The association between vaccination confidence, vaccination behavior, and willingness to recommend vaccines among Finnish healthcare workers
The association between vaccination confidence, vaccination behavior, and willingness to recommend vaccines among Finnish healthcare workers
复制标题
DOI：
10.1371/journal.pone.0224330
复制
发表时间：
2019-10-31
期刊：
影响因子：
3.7
通讯作者：
Soveri, Anna
中科院分区：
文献类型：
--
作者：
Karlsson, Linda Cecilia;Lewandowsky, Stephan;Soveri, Anna
外行人士认为，医护人员 (HCW) 提供的信息和保证是他们决定接种疫苗的关键因素。然而，之前的研究表明，与一般人群一样，医护人员也对疫苗存在犹豫。此前的研究进一步表明，对疫苗接种和疫苗提供者信心较高的医护人员更愿意自行接种疫苗并向患者推荐疫苗。在本研究中，我们对 2962 名芬兰医护人员（医生、护士长、护士和实习护士）进行了研究，探讨了医护人员的疫苗接种信心（感知到的疫苗益处和安全性以及对卫生专业人员的信任）、他们为自己和孩子接受疫苗的决定以及向患者推荐疫苗的意愿之间的关系。结果显示，尽管大多数医护人员对疫苗接种信心十足，但也有相当一部分医护人员对疫苗接种信心较低。此外，根据之前的研究，对疫苗的益处和安全性更有信心的医护人员更有可能接受为孩子和自己接种疫苗，并向患者推荐疫苗。对其他卫生专业人员的信任与疫苗接种或推荐行为没有直接关系。医生对疫苗的益处和安全性的信心最高，并且随着医护人员的教育水平的提高而增加，这表明信心与医疗培训程度之间存在联系。确保医护人员对疫苗的高度信心对于维持普通人群的高疫苗接种率可能很重要。
Information and assurance from healthcare workers (HCWs) is reported by laypeople as a key factor in their decision to get vaccinated. However, previous research has shown that, as in the general population, hesitancy towards vaccines exists among HCWs as well. Previous studies further suggest that HCWs with a higher confidence in vaccinations and vaccine providers are more willing to take the vaccines themselves and to recommend vaccines to patients. In the present study with 2962 Finnish HCWs (doctors, head nurses, nurses, and practical nurses), we explored the associations between HCWs' vaccination confidence (perceived benefit and safety of vaccines and trust in health professionals), their decisions to accept vaccines for themselves and their children, and their willingness to recommend vaccines to patients. The results showed that although the majority of HCWs had high confidence in vaccinations, a notable share reported low vaccination confidence. Moreover, in line with previous research, HCWs with higher confidence in the benefits and safety of vaccines were more likely to accept vaccines for their children and themselves, and to recommend vaccines to their patients. Trust in other health professionals was not directly related to vaccination or recommendation behavior. Confidence in the benefits and safety of vaccines was highest among doctors, and increased along with the educational level of the HCWs, suggesting a link between confidence and the degree of medical training. Ensuring high confidence in vaccines among HCWs may be important in maintaining high vaccine uptake in the general population.