The University of Tulsa, Tulsa, United States
The University of Tulsa, Tulsa, United States.
J Dr Nurs Pract. 2022 Feb 1;15(1):65-71. doi: 10.1891/JDNP-2021-0033.
Vaccine compliance has fallen short of national and international targets, generating preventable disease outbreaks. While vaccine hesitancy in the general public is a factor in under-vaccination, vaccine hesitancy among healthcare providers remains an underrecognized obstacle to pediatric vaccine completion.
The aim of this quality improvement study was to assess provider attitudes and practices regarding vaccine efficacy, safety, adverse effects, and recommendations.
To assess for changes in their vaccine confidence, a convenience sample of three physicians and seven advanced practice registered nurses (APRNs) from a pediatric primary care clinic anonymously completed a self-administered survey, participated in an educational intervention, and then completed another survey.
All eight providers denied personal vaccine hesitancy. However, one APRN did not fully vaccinate their child due to a medical exemption and another APRN reported concerns about influenza vaccine efficacy. While the mean confidence score for educating vaccine-hesitant parents increased from pre (8.75) to post intervention (9.13), the increase was not statistically significant.
The pre-intervention survey affirmed the presence of parental vaccine hesitancy, but not provider vaccine hesitancy.
Further study is needed to identify and address provider vaccine hesitancy to improve their vaccine confidence and, ultimately, pediatric vaccine completion.
疫苗接种率未达到国家和国际目标，导致可预防疾病爆发。尽管公众对疫苗的犹豫是疫苗接种不足的一个因素，但医疗保健提供者对疫苗的犹豫仍然是儿童疫苗接种完成的一个未被充分认识的障碍。
本质量改进研究的目的是评估提供者在疫苗效力、安全性、不良反应和建议方面的态度和实践。
为了评估他们对疫苗的信心是否有变化，我们对儿科初级保健诊所的 3 名医生和 7 名高级实践注册护士（APRN）进行了方便抽样，他们匿名填写了一份自我管理的调查问卷，参加了一个教育干预，然后又填写了另一份调查问卷。
所有 8 名提供者都否认个人对疫苗有犹豫。然而，有 1 名 APRN 因医疗豁免而没有给他们的孩子完全接种疫苗，另 1 名 APRN 报告了对流感疫苗效力的担忧。虽然教育对疫苗犹豫不决的父母的信心评分从干预前（8.75）增加到干预后（9.13），但这一增加并不具有统计学意义。
在干预前的调查中，肯定了存在父母对疫苗的犹豫，但没有发现提供者对疫苗的犹豫。
需要进一步研究以确定和解决提供者对疫苗的犹豫，以提高他们对疫苗的信心，并最终完成儿童疫苗接种。
