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25.12.2022 | COVID-19 | Original Article

Healthcare workers’ perspectives on the COVID-19 vaccine and boosters for themselves, their patients, and their communities: a mixed methods study

verfasst von: Shana A. B. Burrowes, Sharon M. Casey, Sidney Dobbins, Taylor Hall, Mengyu Ma, Ruqiyya Bano, Mari-Lynn Drainoni, Elissa M. Schechter-Perkins, Christopher Garofalo, Rebecca B. Perkins, Natalie Pierre-Joseph

Erschienen in: Journal of Public Health | Ausgabe 1/2024

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Abstract

Aim

To examine experiences and attitudes of a diverse sample of clinical and non-clinical healthcare workers regarding COVID-19 vaccines and boosters for themselves, their patients, and their communities.

Subject and methods

We conducted a sequential exploratory mixed methods study; 52 healthcare workers participated in qualitative interviews between April 22 and September 7, 2021, and 209 healthcare workers completed surveys between February 17 and March 23, 2022. Interviews and survey questions asked about personal attitudes toward COVID-19 vaccination and boosters and experiences discussing vaccination with patients.

Results

Participants were predominantly White (56% and 73%, respectively) and female (79% and 81%, respectively). Factors motivating healthcare workers to take the vaccine were the belief that vaccination would protect themselves, their families, patients, and communities. Healthcare workers were accepting of and had high receipt of the booster, though some had diminished belief in its effectiveness after becoming infected with SARS-CoV-2 after initial vaccination. Race related mistrust, misinformation related to vaccine safety, and concerns about vaccine effects during pregnancy were the most common barriers that providers encountered among their patients and communities.

Conclusions

Healthcare workers’ primary motivation to receive COVID-19 vaccines was the desire to protect themselves and others. Healthcare workers’ perception was that concerns about safety and misinformation were more important barriers for their patients than themselves. Race-related medical mistrust amplified concerns about vaccine safety and hindered communication efforts.

Al-Metwali B, Al-Jumaili A, Al-Alag Z, Sorofman B (2021) Exploring the acceptance of COVID-19 vaccine among healthcare workers and general population using health belief model. J Eval Clin Pract 27(5):1112–1122. https://doi.org/10.1111/jep.13581CrossRefPubMedPubMedCentral

Assoumou SA, Peterson A, Ginman E, James T, Pierre CM, Hamilton S, Chapman S, Goldie J, Koenig R, Mendez-Escobar E, Leaver H, Graham R, Crichlow R, Weaver T, Cotterell S, Valdez G, De Las ND, Scott NA, Linas BP, Cherry PM (2022) Addressing inequities in SARS-CoV-2 vaccine uptake: The boston medical center health system experience. Ann Intern Med 175(6):879–884. https://doi.org/10.7326/M22-0028CrossRefPubMed

Biswas N, Mustapha T, Khubchandani J, Price JH (2021) The nature and extent of COVID-19 vaccination hesitancy in healthcare workers. J Community Health 46(6):1244–1251. https://doi.org/10.1007/s10900-021-00984-3CrossRefPubMedPubMedCentral

Brown-DeVeaux DV, Richards BR, Gilles S, Johnson J (2021) The impact of african-american nurses: How the implementation of a community-based model increased vaccination rates in marginalized communities in NYC. JNBNA 32(2):23–27PubMed

Centers for Disease Control and Prevention (2021) The Tuskegee timeline. https://www.cdc.gov/tuskegee/timeline.htm. Accessed 28 May 2022

Centers for Disease Control and Prevention (2022a) COVID data tracker. https://covid.cdc.gov/covid-data-tracker. Accessed 15 Aug 2022

Centers for Disease Control and Prevention (2022b) The federal retail pharmacy program for COVID-19 vaccination. https://www.cdc.gov/vaccines/covid-19/retail-pharmacy-program/index.html. Accessed 23 May 2022

Charmaz K (2014) Constructing grounded theory (2nd ed.). SAGE. New York

Dada D, Djiometio JN, McFadden SM, Demeke J, Vlahov D, Wilton L, Wang M, Nelson LE (2022) Strategies that promote equity in COVID-19 vaccine uptake for black communities: a review. J Urban Health: Bulletin of the New York Academy of Medicine 99(1):15–27. https://doi.org/10.1007/s11524-021-00594-3CrossRef

Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC (2009) Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 4(1):50. https://doi.org/10.1186/1748-5908-4-50CrossRefPubMedPubMedCentral

Diaz P, Zizzo J, Balaji NC, Reddy R, Khodamoradi K, Ory J, Ramasamy R (2022) Fear about adverse effect on fertility is a major cause of COVID-19 vaccine hesitancy in the united states. Andrologia. https://doi.org/10.1111/and.14361

Dong L, Bogart LM, Gandhi P, Aboagye JB, Ryan S, Serwanga R, Ojikutu BO (2022) A qualitative study of COVID-19 vaccine intentions and mistrust in Black Americans: Recommendations for vaccine dissemination and uptake. PLoS One. https://doi.org/10.1371/journal.pone.0268020

Elo S, Kyngäs H (2008) The qualitative content analysis process. J Adv Nurs 62(1):107–115. https://doi.org/10.1111/j.1365-2648.2007.04569.xCrossRefPubMed

Finney Rutten LJ, Zhu X, Leppin AL, Ridgeway JL, Swift MD, Griffin JM, St Sauver JL, Virk A, Jacobson RM (2021) Evidence-based strategies for clinical organizations to address COVID-19 vaccine hesitancy. Mayo Clin Proc 96(3):699–707. https://doi.org/10.1016/j.mayocp.2020.12.024CrossRefPubMed

Fiolet T, Kherabi Y, MacDonald CJ, Ghosn J, Peiffer-Smadja N (2022) Comparing COVID-19 vaccines for their characteristics, efficacy and effectiveness against SARS-CoV-2 and variants of concern: A narrative review. Clin Microbiol Infect 28(2):202–221 https://doi.org/S1198-743X(21)00604-2CrossRefPubMed

Fowlkes A, Gaglani M, Groover K, Thiese MS, Tyner H, Ellingson K, HEROES-RECOVER Cohorts (2021) Effectiveness of COVID-19 vaccines in preventing SARS-CoV-2 infection among frontline workers before and during B.1.617.2 (delta) variant predominance - eight U.S. locations, december 2020-august 2021. MMWR 70(34):1167–1169. https://doi.org/10.15585/mmwr.mm7034e4CrossRefPubMedPubMedCentral

Green-McKenzie J, Shofer FS, Momplaisir F, Kuter BJ, Kruse G, Bialal U, Behta M, O'Donnell J, Al-Ramahi N, Kasbekar N, Sullivan P, Okala P, Brennan PJ (2021) Factors associated with COVID-19 vaccine receipt by health care personnel at a major academic hospital during the first months of vaccine availability. JAMA Netw Open. https://doi.org/10.1001/jamanetworkopen.2021.36582

Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M, O'Neal L, McLeod L, Delacqua G, Delacqua F, Kirby J, Duda SN, REDCap Consortium (2019) The REDCap consortium: Building an international community of software platform partners. J Biomed Inform. https://doi.org/S1532-0464(19)30126-1

Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42(2):377–381. https://doi.org/10.1016/j.jbi.2008.08.010CrossRefPubMed

Islam MS, Kamal AM, Kabir A, Southern DL, Khan SH, Hasan SMM, Sarkar T, Sharmin S, Das S, Roy T, Harun MGD, Chughtai AA, Homaira N, Seale H (2021) COVID-19 vaccine rumors and conspiracy theories: the need for cognitive inoculation against misinformation to improve vaccine adherence. PLoS One. https://doi.org/10.1371/journal.pone.0251605

Kangovi S, Mitra N, Grande D, Long JA, Asch DA (2020) Evidence-based community health worker program addresses unmet social needs and generates positive return on investment. Health Affairs (Project Hope) 39(2):207–213. https://doi.org/10.1377/hlthaff.2019.00981CrossRefPubMed

Klugar M, Riad A, Mohanan L, Pokorná A (2021) COVID-19 vaccine booster hesitancy (VBH) of healthcare workers in czechia: national cross-sectional study. Vaccines 9(12):1437. https://doi.org/10.3390/vaccines9121437CrossRefPubMedPubMedCentral

