Approach and Behaviors of Healthcare Professionals in a Tertiary Hospital About COVID-19 Infection and Vaccination

Abstract

Objective: To determine the approaches and behaviors of healthcare professionals regarding COVID-19 disease and vaccination during the pandemic.
Material-method: The study was carried out by collecting the answers of the healthcare professionals working at the hospital through WhatsApp application. This was done via 44-question survey questioning their approaches and behaviors regarding COVID-19 infection and vaccines between 1-31 March 2022.
Results: 209 of 311 health workers participating in the study were female (67.2%). The median age was 36 years. Of the participants, 203 (65.3%) were university graduates and 159 (51.1%) were physicians. There were 51 persons (16.4%) with chronic disease. Of the healthcare workers, 141 (45.3%) had COVID-19 infection, and 176 (56.6%) had a family member with COVID-19 infection. There were 23 (7.4%) family members who stayed in the intensive care unit due to infection, and 22 (7.1%) whose family members died. At least one side effect developed in 211 (67.8%) of 304 (97.7%) healthcare workers who were vaccinated. The most common side effect was fatigue in 156 (73.9%) and the most common side effect was seen with Biontech (59.8%). If there was an option, 70.1% stated that Biontech vaccine would be their first choice. There were 131 (42.1%) people who relied on the Turkovac vaccine. The rate of those who thought that the vaccine should be mandatory in terms of public health was 83.3%, those who believed that the pandemic would end with the vaccine, 58.8%, and 80.4% believed that the number of patients would decrease. Among the reasons that increased indecision towards COVID-19 vaccines in healthcare workers, side effects of the vaccines was the most common concern with 74%. In the physician group, the rate of those who answered positively to the question of having their children vaccinated, the belief that the pandemic will end with the vaccine, the belief that the number of patients will decrease with the vaccine, and the question "Would you recommend vaccines to your relatives" was statistically higher
Conclusion: Among healthcare workers, the rate of being vaccinated against COVID-19 and confidence in Bionthec vaccine was high. The belief that the pandemic will end or the number of patients will decrease with the COVID-19 vaccine may be a factor in this high rate.

Keywords

• Biontech
• healthcare worker
• pandemic
• Turkovac

Üçüncü Basamak Bir Hastanede Sağlık Çalışanlarının COVİD-19 Enfeksiyonu ve Aşılaması Hakkındaki Yaklaşım ve Davranışları

Abstract

Amaç: Pandemide sağlık çalışanlarının COVID-19 hastalığı ve aşısıyla ilgili yaklaşım ve davranışlarını belirlemek.
Materyal-Metot: Çalışma, 1-31 Mart 2022 tarihlerinde hastanede görevli sağlık çalışanlarına COVID-19 enfeksiyonu ve aşılarıyla ilgili yaklaşım ve davranışlarını sorgulayan 44 soruluk ankete Whatsapp aplikasyonu üzerinden verdikleri cevaplar toplanarak yapıldı.
Bulgular: Çalışmaya katılan 311 sağlık personelinin 209’u kadındı. (%67,2). Ortanca yaşları 36 idi. Katılımcıların 203’ü (%65,3) üniversite mezunu, 159’u (%51,1) hekimdi. Kronik hastalığı olan 51 olgu (%16,4) vardı. Sağlık çalışanlarından COVID-19 enfeksiyonu geçiren 141 (%45,3), ailesinden biri enfeksiyonu geçiren 176 (%56,6), ailesinden biri enfeksiyona bağlı yoğun bakımda kalan 23 (%7,4) ve ailesinden biri enfeksiyona bağlı vefat eden 22 (%7,1) kişiydi. Aşı olan 304 (%97,7) sağlık çalışanından 211’inde (%67,8) en az bir yan etki gelişti. En sık görülen yan etki 156’sında (%73,9) halsizlikti ve en sık yan etki Biontech (%59,8) ile görüldü. Seçenek olsaydı %70,1’i Biontech aşısının ilk tercihleri olacağını belitti. Turkovac aşısına güvenen 131 (%42,1) kişi vardı. Toplum sağlığı açısından aşının zorunlu olması gerektiğini düşünenlerin oranı %83,3, COVID-19 aşısı ile pandeminin biteceğine inananlar %58,8 ve hasta sayısının azalacağına inananlar %80,4 idi. Sağlık çalışanlarında aşıya karşı kararsızlığı arttıran nedenler arasında en sık aşıların yan etkilerine yönelik duyulan endişe (%74) yer alıyordu. Hekim grubunda çocuğuna aşı yaptırma, aşı ile pandeminin biteceği inancı, aşı ile hasta sayısının azalacağı inancı ve yakınlarınıza aşı önerir misiniz sorununa pozitif cevap verenlerin oranı istatistiksel olarak daha yüksekti
Sonuç: Sağlık çalışanları arasında COVID-19 aşısı olma oranı ve Biontech aşısına olan güven yüksekti. Bunun sebebi COVID-19 aşısı ile pandeminin biteceği veya hasta sayısının azalacağı inancının yüksek olması olabilir.

