Thaivalappil Abhinand, Young Ian, MacKay Melissa, Pearl David L, Papadopoulos Andrew
Department of Population Medicine, University of Guelph, Guelph, Canada.
School of Occupational and Public Health, Ryerson University, Toronto, Canada.
Health Psychol Behav Med. 2022 Aug 4;10(1):695-712. doi: 10.1080/21642850.2022.2106231. eCollection 2022.
Vaccines are effective biological interventions which reduce health burdens and protect healthcare providers from vaccine-preventable diseases. However, there are concerns about varying levels of vaccination coverage of influenza and COVID-19 vaccines among those working in healthcare. The aim of this study was to identify barriers and facilitators to COVID-19 and influenza vaccinations among healthcare providers and trainees using the Theoretical Domains Framework (TDF).
Semi-structured interviews ( = 18) were carried out with healthcare providers and trainees in Canada. A thematic analysis approach was used to code interview transcripts and match findings to TDF domains and broader categories.
Three overarching themes were generated from six TDF domains and three inductively generated categories: (1) making informed health decisions with an added responsibility to protect oneself and patients; (2) a pro-vaccine social network, widespread accessibility, and pursuing a sense of normalcy; and (3) seeking a more nuanced, respectful, and calculated approach to vaccine communication and policy implementation.
These findings help to identify factors associated with influenza and COVID-19 vaccine uptake among individuals in the healthcare field. Addressing these factors may improve healthcare provider sentiments surrounding vaccines, lead to better patient education, and increased uptake of vaccinations with the potential for seasonal booster doses.
疫苗是有效的生物干预措施，可减轻健康负担，并保护医疗保健提供者免受疫苗可预防疾病的侵害。然而，人们担心医疗保健行业从业者中流感疫苗和新冠疫苗的接种覆盖率存在差异。本研究的目的是使用理论领域框架（TDF）确定医疗保健提供者和实习生接种新冠疫苗和流感疫苗的障碍与促进因素。
对加拿大的医疗保健提供者和实习生进行了半结构化访谈（n = 18）。采用主题分析方法对访谈记录进行编码，并将结果与TDF领域和更广泛的类别进行匹配。
从六个TDF领域和三个归纳得出的类别中产生了三个总体主题：（1）在承担保护自己和患者的额外责任的情况下做出明智的健康决策；（2）支持疫苗接种的社交网络、广泛的可及性以及追求正常感；（3）寻求更细致入微、尊重他人且经过深思熟虑的疫苗沟通和政策实施方法。
这些发现有助于确定医疗保健领域个人接种流感疫苗和新冠疫苗的相关因素。解决这些因素可能会改善医疗保健提供者对疫苗的看法，带来更好的患者教育，并提高疫苗接种率，包括季节性加强针的接种率。
