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BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE ARAŞTIRMA GÖREVLİSİ DOKTORLAR İLE EBE VE HEMŞİRELERİN AŞI KARARSIZLIĞINA YAKLAŞIMLARI

Year 2023, Volume: 32 Issue: 3, 411 - 417, 04.12.2023
https://doi.org/10.34108/eujhs.884153

Abstract

Bu çalışmada bir eğitim ve araştırma hastanesindeki araştırma görevlisi doktor ve ebe/hemşirelerin aşı kararsızlığına yaklaşımlarını değerlendirmek amaçlanmaktadır. Araştırma tanımlayıcı tipte olup, 263 katılımcı üzerinde gerçekleştirilmiştir. Veriler 14 sorudan oluşan anket ile gözlem altında toplanmıştır. Araştırmaya katılanların %74.9’u kadın, %57.4’ü araştırma görevlisi doktordur. Katılımcıların %10.3’ü tüm aşı içeriklerini bildiklerini ifade etmiştir. Araştırma görevlisi doktorların %88.1’i, hemşire/ebelerin %50.9’u her zaman hastalarını risk grubuna ve yaşına uygun aşıları yaptırmaları için yönlendirdiğini belirtmiştir (p<0.001). Katılımcıların %52.5 aşı kararsızlığındaki kişileri kesinlikle haksız bulduklarını ifade etmektedirler. Aile hekimliği bölümünde çalışanların %50’si aşı yaptırmayı kabul etmeyen bir hastayı aşı yaptırana kadar ikna etmeye çalıştığını, %43’ü gerekliliğini anlatıp, yaptırıp yaptırmamayı kişilere bıraktığını ifade etmektedir (bölümler arası p=0.037). Bilgi düzeyini iyi (%86.7) olarak ifade edenlerin hastalarını her zaman aşıya yönlendirme durumu da bilgi düzeyini orta (%30.5) ve kötü (%11.1) olarak değerlendirenlere göre daha yüksekti. Son zamanlarda aşı kararsızlığının en önemli nedeni sorusuna en sık olarak sosyal medya (%37.7), aşı kararsızlığını azaltmak için neler yapılması gerektiği sorusuna halk eğitimleri arttırılması gerektiği (%81.0) şeklinde cevap vermişlerdir. Sağlık çalışanları arasında daha yüksek bilgi, farkındalık ve tutumlar daha yüksek toplumsal ve bireysel aşılama niyeti ile ilişkilendirilebilir.

