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

Yıl 2023, Cilt: 32 Sayı: 3, 411 - 417, 04.12.2023

Hatice İkiışık , Filiz Sever , Ayşe Paralı Yusuf Demirkol Sema Gündoğdu Ayşe Taktak Mukaddes Melemez Mine Zafer Işıl Maral

https://doi.org/10.34108/eujhs.884153

Öz

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.

Anahtar Kelimeler

Vaccine , vaccine hesitancy , Healthcare worker

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

Öz

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.

Anahtar Kelimeler

Aşı , Aşı kararsızlığı , Sağlık Çalışanı

Kaynakça

• 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.