Keywords

• Biontech
• sağlık çalışanı
• pandemi
• Turkovac

References

1. 1- World Health Organization. Director-General's remarks at the media briefing on 2019-nCoV on 11 February 2020. http://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020 (Accessed on February 12, 2020).
2. 2- World Health Organization. Weekly epidemiological update on COVID-19- 12 April 2022. https://www.who.int/publications/m/item/weekly-epidemiological-update-on-COVID-19-12-april-2022 (Accessed on April 15, 2022)
3. 3- Pruc M, Golik D, Szarpak L, Adam I, Smereka J. COVID-19 in healthcare workers. Am J Emerg Med. 2021;39:236. doi: 10.1016/j.ajem.2020.05.017. Epub 2020 May 8. PMID: 32414525
4. 4- Aloğlu N, Dönmez M. Investigation of Attitudes and Behaviours Towards COVID-19 Pandemic and Vaccine ine Turkey with Some Variables. Usaysad Derg, 2021;7(3):520-535
5. 5- Yılmaz Hİ, Turgut B, Çıtlak G, Mert O, Paralı B, Engin M. People's View of COVID-19 Vaccine in Turkey. Dicle Med J. 2021;48(3):583-594
6. 6- Medimagazin.com. Sağlık Bakanlığı, Basın Açıklaması. Fahrettin Koca ilk kez sayı verdi: 29 bin 865 sağlık çalışanı enfekte. (Accessed on April 15, 2022). Available from: https://www.medimagazin.com.tr/guncel/genel/tr-fahrettinkoca-ilk-kez-sayi-verdi-29-bin-865-saglik-calisani-enfekte-11- 681-91089.html
7. 7- Folgueira MD, Munoz-Ruiperez C, Alonso-Lopez MA, Delgado R. SARS-CoV-2 infection in Health Care Workers in a large public hospital in Madrid, Spain, during March 2020. medRxiv. 2020. doi: https://doi.org/10.1101/2020.04.07.20055723
8. 8- Lahner E, Dilaghi E, Prestigiacomo C, et al. Prevalence of SarsCov-2 infection in health workers (HWs) and diagnostic test performance: The experience of a teaching hospital in central Italy. Int J Environ Res Public Health. 2020;17(12):4417.

9. 9- Nguyen LH, Drew DA, Graham MS, et al. Risk of COVID-19 among front-line health-careworkers and the general community: A prospective cohort study. Lancet Public Health. 2020; 5(9):e475-483
10. 10- Kurtuluş Ş, Can R. What do health care professionals think about COVID-19 vaccine applications: A university example. Harran Univ Tıp Fak Derg. 2021;18(1):29-34
11. 11- Shaw J, Stewart T, Anderson KB, et al. Assessment of U.S. health care personnel attitudes towards COVID-19 vaccination in a large university health care system. Clin Infect Dis. 2021;73(10):1776-1783
12. 12- Gagneux-Brunon A, Detoc M, Bruel S, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemicwave: a cross-sectional survey. J Hosp Infect. 2021;108:168-173
13. 13- Kader Ç, Erbay A, Demirel MS, Kocabıyık O, Çiftçi E, Yalçın Çolak N. Evaluation of Attitudes and Behaviors of Healthcare Professionals towards COVID-19 Vaccination. Klimik Dergisi 2022;35(1):30-35
14. 14- Coronavirus (COVID-19) Vaccinations. https://ourworldindata.org/COVID-19-vaccinations. (Accessed on April 20, 2022)
15. 15- Lin Y, Hu Z, Zhao Q, Alias H, Danaee M, Wong LP. Understanding COVID-19 vaccine demand and hesitancy: A nationwide online survey in China. PLoS Negl Trop Dis. 2020;14(12): e0008961.
16. 16- Girişim Araştırma. Kovid-19 aşı anketi sonuçlandı. 11 Aralık'ta yapılacak Çin aşısına güven %1,9, üretim aşamasındaki Türk aşısına %46,8. Independent Türkçe; Aralık 2, 2020. https://www.indyturk.com/node/280201/haber/kovid-19-aşı-anketi-sonuçlandı...-11-aralıktayapılacak-çin-aşısına-güven-üretim. (Accessed on April 20, 2022)
17. 17- Giao H, Le An P, Thi Ngoc Han N, Van Khanh T, Kim Ngan V, Van Tam V. Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pac J Trop Med. 2020;13:6-11.
18. 18- Bhagavathula AS, Aldhaleei WA, Rahmani J, Mahabadi MA, Bandari DK. Novel Coronavirus (COVID-1919) Knowledge and Perceptions: A Survey of Healthcare Workers. medRxiv https://doi.org/10.1101/2020.03.09.20033381 19- Başkol D, Akyol D, Taşbakan SE, Pullukçu H, Işıkgöz Taşbakan M. Evaluation of knowledge levels and other adult vaccines situations who vaccinated for coronavirus vaccine in Ege University Faculty of Medicine Hospital. Ege Journal of Medicine. 2021;60(4):412-417.
19. 20- Black JRM, Bailey C, Swanton C. COVID-19: the case for health-care worker screening to prevent hospital transmission. The Lancet. 2020;395(10234):1418-20. (doi: 10.1016/S0140-6736(20)30917-X).
20. 21- Srichan P, Apidechkul T, Tamornpark R et al. Knowledge, attitudes and preparedness to respond to COVID-19 among the border population of northern Thailand in the early period of the pandemic: a crosssectional study. WHO South-East Asia Journal of Public Health, 2020;9(2):118-125.
21. 22- Tunçer J, Karkaç A. Evaluation of Dentists' Attitudes Towards the COVID-19 Pandemic and Vaccine. Van Dentistry Journal 2021;2(2):11-23
22. 23- Cihan E, Şahbaz Pirinççi C, Gerçek H, Ünüvar BS, Demirdel E. The Knowledge Levels, Preventive Behavior And Risk Perception On COVID-19 of The Healthcare Students In Turkey. Sdü Sağlık Bilimleri Enstitüsü Dergisi. 2020;11(3):342-347