Laboratoire de Virologie, CHU Besançon, France; UFR Santé, Université Bourgogne France-Comté, France; EA3181, Université Bourgogne France-Comté, France.
UFR Santé, Université Bourgogne France-Comté, France; Service de Maladies Infectieuses, CHU Besançon, France.
Vaccine. 2020 Oct 7;38(43):6794-6799. doi: 10.1016/j.vaccine.2020.08.036. Epub 2020 Sep 4.
The perceptions of healthcare students of vaccines have been poorly explored and appropriate training strategies to address possible confidence gaps concerning vaccination for these future professionals is still a subject of debate.
A questionnaire to assess the perceptions of vaccination and the feeling of preparedness to address patient concerns was submitted to 874 multidisciplinary healthcare students enrolled in the French program "Service Sanitaire des Etudiants en Santé" (SSES). The evolution of their perceptions during the year and the impact of having performed a primary prevention intervention in the context of the SSES program were assessed.
In total, 530 students of nursing (42.5%), medicine (31.5%), physiotherapy (11.3%), pharmacy (10.9%), and midwifery (3.8%) completed the questionnaires. Among them, 7.0% carried out an intervention within the topic "vaccination and hygiene" and 93.0% within another topic ("nutrition and physical activity" or "addiction"). A portion of the students showed traits of vaccine hesitancy, including specific concerns about side effects (61.5%) or the number of vaccines in the vaccination schedule (30.0%). They felt ill prepared to address vaccine-hesitant patients, with poor confidence of their knowledge about vaccines (52.5%), their ability to inform patients about the side effects (42.5%), the benefit/risk of adjuvants (51.7%), and the rules for introducing a new vaccine (51.9%). They showed significant differences in perception depending on their curriculum. Misconceptions and hesitancy concerning vaccines were significantly improved after the students had performed the primary prevention intervention, regardless of the topic.
A portion of French healthcare students show traits of vaccine hesitancy, with significant differences depending on the courses attended. Programs of health promotion, such as the French SSES program, which includes a primary prevention intervention conducted by multidisciplinary groups of students, may improve the global confidence of healthcare students concerning vaccination.
医疗保健专业学生对疫苗的认知尚未得到充分探索,为这些未来的专业人员接种疫苗提供适当的培训策略以解决潜在的信心差距问题仍然存在争议。
向参加法国“学生健康服务”(SSES)项目的 874 名多学科医疗保健专业学生发放了一份评估疫苗接种认知和准备程度以解决患者关注问题的调查问卷。评估了他们在这一年中的认知变化以及在 SSES 项目背景下进行初级预防干预的影响。
共有 530 名护理(42.5%)、医学(31.5%)、物理治疗(11.3%)、药学(10.9%)和助产学(3.8%)专业的学生完成了问卷。其中,7.0%的学生在“疫苗接种和卫生”主题下进行了干预,93.0%的学生在其他主题(“营养和体育活动”或“成瘾”)下进行了干预。部分学生表现出对疫苗犹豫不决的特征,包括对副作用(61.5%)或疫苗接种时间表中疫苗数量(30.0%)的具体担忧。他们觉得自己对有疫苗接种犹豫的患者准备不足,对自己的疫苗知识缺乏信心(52.5%),对自己向患者告知副作用的能力(42.5%)、佐剂的获益/风险(51.7%)和引入新疫苗的规则(51.9%)缺乏信心。他们的认知存在差异,这取决于他们的课程。无论主题如何,在学生进行初级预防干预后,对疫苗的误解和犹豫都得到了显著改善。
法国部分医疗保健专业学生表现出对疫苗犹豫不决的特征,这与他们所修课程有显著差异。像法国 SSES 这样的促进健康项目,其中包括由多学科学生团体进行的初级预防干预,可能会提高医疗保健专业学生对疫苗接种的整体信心。