Qualitative Research Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Bioethics Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Front Public Health. 2022 Oct 19;10:1015090. doi: 10.3389/fpubh.2022.1015090. eCollection 2022.
Italy was the first country in Europe to make vaccination against COVID-19 mandatory for healthcare professionals by imposing restrictions in cases of non-compliance. This study investigates the opinions of the Italian healthcare professionals' categories affected by the regulation. We performed a qualitative online survey: the questionnaire comprised both close- and open-ended questions. The final dataset included = 4,677 valid responses. Responses to closed-ended questions were analyzed with descriptive statistics. The framework method was applied for analyzing the open-ended questions. The sample spanned all health professions subject to compulsory vaccination, with a prevalence of physicians (43.8%) and nurses (26.3%). The vaccine adhesion before the introduction of the obligation was substantial. 10.4% declared not to have adhered to the vaccination proposal. Thirty-five percent of HPs who opted not to get vaccinated said they experienced consequences related to their choice. The trust in the vaccine seems slightly cracked, demonstrating overall vaccine confidence among professionals. Nonetheless, our results show that whether (or not) professionals adhere to vaccination is not a reliable indicator of consent to how it was achieved. There are criticisms about the lawfulness of the obligation. The data show a great variety of participants interpreting their roles concerning public and individual ethics. The scientific evidence motivates ethics-related decisions-the epidemic of confusing and incorrect information affected professionals. The Law triggered an increased disaffection with the health system and conflicts between professionals. Dealing with the working climate should be a commitment to assume soon.
意大利是欧洲第一个通过对不遵守规定的人施加限制，将 COVID-19 疫苗接种强制要求医务人员接种的国家。本研究调查了受该规定影响的意大利医务人员群体的意见。我们进行了一项定性的在线调查：问卷包括封闭问题和开放问题。最终数据集包含 = 4677 份有效回复。对封闭问题的回复进行了描述性统计分析。应用框架方法分析了开放问题。样本涵盖了所有需要强制接种疫苗的卫生专业人员，医生（43.8%）和护士（26.3%）居多。在实施强制接种义务之前，疫苗接种率就已经很高了。有 10.4%的人声称没有遵守疫苗接种建议。35%选择不接种疫苗的卫生保健人员表示，他们因自己的选择而受到了影响。对疫苗的信任似乎有些动摇，这表明专业人员对疫苗的总体信心。然而，我们的结果表明，医务人员是否接种疫苗并不是他们对疫苗接种方式的同意与否的可靠指标。人们对该义务的合法性提出了批评。数据显示，有很多参与者对其在公共和个人伦理方面的角色进行了不同的解读。科学证据为相关伦理决策提供了依据，而疫情期间大量混淆和错误的信息影响了专业人员。该法律引发了对卫生系统的不满和专业人员之间的冲突。解决工作环境问题应该是一个亟待解决的问题。
