Pediatric healthcare professionals' opinions, attitudes, and vaccine hesitancy toward personal and children’s COVID-19 vaccination

COVID-19 vaccination hesitancy among pediatric healthcare professionals

Authors

Keywords:

COVID-19, Pediatrician, Nurses, Opinion, Attitude, Vaccine hesitancy

Abstract

Background/Aim: Pediatric healthcare professionals are at the forefront of both facilitating an increase vaccine acceptability and reduction in vaccine hesitancy and play a vital role in eliminating vaccine hesitancy of families. In this context, it was thought that the individual pediatric healthcare professional’s vaccine hesitancy could affect successful administration of the coronavirus 2019 (COVID-19) vaccination. This study aimed to determine the opinions and attitudes of pediatricians and pediatric nurses toward the COVID-19 vaccination and the reasons for vaccine hesitancy. The study also aimed to identify their views and attitudes toward COVID-19 vaccination in children.

Methods: The survey was carried out as a cross-sectional study between February and May 2021. The study sample consisted of 83 pediatricians and 79 pediatric nurses. Necessary permission was obtained before the study began. Data were collected using questionnaires that had been prepared by researchers. Data were analyzed using descriptive statistical methods and a chi-squared test.

Results: Almost all pediatricians and more than half of the pediatric nurses reported that they considered getting vaccinated/were vaccinated; however, a greater proportion of nurses were vaccine-hesitant (P = 0.001). Reasons for not being vaccinated/being hesitant among healthcare professionals included harmful ingredients in the COVID-19 vaccines, thinking that vaccines were developed too quickly, vaccine development studies in different phases did not yield conclusive outcomes, hearing from the social media that vaccines are harmful, believing it is not necessary to receive a vaccine that is not included in the routine immunization schedule, and lack of knowledge about vaccines. The majority of the physicians and nurses who participated in the study reported that, if COVID-19 vaccines were available for children, they would not consider advising it or were unsure (P = 0.003). When asked about the reasons for hesitancy, a greater proportion of nurses reported they thought that vaccines had been developed too quickly (P < 0.001) and that the outcomes of vaccine development studies in different phases were not conclusive (P = 0.008).

Conclusion: Healthcare workers serve as role models for vaccination acceptance in the community. Identifying the reasons for vaccine hesitancy among healthcare professionals is key to encouraging vulnerable populations to accept and take the vaccine. Vaccine hesitancy may be countered by comprehensive in-service trainings on vaccine development processes and phases of trials relating to COVID-19 vaccines.

Downloads

Download data is not yet available.

Author Biographies

Ayşe Şener Taplak, Department of Child Health and Disease Nursing, Faculty of Health Science, Yozgat Bozok University, Yozgat, Turkey

Assistant professor, Ph.D., RN. Department of Child Health and Disease Nursing, Faculty of Health Science

Sena Berra Tatar, Department of Pediatrics, Erciyes University Faculty of Medicine, Kayseri, Turkey

MD. Department of Pediatrics, Erciyes University Faculty of Medicine, Kayseri, Turkey.

 

References

Kakodkar P, Kaka N, Baig MN. A Comprehensive Literature Review on the Clinical Presentation, and Management of the Pandemic Coronavirus Disease 2019 (COVID-19). Cureus. 2020 Apr 6;12(4):e7560. DOI: https://doi.org/10.7759/cureus.7560

Helmy YA, Fawzy M, Elaswad A, Sobieh A, Kenney SP, Shehata AA. The COVID-19 Pandemic: A Comprehensive Review of Taxonomy, Genetics, Epidemiology, Diagnosis, Treatment, and Control. J Clin Med. 2020 Apr 24;9(4):1225. DOI: https://doi.org/10.3390/jcm9041225

Dror AA, Eisenbach N, Taiber S, Morozov NG, Mizrachi M, Zigron A, et al. Vaccine hesitancy: the next challenge in the fight against COVID-19. Eur J Epidemiol. 2020 Aug;35(8):775-9. DOI: https://doi.org/10.1007/s10654-020-00671-y

Miller JM, Carroll RS. An Informed Approach to Vaccine Hesitancy and Uptake in Children. Dela J Public Health. 2022 Mar 29;8(1):60-4.

World Health Organisation. State of the world’ s vaccines and immunization. 2009.

Greenwood B. The contribution of vaccination to global health: past, present and future. Philos Trans R Soc Lond B Biol Sci. 2014 May 12;369(1645):20130433. DOI: https://doi.org/10.1098/rstb.2013.0433

Paya N, Pozzetto B, Berthelot P, Vallée J. Statut vaccinal des médecins généralistes dans le département de la Loire, France [Vaccination status of family physicians in the Loire district, France]. Med Mal Infect. 2013 Jun;43(6):239-43.

