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护士的流感疫苗接种与犹豫:定性文献的系统综述

Nurses' Influenza Vaccination and Hesitancy: A Systematic Review of Qualitative Literature.

作者信息

Pinatel Natacha, Plotton Catherine, Pozzetto Bruno, Gocko Xavier

机构信息

Department of General Practice, Faculty of Medicine Jacques Lisfranc, University Jean Monnet, 42000 Saint-Etienne, France.

Laboratory of Infectious Agents and Hygiene, University Hospital of Saint-Etienne, 42000 Saint-Etienne, France.

出版信息

Vaccines (Basel). 2022 Jun 22;10(7):997. doi: 10.3390/vaccines10070997.

Abstract

Vaccine hesitancy (VH) is defined as "". This hesitancy affects caregivers and more specifically nurses. The purpose of this study is to assess determinants of influenza VH in the nurse's community. We conducted a systematic review of qualitative literature according to criteria of Preferred Reporting Items for Systematic Review and Meta-Analysis and Enhancing Transparency in Reporting the synthesis of Qualitative Research from 2009 until October 2020. Eleven qualitative studies analysed (ten thematic content analyses and one grounded theory method) found three main factors in VH. The first determinant was the benefit-risk equation considered as unfavourable due to an ineffective vaccine and fears about adverse effects as the pain of the injection. Wrong immunological beliefs brought into hesitancy. Disease barriers (hand washing and masks) and personal immunity were regarded as more effective than the vaccine. Lastly, dehumanised vaccination and the difficulties of access to healthcare were institutional determinants. Nurses ask for a vaccine promotion by hierarchy and doctors with transparent information and respect for autonomy. The availability of vaccines and methods of pain control seem to be some tracks to reduce nurses' VH.

摘要

疫苗犹豫(VH)的定义是“……”。这种犹豫影响着护理人员,尤其是护士。本研究的目的是评估护士群体中流感疫苗犹豫的决定因素。我们根据系统评价和荟萃分析的首选报告项目标准以及增强定性研究综合报告透明度的标准,对2009年至2020年10月的定性文献进行了系统评价。分析的11项定性研究(10项主题内容分析和1项扎根理论方法)发现了疫苗犹豫的三个主要因素。第一个决定因素是效益风险等式,由于疫苗无效以及对诸如注射疼痛等不良反应的担忧,该等式被认为是不利的。错误的免疫学观念导致了犹豫。疾病预防措施(洗手和戴口罩)和个人免疫力被认为比疫苗更有效。最后,非人性化的疫苗接种和获得医疗保健的困难是制度性决定因素。护士们要求上级和医生以透明的信息并尊重自主性来推广疫苗。疫苗的可及性和疼痛控制方法似乎是减少护士疫苗犹豫的一些途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b38c/9320778/d34050cbf72a/vaccines-10-00997-g001.jpg

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