Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, Perth, Western Australia, Australia.
School of Social Sciences, The University of Western Australia, Perth, Western Australia.
PLoS One. 2022 Dec 30;17(12):e0279557. doi: 10.1371/journal.pone.0279557. eCollection 2022.
Health care workers (HCWs) faced an increased risk of Coronavirus Disease 2019 (COVID-19). Australia's COVID-19 vaccine rollout commenced in February 2021 to priority groups, including HCWs. Given their increased risk, as well as influence on patients' vaccine uptake, it was important that HCWs had a positive COVID-19 vaccination experience, as well as trusting the vaccine safety and efficacy data.
Semi-structured interviews were undertaken with 19 public- and privately-practicing HCWs in Western Australia between February-July 2021. Data were deductively analysed using NVivo 12 and guided by the Capability-Opportunity-Motivation-Behaviour model.
15/19 participants had received at least one COVID-19 vaccine. Participants were highly motivated, mostly to protect themselves and to get back to "normal", but also to protect patients. Many had a heightened awareness of COVID-19 severity due hearing from colleagues working in settings more impacted than Western Australia. Participants trusted the COVID-19 vaccine development and approval process; their histories of having to accept vaccines for work helped them to see COVID-19 vaccination as no different. Many recalled initially being unsure of how and when they'd be able to access the vaccine. Once they had this knowledge, half had difficulties with the booking process, and some were unable to access a clinic at a convenient location or time. Participants learnt about COVID-19 vaccination through government resources, health organisations, and their workplace, but few had seen any government campaigns for the wider public. Finally, most had discussed COVID-19 vaccination with their social network.
HCWs in Western Australia demonstrated good knowledge about COVID-19 vaccination, with many reasons to vaccinate themselves and support the vaccination of others. Addressing the barriers identified in this study will be important for planning to vaccinate health workforces during future pandemics.
医护人员(HCWs)面临着感染 2019 年冠状病毒病(COVID-19)的风险增加。澳大利亚的 COVID-19 疫苗接种于 2021 年 2 月开始针对包括 HCWs 在内的优先群体进行。鉴于他们面临更高的风险,以及对患者疫苗接种率的影响,HCWs 对 COVID-19 疫苗接种有积极的体验,并且对疫苗的安全性和有效性数据有信心是很重要的。
2021 年 2 月至 7 月期间,在西澳大利亚州对 19 名公立和私立医疗机构的 HCWs 进行了半结构式访谈。使用 NVivo 12 进行了演绎分析,并以能力-机会-动机-行为模型为指导。
19 名参与者中有 15 名至少接种了一剂 COVID-19 疫苗。参与者的动机很高,主要是为了保护自己和恢复“正常”,但也是为了保护患者。由于从工作环境受到 COVID-19 影响比西澳大利亚州更严重的同事那里听到的信息,许多人对 COVID-19 的严重程度有了更高的认识。参与者信任 COVID-19 疫苗的开发和批准过程;他们因为工作需要接受疫苗的历史使他们认为 COVID-19 疫苗接种没有什么不同。许多人最初不确定他们将如何以及何时能够获得疫苗。一旦他们了解了这方面的信息,有一半人在预订过程中遇到了困难,有些人无法在方便的地点或时间前往诊所。参与者通过政府资源、卫生组织和工作场所了解 COVID-19 疫苗接种,但很少有人看到政府为更广泛的公众开展的疫苗接种宣传活动。最后,大多数人都与他们的社交网络讨论过 COVID-19 疫苗接种。
西澳大利亚州的 HCWs 对 COVID-19 疫苗接种有很好的了解,他们有很多理由为自己接种疫苗,并支持为他人接种疫苗。在未来的大流行期间,为卫生工作者接种疫苗,规划时应解决本研究中确定的障碍。