References

  • Centers for Disease Control and Prevention (CDC). Ten great public health achievements-United States, 1900-1999. MMWR Morb Mortal Wkly Rep 1999; 48:241-243.
  • Black S, Rappuoli R. A crisis of public confidence in vaccines. Sci Transl Med 2010; 2:61mr1.
  • Leask J. Target the fence-sitters. Nature 2011; 473:443-445.
  • Larson HJ, Jarrett C, Eckersberger E, Smith DMD, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine 2014; 32:2150-2159.
  • Benin AL, Wisler-Scher DJ, Colson E, Shapiro ED, Holmboe ES. Qualitative anal-ysis of mothers’ decision-making about vaccines for infants: the importance oftrust. Pediatrics 2006; 117:1532-1541.
  • Opel DJ, Taylor JA, Mangione-Smith R, et al. Validity and reliability of a survey to identify vaccine-hesitant parents. Vaccine 2011; 29:6598-6605.
  • İkiışık H. Ebeveynlerin aşı kararı. Toplum ve Hekim 2018; 33:207-212.
  • Tezol Ö, Erkasar F, Çıtak EÇ. Pediatrik Kanser Hastalarının Ebeveynlerinin Sürekli Kaygı Düzeyleri ve Aşı Karşıtlığı. Osmangazi Tıp Dergisi 2020; 51-58.
  • Üzüm Ö, Eliaçık K, Örsdemir HH, Öncel EK. Ebeveynlerin Aşı Yaklaşımlarını Etkileyen Faktörler: Bir Eğitim Araştırma Hastanesine İlişkin Değerlendirme. J Pediatr Inf 2019; 13:144-149.
  • Gust DA, Darling N, Kennedy A, Schwartz B. Parents with doubts about vaccines: which vaccines and reason why. Pediatrics 2008; 122:718-725.
  • Kennedy AM, La Vail K, Nowak G, Basket M, Landry S. Confidence about vaccinesin the United States: understanding parents’ perceptions. Health Aff (Millwood) 2011; 30:1-9.
  • Kennedy A, Basket M, Sheedy K. Vaccine attitudes, concerns, and information sources reported by parents of young children: results from the 2009 HealthStyles survey. Pediatrics 2011; 127:92-99.
  • Mukhtar AF, Abdul Kadir A, Mohd Noor N, Mohammad AH. Knowledge and Attitude on Childhood Vaccination among Healthcare Workers in Hospital Universiti Sains Malaysia. Vaccines (Basel). 2022; 10(7):1017.
  • Herzog R, Álvarez-Pasquin MJ, Díaz C, et al. Are healthcare workers' intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC Public Health 2013; 13:154.
  • Saitoh A, Shobugawa Y, Sato I, et al. Pilot Study of Evaluating Attitudes toward Childhood Immunization among Healthcare Workers in Japan. Vaccines (Basel). 2022; 10(7):1055.
  • Torun SD, Torun F. Vaccination against pandemic influenza A/H1N1 among healthcare workers and reasons for refusing vaccination in Istanbul in last pandemic alert phase. Vaccine 2010; 28:5703-5710.
  • Elizondo-Alzola U, Carrasco MG, Pinós L, et al. Vaccine hesitancy among paediatric nurses: Prevalence and associated factors. PLoS One. 2021; 16(5):e0251735.
  • Picchio CA, Carrasco MG, Sagué-Vilavella M, Rius C. Knowledge, attitudes and beliefs about vaccination in primary healthcare workers involved in the administration of systematic childhood vaccines, Barcelona, 2016/17. Euro Surveill. 2019; 24(6):1800117.
  • Dini G, Toletone A, Sticchi L, et al. Influenza vaccination in healthcare workers: a comprehensive critical appraisal of the literature. Hum Vaccin Immunother 2018; 14:772-789.
  • Shibli R, Rishpon S, Cohen-Dar M, et al. What Affects Pediatric Healthcare Providers to Encourage Receipt of Routine Childhood Vaccinations? Results from the Northern District of Israel, 2016. Vaccine 2019; 37:524-529.
  • Salerno M, Mizio GD, Montana A, Pomara C. To be or not to be vaccinated? That is the question among Italian healthcare workers: a medico-legal perspective. Future Microbiol 2019; 14:51-54.
  • Le Marechal M, Fressard L, Agrinier N, Verger P, Pulcini C. General practitioners' perceptions of vaccination controversies: a French nationwide cross-sectional study. Clin Microbiol Infect 2018; 24:858-864.
  • On Facebook, anti-vaxxers urged a mom not to give her son Tamiflu. He later died. nbcnews. https://www.nbcnews.com/tech/social-media/facebook-anti-vaxxers-pushed-mom-not-give-her-son-tamiflu-n1131936. [Alıntı Tarihi: 28.11.2020.]
  • Yörük S, Güler D. Factors associated with pediatric vaccine hesitancy of parents: a cross-sectional study in Turkey. Hum Vaccin Immunother 2021; 17(11):4505-4511.
  • Al-Regaiey KA, Alshamry WS, Alqarni RA, et al. Influence of social media on parents' attitudes towards vaccine administration. Hum Vaccin Immunother 2022; 18(1):1872340.
  • Getman R, Helmi M, Roberts H, et al. Vaccine Hesitancy and Online Information: The Influence of Digital Networks. Health Educ Behav 2018; 45(4):599-606.
  • Rachiotis G, Mouchtouri VA, Kremastinou J, Gourgoulianis K, Hadjichristodoulou C. Low acceptance of vaccination against the 2009 pandemic influenza A(H1N1) among healthcare workers in Greece. Euro Surveill 2010; 15:19486.
  • Shen SC, Dubey V. Addressing vaccine hesitancy: Clinical guidance for primary care physicians working with parents. Can Fam Physician 2019; 65(3):175-181.
  • Lin C, Mullen J, Smith D, et al. Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review. Vaccines 2021; 9:713.
  • Karafillakis E, Dinca I, Apfel F, et al. Vaccine hesitancy among healthcare workers in Europe: A qualitative study. Vaccine 2016: 34:5013-5020.
  • Tafuri S, Gallone MS, Cappelli MG, et al. Addressing the anti-vaccination movement and the role of HCWs. Vaccine 2014; 32:4860-4865.
  • Odabaş N, Ayyıldız TK. Anne Babaların Çocukluk Dönemi Aşılarına Yönelik Bilgi ve Uygulamalarının Değerlendirilmesi. Med J West Black Sea 2020; 4:7-11.
  • Scavone C, Sessa M, Clementi E, Rossi F, Capuano A. Italian Immunization Goals: A Political or Scientific Heated Debate? Front Pharmacol 2018; 9:574.
  • Wilson R, Zaytseva A, Bocquier A, et al. Vaccine hesitancy and self-vaccination behaviors among nurses in southeastern France. Vaccine 2020; 38:1144-1151.
  • Filia A, Bella A, D’-Ancona F, et al. Childhood vaccinations: knowledge, attitudes and practices of paediatricians and factors associated with their confidence in addressing parental concerns, Italy, 2016. Euro Surveill 2019; 24:1800275.
  • Aşı Takip Sistemi. https://ats.saglik.gov.tr/web/. [Alıntı Tarihi: 23.11.2020]
  • Kempe A, Daley MF, Parashar UD, et al. Will Pediatricians Adopt the New Rotavirus Vaccine? Pediatrics 2007; 119:1-10.
  • Neufeind J, Betsch C, Habersaat KB et al. Barriers and drivers to adult vaccination among family physicians - Insights for tailoring the immunization program in Germany. Vaccine 2020; 38:4252-4262.
  • Taylor KA, Stocks N, Marshall HS. The missing link: family physician perspectives on barriers and enablers to prescribing a new Meningococcal B vaccine and other recommended, non-government funded vaccines. Vaccine 2014; 32:4214-4219.
  • Shibli R, Rishpon S, Cohen-Dar M, Kandlik Y. What Affects Pediatric Healthcare Providers to Encourage Receipt of Routine Childhood Vaccinations? Results from the Northern District of Israel, 2016. Vaccine 2019; 37:524-529.