Latkin CA, Dayton L, Miller JR, Yi G, Jaleel A, Nwosu CC, Yang C, Falade-Nwulia O (2021) Behavioral and attitudinal correlates of trusted sources of COVID-19 vaccine information in the US. Behav Sci 11(4):56. https://doi.org/10.3390/bs11040056CrossRefPubMedPubMedCentral

Li M, Luo Y, Watson R, Zheng Y, Ren J, Tang J, Chen Y (2021) Healthcare workers' (HCWs) attitudes and related factors towards COVID-19 vaccination: A rapid systematic review. Postgrad Med J. https://doi.org/postgradmedj-2021-140195

Lopez Bernal J, Andrews N, Gower C, Robertson C, Stowe J, Tessier E, Simmons R, Cottrell S, Roberts R, O'Doherty M, Brown K, Cameron C, Stockton D, McMenamin J, Ramsay M (2021) Effectiveness of the pfizer-BioNTech and oxford-AstraZeneca vaccines on covid-19 related symptoms, hospital admissions, and mortality in older adults in england: test negative case-control study. BMJ. https://doi.org/10.1136/bmj.n1088

Manby L, Dowrick A, Karia A, Maio L, Buck C, Singleton G, Lewis-Jackson S, Uddin I, Vanderslott S, Martin S, Vindrola-Padros C (2022) Healthcare workers’ perceptions and attitudes towards the UK’s COVID-19 vaccination programme: a rapid qualitative appraisal. BMJ Open. https://doi.org/10.1136/bmjopen-2021-051775

Nguyen LH, Joshi AD, Drew DA, Merino J, Ma W, Lo CH, Kwon S, Wang K, Graham MS, Polidori L, Menni C, Sudre CH, Anyane-Yeboa A, Astley CM, Warner ET, Hu CY, Selvachandran S, Davies R, Nash D et al (2022) Self-reported COVID-19 vaccine hesitancy and uptake among participants from different racial and ethnic groups in the united states and united kingdom. Nat Commun 13(1):636–633. https://doi.org/10.1038/s41467-022-28200-3CrossRefPubMedPubMedCentral

Oliver SE, Gargano JW, Marin M, Wallace M, Curran KG, Chamberland M, McClung N, Campos-Outcalt D, Morgan RL, Mbaeyi S, Romero JR, Talbot HK, Lee GM, Bell BP, Dooling K (2020) The advisory committee on immunization practices' interim recommendation for use of pfizer-BioNTech COVID-19 vaccine - united states, december 2020. MMWR 69(50):1922–1924. https://doi.org/10.15585/mmwr.mm6950e2CrossRefPubMedPubMedCentral

Pal S, Shekhar R, Kottewar S, Upadhyay S, Singh M, Pathak D, Kapuria D, Barrett E, Sheikh AB (2021) COVID-19 vaccine hesitancy and attitude toward booster doses among US healthcare workers. Vaccines 9(11):1358. https://doi.org/10.3390/vaccines9111358CrossRefPubMedPubMedCentral

Papini F, Mazzilli S, Paganini D, Rago L, Arzilli G, Pan A, Goglio A, Tuvo B, Privitera G, Casini B (2022) Healthcare workers attitudes, practices and sources of information for COVID-19 vaccination: an italian national survey. Int J Environ Res Public Health. https://doi.org/10.3390/ijerph19020733

Petereit DG, Molloy K, Reiner ML, Helbig P, Cina K, Miner R, Spotted Tail C, Rost C, Conroy P, Roberts CR (2008) Establishing a patient navigator program to reduce cancer disparities in the american indian communities of western South Dakota: initial observations and results. Cancer Control: J Moffitt Cancer Center 15(3):254–259. https://doi.org/10.1177/107327480801500309CrossRef

Reitsma MB, Goldhaber-Fiebert J, Salomon JA (2021) Quantifying and benchmarking disparities in COVID-19 vaccination rates by race and ethnicity. JAMA Netw Open. https://doi.org/10.1001/jamanetworkopen.2021.30343

