Editor's Choice: Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: A survey.
Editor's Choice: Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: A survey.
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DOI：
10.1016/j.ijnurstu.2020.103854
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发表时间：
2021-03
影响因子：
8.1
通讯作者：
Lee SS
中科院分区：
文献类型：
--
作者：
Kwok KO;Li KK;Wei WI;Tang A;Wong SYS;Lee SS
健康的医疗体系需要健康的医护人员。保护包括护士在内的医护人员免受COVID-19的侵害至关重要，接种疫苗可能是未来可行的选择。然而，疫苗犹豫仍然是一个全球性挑战。护士作为疫苗相关信息的可信来源，可以建立公众对疫苗接种的信心。因此，研究护士之间的疫苗犹豫是必要的。本研究估计护士的流感疫苗接种行为和接种COVID-19疫苗的意愿，并检查其相应的5C心理前因（自信、自满、约束、计算和集体责任）。为了研究COVID-19相关工作需求的影响，还研究了工作压力对工作需求和COVID-19疫苗接种意愿之间关系的中介作用。于2020年3月中旬至4月下旬，香港爆发COVID-19疫情期间，透过专业护理机构的推广及个人转介，邀请护士参与。1，205名合格护士（平均年龄= 40.79，SD = 10.47; 90%为女性）被纳入分析。调查报告了人口统计、流感疫苗接种、接种COVID-19疫苗的意愿、5C疫苗犹豫成分、工作压力和COVID-19相关工作需求（个人防护设备供应不足、参与隔离室以及对工作场所感染控制政策的不利态度）。流感疫苗接种率及有意接种COVID-19疫苗的比例分别为49%及63%。流感疫苗接种与在公立医院工作和所有5C结构（更有信心，更多的集体责任感和更少的自满，限制和计算）有关，而更强的COVID-19疫苗接种意愿与更年轻，更有信心，更少的自满和更多的集体责任感有关。与COVID-19相关的需求与更大的工作压力相关，因此更强烈的COVID-19疫苗接种意愿。护士中COVID-19疫苗的潜在接种率不足以实现群体免疫。5C构建体可用于预测流感疫苗接种，并在较小程度上预测接种COVID-19疫苗的意图。COVID-19疫苗的有效性、副作用和有效期等不确定属性可能导致这种差异。随着疫情后护士的工作压力减轻，接种COVID-19疫苗的意愿可能会下降。5C构建体应在疫苗接种活动中输注。虽然COVID-19疫苗可能很快就准备好了，但护理行业可能还没有准备好接受它。需要更多的研究工作来提高接种率。不到三分之二的护士打算在可用时接种COVID-19疫苗。虽然COVID-19疫苗可能很快就准备好了，但护理专业还没有准备好接受它。
A healthy healthcare system requires healthy healthcare workers. Protecting healthcare workers including nurses against COVID-19 is crucial, and vaccination could be a viable future option. However, vaccine hesitancy remains a global challenge. Nurses, as a trustworthy and creditable source of vaccine-related information, may build public confidence in vaccination. Hence, research on vaccine hesitancy among nurses is warranted. This study estimated nurses’ influenza vaccination behaviors and intention to receive COVID-19 vaccine when available, and examined their corresponding 5C psychological antecedents (confidence, complacency, constraints, calculation, and collective responsibility). To investigate the impact of COVID-19-related work demands, the mediation effects of work stress on the association between work demands and COVID-19 vaccination intention were also examined. Cross-sectional online survey Nurses were invited to participate via the promotion of a professional nursing organization and by personal referrals during the COVID-19 outbreak in Hong Kong between mid-March and late April 2020. 1,205 eligible nurses (mean age = 40.79, SD = 10.47; 90% being female) were included in the analyses. Demographics, influenza vaccination, intention to have COVID-19 vaccine, the 5C vaccine hesitancy components, work stress and COVID-19-related work demands (insufficient supply of personal protective equipment, involvement in isolation rooms, and unfavorable attitudes towards workplace infection control policies) were reported in the survey. The influenza vaccine uptake rate and the proportion intending to take COVID-19 vaccine were 49% and 63%, respectively. Influenza vaccination was associated with working in public hospitals and all 5C constructs (more confidence, more collective responsibility and less complacency, constraints, and calculation), whereas stronger COVID-19 vaccination intention was associated with younger age, more confidence, less complacency and more collective responsibility. COVID-19-related demands were associated with greater work stress, and hence stronger COVID-19 vaccination intention. The potential uptake rate of COVID-19 vaccine among nurses was suboptimal to achieve herd immunity. The 5C constructs were useful in predicting influenza vaccination and, to a lesser extent, the intention to take COVID-19 vaccine. The uncertain attributes such as effectiveness, side effects, and effective duration of the COVID-19 vaccine may contribute to this discrepancy. With less work stress among nurses in the post-pandemic period, the intention to take COVID-19 vaccine will likely drop. The 5C constructs should be infused in vaccination campaigns. While a COVID-19 vaccine could be ready soon, the nursing profession may not be ready to accept it. More research work is needed to boost the uptake rate. Less than two-third of nurses intended to take COVID-19 vaccine when available. While a COVID-19 vaccine could be ready soon, nursing profession is not ready to accept it.
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影响因子：
11.8
作者：
Kwok, Kin On;Li, Kin Kit;Wong, Samuel Yeung Shan
通讯作者：
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影响因子：
7.8
作者：
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通讯作者：
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影响因子：
5
作者：
Meyer B;Drosten C;Müller MA
通讯作者：
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影响因子：
8.1
作者：
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通讯作者：
Kwok, Kin On
DOI：
10.1098/rspb.2006.0026
发表时间：
2007-03-07
影响因子：
4.7
作者：
Kwok, Kin On;Leung, Gabriel M.;Riley, Steven
通讯作者：
Riley, Steven