APPROACHES OF EDUCATION AND RESEARCH HOSPITAL RESEARCH OFFICER DOCTOR AND NURSE/MIBES TO VACCINE HESITANCY

Year 2023, Volume: 32 Issue: 3, 411 - 417, 04.12.2023
https://doi.org/10.34108/eujhs.884153

Abstract

In this study, it is aimed to evaluate the approaches of research assistant doctors and midwives/nurses in a training and research hospital to vaccine hesitancy. The research is of descriptive type and was carried out on 263 participants. The data were collected under observation with a questionnaire consisting of 14 items. Of the research participants, 74.9% are women, and 57.4% are research assistant doctors, 10.3% of the participants stated that they knew all the vaccine contents, 88.1% of the research assistant doctors and 50.9% of the nurses/midwives stated that they always directed their patients to have vaccines appropriate for their risk group and age (p<0.001), 52.5% of the participants stated that those who were hesitant about vaccination were absolutely are absolutely unjustified, 50% of the staff working in the family medicine department state that they try to persuade a patient who refuses to get vaccinated until they get vaccinated, 43% state that they explain its necessity and leave it to the individual’s discretion whether to have it or not (inter-segment p=0.037). The percentage of those who regarded their knowledge level as good (86.7%) and always referred their patients to vaccination were higher than those who evaluated their knowledge level as moderate (30.5%) and poor (11.1%). Recently, the question of the most important reason for vaccine hesitancy was answered by social media (37.7%), and the question of what should be done to reduce vaccine hesitancy was to increase public education (81.0%). Higher knowledge, awareness and attitudes among healthcare professionals may be associated with higher societal and individual vaccination intentions.

