studies [ 16 – 18 ].…”

Section: Mapping Of Vaccine Hesitancy In Israelmentioning

confidence: 99%

“…Likewise, compliance of nurses in Mother and Child Health Centers (MCHC) with recommended vaccines is far from being satisfactory [ 16 ]. Attitudes of HCW in Israel to vaccination have been examined in a number of studies [ 16 – 18 ]. Hesitancy of HCW is expressed as a conflict between trusting the recommendations of health authorities and trusting their own expertise [ 16 ]; Distrust in the health information provided by their employers versus their perception of risk [ 17 ].…”

Section: Mapping Of Vaccine Hesitancy In Israelmentioning

confidence: 99%

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Vaccine hesitancy as self-determination: an Israeli perspective

Velan

2016

Isr J Health Policy Res

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Vaccine hesitancy can be portrayed as a broad spectrum of phenomena, ranging from a genuine call for help to complete defiance of authorities. The emphasis here is made on mid-spectrum hesitancy; hesitancy as an act of personal exploration and deliberation whether to get vaccinated or not. This form of vaccine hesitancy can be identified in the attitude of the Israeli public towards routine childhood vaccination programs, seasonal flu vaccination, newly introduced vaccines, such as human papilloma virus vaccine, as well as towards the emergency vaccination programs against poliovirus and H1N1 pandemic influenza. Vaccine hesitancy in Israel appears to be a process where individuals exercise self-determination and self-empowerment and make their own decisions based on assessment, reflection, choosing between various options and dealing with considerable complexities.Addressing this form of vaccine hesitancy could be challenging, but ultimately fruitful. This would require change of attitudes on the part of policymakers. The first steps should involve the realization that deliberative hesitancy is here to stay, and that hesitant individuals should be respected. This could pave the way for designing appropriate intervention strategies for convincing the hesitant public about the advantages of vaccination.

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“… 29 On the other hand, some HCP hold negative attitudes toward vaccines that contribute to low vaccine uptake. 30 These negative attitudes seem to remain among HCP regarding COVID-19 vaccines. 15 Research suggests additional concerns among HCP specifically regarding: COVID-19 vaccines (including insufficient safety and efficacy data and long-term side effects) and breakdowns of trust between HCP and institutions (due to inadequate personal protective equipment [PPE] and concerns that getting vaccinated against COVID-19 will be linked to requirements to work with COVID-19 patients).…”

Section: The Case For and Against Mandating Covid-19 Vaccination Of Hmentioning

confidence: 99%

No Jab, No Job? Ethical Issues in Mandatory COVID-19 Vaccination of Healthcare Personnel

2021

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Trust and the demand for autonomy may explain the low rates of immunizations among nurses

Cited by 15 publications

References 31 publications

Intention to Accept Pertussis Vaccination for Cocooning: A Qualitative Study of the Determinants

Intention to Accept Pertussis Vaccination for Cocooning: A Qualitative Study of the Determinants

Vaccine hesitancy as self-determination: an Israeli perspective

No Jab, No Job? Ethical Issues in Mandatory COVID-19 Vaccination of Healthcare Personnel

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