Prato R, Tafuri S, Fortunato F, Martinelli D. Vaccination in healthcare workers: an Italian perspective. Expert Rev Vaccines. 2010 Mar;9(3):277-83.

Wiysonge CS, Ndwandwe D, Ryan J, Jaca A, Batouré O, Anya BM, et al. Vaccine hesitancy in the era of COVID-19: could lessons from the past help in divining the future? Hum Vaccin Immunother. 2022 Dec 31;18(1):1-3. DOI: https://doi.org/10.1080/21645515.2021.1893062

Holzmann-Littig C, Braunisch MC, Kranke P, Popp M, Seeber C, Fichtner F, et al. COVID-19 Vaccination Acceptance and Hesitancy among Healthcare Workers in Germany. Vaccines (Basel). 2021 Jul 12;9(7):777. DOI: https://doi.org/10.3390/vaccines9070777

Carman WF, Elder AG, Wallace LA, McAulay K, Walker A, Murray GD, et al. Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial. Lancet. 2000 Jan 8;355(9198):93-7. DOI: https://doi.org/10.1016/S0140-6736(99)05190-9

Cunney RJ, Bialachowski A, Thornley D, Smaill FM, Pennie RA. An outbreak of influenza A in a neonatal intensive care unit. Infect Control Hosp Epidemiol. 2000 Jul;21(7):449-54. DOI: https://doi.org/10.1086/501786

Kose S, Mandiracioglu A, Sahin S, Kaynar T, Karbus O, Ozbel Y. Vaccine hesitancy of the COVID‐19 by health care personnel. Int J Clin Pract 2021;75:e13917. DOI: https://doi.org/10.1111/ijcp.13917

Mustapha T, Khubchandani J, Biswas N. COVID-19 vaccination hesitancy in students and trainees of healthcare professions: A global assessment and call for action. Brain Behav Immun Health. 2021 Oct;16:100289. DOI: https://doi.org/10.1016/j.bbih.2021.100289

Lucia VC, Kelekar A, Afonso NM. COVID-19 vaccine hesitancy among medical students. J Public Health (Oxf). 2021 Sep 22;43(3):445-9. DOI: https://doi.org/10.1093/pubmed/fdaa230

Miller JM, Carroll RS. An Informed Approach to Vaccine Hesitancy and Uptake in Children. Dela J Public Health. 2022 Mar 29;8(1):60-4. DOI: https://doi.org/10.32481/djph.2022.03.009

Dubé E, Gagnon D, MacDonald N, Bocquier A, Peretti-Watel P, Verger P. Underlying factors impacting vaccine hesitancy in high income countries: a review of qualitative studies. Expert Rev Vaccines. 2018 Nov;17(11):989-1004. DOI: https://doi.org/10.1080/14760584.2018.1541406

Truong J, Bakshi S, Wasim A, Ahmad M, Majid U. What factors promote vaccine hesitancy or acceptance during pandemics? A systematic review and thematic analysis. Health Promot Int. 2022 Feb 17;37(1):daab105. DOI: https://doi.org/10.1093/heapro/daab105

Prato R, Tafuri S, Fortunato F, Martinelli D. Vaccination in healthcare workers: an Italian perspective. Expert Rev Vaccines. 2010 Mar;9(3):277-83. DOI: https://doi.org/10.1586/erv.10.11

Paya N, Pozzetto B, Berthelot P, Vallée J. Statut vaccinal des médecins généralistes dans le département de la Loire, France [Vaccination status of family physicians in the Loire district, France]. Med Mal Infect. 2013 Jun;43(6):239-43. DOI: https://doi.org/10.1016/j.medmal.2013.05.006

Maltezou HC, Lourida A, Katragkou A, Grivea IN, Katerelos P, Wicker S, et al. Attitudes regarding occupational vaccines and vaccination coverage against vaccine-preventable diseases among healthcare workers working in pediatric departments in Greece. Pediatr Infect Dis J. 2012 Jun;31(6):623-5. DOI: https://doi.org/10.1097/INF.0b013e31824ddc1e

Shaw J, Stewart T, Anderson KB, Hanley S, Thomas SJ, Salmon DA, et al. Assessment of US Healthcare Personnel Attitudes Towards Coronavirus Disease 2019 (COVID-19) Vaccination in a Large University Healthcare System. Clin Infect Dis. 2021 Nov 16;73(10):1776-83. DOI: https://doi.org/10.1093/cid/ciab054