References

  • Centers for Disease Control and Prevention (CDC). Ten great public health achievements-United States, 1900-1999. MMWR Morb Mortal Wkly Rep 1999; 48:241-243.
  • Black S, Rappuoli R. A crisis of public confidence in vaccines. Sci Transl Med 2010; 2:61mr1.
  • Leask J. Target the fence-sitters. Nature 2011; 473:443-445.
  • Larson HJ, Jarrett C, Eckersberger E, Smith DMD, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine 2014; 32:2150-2159.
  • Benin AL, Wisler-Scher DJ, Colson E, Shapiro ED, Holmboe ES. Qualitative anal-ysis of mothers’ decision-making about vaccines for infants: the importance oftrust. Pediatrics 2006; 117:1532-1541.
  • Opel DJ, Taylor JA, Mangione-Smith R, et al. Validity and reliability of a survey to identify vaccine-hesitant parents. Vaccine 2011; 29:6598-6605.
  • İkiışık H. Ebeveynlerin aşı kararı. Toplum ve Hekim 2018; 33:207-212.
  • Tezol Ö, Erkasar F, Çıtak EÇ. Pediatrik Kanser Hastalarının Ebeveynlerinin Sürekli Kaygı Düzeyleri ve Aşı Karşıtlığı. Osmangazi Tıp Dergisi 2020; 51-58.
  • Üzüm Ö, Eliaçık K, Örsdemir HH, Öncel EK. Ebeveynlerin Aşı Yaklaşımlarını Etkileyen Faktörler: Bir Eğitim Araştırma Hastanesine İlişkin Değerlendirme. J Pediatr Inf 2019; 13:144-149.
  • Gust DA, Darling N, Kennedy A, Schwartz B. Parents with doubts about vaccines: which vaccines and reason why. Pediatrics 2008; 122:718-725.
  • Kennedy AM, La Vail K, Nowak G, Basket M, Landry S. Confidence about vaccinesin the United States: understanding parents’ perceptions. Health Aff (Millwood) 2011; 30:1-9.
  • Kennedy A, Basket M, Sheedy K. Vaccine attitudes, concerns, and information sources reported by parents of young children: results from the 2009 HealthStyles survey. Pediatrics 2011; 127:92-99.
  • Mukhtar AF, Abdul Kadir A, Mohd Noor N, Mohammad AH. Knowledge and Attitude on Childhood Vaccination among Healthcare Workers in Hospital Universiti Sains Malaysia. Vaccines (Basel). 2022; 10(7):1017.
  • Herzog R, Álvarez-Pasquin MJ, Díaz C, et al. Are healthcare workers' intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC Public Health 2013; 13:154.
  • Saitoh A, Shobugawa Y, Sato I, et al. Pilot Study of Evaluating Attitudes toward Childhood Immunization among Healthcare Workers in Japan. Vaccines (Basel). 2022; 10(7):1055.
  • Torun SD, Torun F. Vaccination against pandemic influenza A/H1N1 among healthcare workers and reasons for refusing vaccination in Istanbul in last pandemic alert phase. Vaccine 2010; 28:5703-5710.
  • Elizondo-Alzola U, Carrasco MG, Pinós L, et al. Vaccine hesitancy among paediatric nurses: Prevalence and associated factors. PLoS One. 2021; 16(5):e0251735.
  • Picchio CA, Carrasco MG, Sagué-Vilavella M, Rius C. Knowledge, attitudes and beliefs about vaccination in primary healthcare workers involved in the administration of systematic childhood vaccines, Barcelona, 2016/17. Euro Surveill. 2019; 24(6):1800117.
  • Dini G, Toletone A, Sticchi L, et al. Influenza vaccination in healthcare workers: a comprehensive critical appraisal of the literature. Hum Vaccin Immunother 2018; 14:772-789.
  • Shibli R, Rishpon S, Cohen-Dar M, et al. What Affects Pediatric Healthcare Providers to Encourage Receipt of Routine Childhood Vaccinations? Results from the Northern District of Israel, 2016. Vaccine 2019; 37:524-529.
  • Salerno M, Mizio GD, Montana A, Pomara C. To be or not to be vaccinated? That is the question among Italian healthcare workers: a medico-legal perspective. Future Microbiol 2019; 14:51-54.