Reses HE, Jones ES, Richardson DB, Cate KM, Walker DW, Shapiro CN (2021) COVID-19 vaccination coverage among hospital-based healthcare personnel reported through the department of health and human services unified hospital data surveillance system, United States, January 20, 2021-September 15, 2021. Am J Infect Control 49(12):1554–1557 https://doi.org/S0196-6553(21)00673-8CrossRefPubMedPubMedCentral

Rosenstock IM, Strecher VJ, Becker MH (1988) Social learning theory and the health belief model. Health Educ Q 15(2):175–183. https://doi.org/10.1177/109019818801500203CrossRefPubMed

Savoia E, Piltch-Loeb R, Goldberg B, Miller-Idriss C, Hughes B, Montrond A, Kayyem J, Testa MA (2021) Predictors of COVID-19 vaccine hesitancy: Socio-demographics, co-morbidity, and past experience of racial discrimination. Vaccines. https://doi.org/10.3390/vaccines9070767

Shekhar R, Sheikh AB, Upadhyay S, Singh M, Kottewar S, Mir H, Barrett E, Pal S (2021) COVID-19 vaccine acceptance among health care workers in the United States. Vaccines. https://doi.org/10.3390/vaccines9020119

Siegel M, Critchfield-Jain I, Boykin M, Owens A, Muratore R, Nunn T, Oh J (2021) Racial/ethnic disparities in state-level COVID-19 vaccination rates and their association with structural racism. J Racial Ethn Health Disparities. https://doi.org/10.1007/s40615-021-01173-7

Smith PJ, Kennedy AM, Wooten K, Gust DA, Pickering LK (2006) Association between health care providers' influence on parents who have concerns about vaccine safety and vaccination coverage. Pediatrics. https://doi.org/118/5/e1287

Tenforde MW, Self WH, Naioti EA, Ginde AA, Douin DJ, Olson SM, Talbot HK, Casey JD, Mohr NM, Zepeski A, Gaglani M, McNeal T, Ghamande S, Shapiro NI, Gibbs KW, Files DC, Hager DN, Shehu A, Prekker ME et al (2021) Sustained effectiveness of pfizer-BioNTech and moderna vaccines against COVID-19 associated hospitalizations among adults - United States, March-July 2021. MMWR 70(34):1156–1162. https://doi.org/10.15585/mmwr.mm7034e2CrossRefPubMedPubMedCentral

Thomas CM, Searle K, Galván A, Liebman AK, Mann EM, Kirsch JD, Stauffer WM (2022) Healthcare worker perspectives on COVID-19 vaccines: implications for increasing vaccine acceptance among healthcare workers and patients. Vaccine 40(18):2612–2618. https://doi.org/10.1016/j.vaccine.2022.03.011CrossRefPubMedPubMedCentral

Verger P, Scronias D, Dauby N, Adedzi KA, Gobert C, Bergeat M, Gagneur A, Dubé E (2021) Attitudes of healthcare workers towards COVID-19 vaccination: a survey in France and French-speaking parts of Belgium and Canada, 2020. Euro Surveillance: European Communicable Disease Bulletin. https://doi.org/10.2807/1560-7917.ES.2021.26.3.2002047

World Health Organization (2022a) COVID-19 vaccine tracker. https://covid19.trackvaccines.org/agency/who/. Accessed 15 Aug 2022

World Health Organization (2022b) WHO COVID-19 dashboard. https://covid19.who.int/. Accessed 15 Aug 2022

Titel: Healthcare workers’ perspectives on the COVID-19 vaccine and boosters for themselves, their patients, and their communities: a mixed methods study
verfasst von: Shana A. B. Burrowes
Sharon M. Casey
Sidney Dobbins
Taylor Hall
Mengyu Ma
Ruqiyya Bano
Mari-Lynn Drainoni
Elissa M. Schechter-Perkins
Christopher Garofalo
Rebecca B. Perkins
Natalie Pierre-Joseph
Publikationsdatum: 25.12.2022
Verlag: Springer Berlin Heidelberg
Schlagwort: COVID-19
Erschienen in: Journal of Public Health / Ausgabe 1/2024
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-022-01793-1

Springer Medizin

Abstract

Aim

Subject and methods

Results

Conclusions

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