Wang K, Wong ELY, Ho KF, Cheung AWL, Chan EYY, Yeoh EK, et al. Intention of nurses to accept coronavirus disease 2019 vaccination and change of intention to accept seasonal influenza vaccination during the coronavirus disease 2019 pandemic: A cross-sectional survey. Vaccine. 2020 Oct 21;38(45):7049-56. DOI: https://doi.org/10.1016/j.vaccine.2020.09.021

Gagneux-Brunon A, Detoc M, Bruel S, Tardy B, Rozaire O, Frappe P, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross-sectional survey. J Hosp Infect. 2021 Feb;108:168-73. DOI: https://doi.org/10.1016/j.jhin.2020.11.020

Biasio LR, Carducci A, Fara GM, Giammanco G, Lopalco PL. Health literacy, emotionality, scientific evidence: Elements of an effective communication in public health. Hum Vaccin Immunother. 2018 Jun 3;14(6):1515-6. DOI: https://doi.org/10.1080/21645515.2018.1434382

Fakonti G, Kyprianidou M, Iordanou S, Toumbis G, Giannakou K. General vaccination knowledge influences nurses' and midwives' COVID-19 vaccination intention in Cyprus: a nationwide cross-sectional study. Hum Vaccin Immunother. 2022 Dec 31;18(1):1-9. DOI: https://doi.org/10.1080/21645515.2021.2016008

Gönüllü E, Soysal A, Atıcı S, Engin M, Yeşilbaş O, Kasap T, et al. Pediatricians’ COVID-19 experiences and views on the willingness to receive COVID-19 vaccines: A cross-sectional survey in Turkey. Hum Vaccin Immunother 2021;17:2389–96. DOI: https://doi.org/10.1080/21645515.2021.1896319

Dara S, Sharma SK, Kumar A, Goel AD, Jain V, Sharma MC, et al. Awareness, Attitude, and Acceptability of Healthcare Workers About COVID-19 Vaccination in Western India. Cureus. 2021 Sep 30;13(9):e18400. DOI: https://doi.org/10.7759/cureus.18400

Ashok N, Krishnamurthy K, Singh K, Rahman S, Majumder MAA. High COVID-19 Vaccine Hesitancy Among Healthcare Workers: Should Such a Trend Require Closer Attention by Policymakers? Cureus. 2021 Sep 15;13(9):e17990. DOI: https://doi.org/10.7759/cureus.17990

Aci OS, Kackin O, Karaaslan S, Ciydem E. Qualitative examination of the attitudes of healthcare workers in Turkey regarding COVID-19 vaccines. Int J Nurs Knowl. 2022 Apr;33(2):136-46. DOI: https://doi.org/10.1111/2047-3095.12342

Motta M. Can a COVID-19 vaccine live up to Americans' expectations? A conjoint analysis of how vaccine characteristics influence vaccination intentions. Soc Sci Med. 2021 Mar;272:113642. DOI: https://doi.org/10.1016/j.socscimed.2020.113642

Yıldız Y, Telatar TG, Baykal M, Aykanat Yurtsever B, Yıldız İE. Evaluating Vaccine Rejection during COVID-19 Pandemic. Journal of Duzce University Health Sciences Institute. 2021;11(2):200-5.

Bell S, Clarke R, Paterson P, Mounier-Jack S. Parents’ and guardians’ views and experiences of accessing routine childhood vaccinations during the coronavirus (COVID-19) pandemic: A mixed methods study in England. PLoS One. 2020;15:e0244049. DOI: https://doi.org/10.1371/journal.pone.0244049

Montalti M, Rallo F, Guaraldi F, Bartoli L, Po G, Stillo M, Perrone P, et al. Would parents get their children vaccinated against sars-cov-2? rate and predictors of vaccine hesitancy according to a survey over 5000 Families from Bologna, Italy. Vaccines (Basel). 2021 Apr 10;9(4):366. DOI: https://doi.org/10.3390/vaccines9040366

World Health Organization. Macroeconomics and health: investing in health for economic development: executive summary/report of the Commission on Macroeconomics and Health. 2001.

Downloads

Published

2022-10-05

Issue

Section

Research Article

How to Cite

1.
Tubaş F, Şener Taplak A, Tatar SB. Pediatric healthcare professionals’ opinions, attitudes, and vaccine hesitancy toward personal and children’s COVID-19 vaccination : COVID-19 vaccination hesitancy among pediatric healthcare professionals. J Surg Med [Internet]. 2022 Oct. 5 [cited 2022 Dec. 7];6(10):844-9. Available from: https://jsurgmed.com/article/view/7408