  • Le Marechal M, Fressard L, Agrinier N, Verger P, Pulcini C. General practitioners' perceptions of vaccination controversies: a French nationwide cross-sectional study. Clin Microbiol Infect 2018; 24:858-864.
  • On Facebook, anti-vaxxers urged a mom not to give her son Tamiflu. He later died. nbcnews. https://www.nbcnews.com/tech/social-media/facebook-anti-vaxxers-pushed-mom-not-give-her-son-tamiflu-n1131936. [Alıntı Tarihi: 28.11.2020.]
  • Yörük S, Güler D. Factors associated with pediatric vaccine hesitancy of parents: a cross-sectional study in Turkey. Hum Vaccin Immunother 2021; 17(11):4505-4511.
  • Al-Regaiey KA, Alshamry WS, Alqarni RA, et al. Influence of social media on parents' attitudes towards vaccine administration. Hum Vaccin Immunother 2022; 18(1):1872340.
  • Getman R, Helmi M, Roberts H, et al. Vaccine Hesitancy and Online Information: The Influence of Digital Networks. Health Educ Behav 2018; 45(4):599-606.
  • Rachiotis G, Mouchtouri VA, Kremastinou J, Gourgoulianis K, Hadjichristodoulou C. Low acceptance of vaccination against the 2009 pandemic influenza A(H1N1) among healthcare workers in Greece. Euro Surveill 2010; 15:19486.
  • Shen SC, Dubey V. Addressing vaccine hesitancy: Clinical guidance for primary care physicians working with parents. Can Fam Physician 2019; 65(3):175-181.
  • Lin C, Mullen J, Smith D, et al. Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review. Vaccines 2021; 9:713.
  • Karafillakis E, Dinca I, Apfel F, et al. Vaccine hesitancy among healthcare workers in Europe: A qualitative study. Vaccine 2016: 34:5013-5020.
  • Tafuri S, Gallone MS, Cappelli MG, et al. Addressing the anti-vaccination movement and the role of HCWs. Vaccine 2014; 32:4860-4865.
  • Odabaş N, Ayyıldız TK. Anne Babaların Çocukluk Dönemi Aşılarına Yönelik Bilgi ve Uygulamalarının Değerlendirilmesi. Med J West Black Sea 2020; 4:7-11.
  • Scavone C, Sessa M, Clementi E, Rossi F, Capuano A. Italian Immunization Goals: A Political or Scientific Heated Debate? Front Pharmacol 2018; 9:574.
  • Wilson R, Zaytseva A, Bocquier A, et al. Vaccine hesitancy and self-vaccination behaviors among nurses in southeastern France. Vaccine 2020; 38:1144-1151.
  • Filia A, Bella A, D’-Ancona F, et al. Childhood vaccinations: knowledge, attitudes and practices of paediatricians and factors associated with their confidence in addressing parental concerns, Italy, 2016. Euro Surveill 2019; 24:1800275.
  • Aşı Takip Sistemi. https://ats.saglik.gov.tr/web/. [Alıntı Tarihi: 23.11.2020]
  • Kempe A, Daley MF, Parashar UD, et al. Will Pediatricians Adopt the New Rotavirus Vaccine? Pediatrics 2007; 119:1-10.
  • Neufeind J, Betsch C, Habersaat KB et al. Barriers and drivers to adult vaccination among family physicians - Insights for tailoring the immunization program in Germany. Vaccine 2020; 38:4252-4262.
  • Taylor KA, Stocks N, Marshall HS. The missing link: family physician perspectives on barriers and enablers to prescribing a new Meningococcal B vaccine and other recommended, non-government funded vaccines. Vaccine 2014; 32:4214-4219.
  • Shibli R, Rishpon S, Cohen-Dar M, Kandlik Y. What Affects Pediatric Healthcare Providers to Encourage Receipt of Routine Childhood Vaccinations? Results from the Northern District of Israel, 2016. Vaccine 2019; 37:524-529.
There are 40 citations in total.

Details

Primary Language Turkish
Subjects ​Internal Diseases
Journal Section Research Article
Authors

Hatice İkiışık 0000-0003-0958-0649

Filiz Sever 0000-0001-6912-3728

Ayşe Paralı This is me 0000-0003-3771-4114

Yusuf Demirkol This is me 0000-0002-3921-8715

Sema Gündoğdu This is me 0000-0002-3561-8682

Ayşe Taktak This is me 0000-0002-4226-0164

Mukaddes Melemez This is me 0000-0002-4676-9494

Mine Zafer This is me 0000-0001-5136-1138

Işıl Maral 0000-0001-5234-6108

Early Pub Date November 3, 2023
Publication Date December 4, 2023
Submission Date October 14, 2021
Published in Issue Year 2023 Volume: 32 Issue: 3

Cite

APA İkiışık, H., Sever, F., Paralı, A., Demirkol, Y., et al. (2023). BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE ARAŞTIRMA GÖREVLİSİ DOKTORLAR İLE EBE VE HEMŞİRELERİN AŞI KARARSIZLIĞINA YAKLAŞIMLARI. Sağlık Bilimleri Dergisi, 32(3), 411-417. https://doi.org/10.34108/eujhs.884153
AMA İkiışık H, Sever F, Paralı A, Demirkol Y, Gündoğdu S, Taktak A, Melemez M, Zafer M, Maral I. BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE ARAŞTIRMA GÖREVLİSİ DOKTORLAR İLE EBE VE HEMŞİRELERİN AŞI KARARSIZLIĞINA YAKLAŞIMLARI. JHS. December 2023;32(3):411-417. doi:10.34108/eujhs.884153
Chicago İkiışık, Hatice, Filiz Sever, Ayşe Paralı, Yusuf Demirkol, Sema Gündoğdu, Ayşe Taktak, Mukaddes Melemez, Mine Zafer, and Işıl Maral. “BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE ARAŞTIRMA GÖREVLİSİ DOKTORLAR İLE EBE VE HEMŞİRELERİN AŞI KARARSIZLIĞINA YAKLAŞIMLARI”. Sağlık Bilimleri Dergisi 32, no. 3 (December 2023): 411-17. https://doi.org/10.34108/eujhs.884153.
EndNote İkiışık H, Sever F, Paralı A, Demirkol Y, Gündoğdu S, Taktak A, Melemez M, Zafer M, Maral I (December 1, 2023) BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE ARAŞTIRMA GÖREVLİSİ DOKTORLAR İLE EBE VE HEMŞİRELERİN AŞI KARARSIZLIĞINA YAKLAŞIMLARI. Sağlık Bilimleri Dergisi 32 3 411–417.
IEEE H. İkiışık, F. Sever, A. Paralı, Y. Demirkol, S. Gündoğdu, A. Taktak, M. Melemez, M. Zafer, and I. Maral, “BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE ARAŞTIRMA GÖREVLİSİ DOKTORLAR İLE EBE VE HEMŞİRELERİN AŞI KARARSIZLIĞINA YAKLAŞIMLARI”, JHS, vol. 32, no. 3, pp. 411–417, 2023, doi: 10.34108/eujhs.884153.
ISNAD İkiışık, Hatice et al. “BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE ARAŞTIRMA GÖREVLİSİ DOKTORLAR İLE EBE VE HEMŞİRELERİN AŞI KARARSIZLIĞINA YAKLAŞIMLARI”. Sağlık Bilimleri Dergisi 32/3 (December 2023), 411-417. https://doi.org/10.34108/eujhs.884153.
JAMA İkiışık H, Sever F, Paralı A, Demirkol Y, Gündoğdu S, Taktak A, Melemez M, Zafer M, Maral I. BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE ARAŞTIRMA GÖREVLİSİ DOKTORLAR İLE EBE VE HEMŞİRELERİN AŞI KARARSIZLIĞINA YAKLAŞIMLARI. JHS. 2023;32:411–417.
MLA İkiışık, Hatice et al. “BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE ARAŞTIRMA GÖREVLİSİ DOKTORLAR İLE EBE VE HEMŞİRELERİN AŞI KARARSIZLIĞINA YAKLAŞIMLARI”. Sağlık Bilimleri Dergisi, vol. 32, no. 3, 2023, pp. 411-7, doi:10.34108/eujhs.884153.
Vancouver İkiışık H, Sever F, Paralı A, Demirkol Y, Gündoğdu S, Taktak A, Melemez M, Zafer M, Maral I. BİR EĞİTİM VE ARAŞTIRMA HASTANESİNDE ARAŞTIRMA GÖREVLİSİ DOKTORLAR İLE EBE VE HEMŞİRELERİN AŞI KARARSIZLIĞINA YAKLAŞIMLARI. JHS. 2023;32(3):411-7.