Department of Targeted Intervention, University College London, London, UK; Oxford Vaccine Group, Department of Paediatrics, Oxford University, Oxford, UK.
Oxford Vaccine Group, Department of Paediatrics, Oxford University, Oxford, UK; NIHR Oxford Biomedical Research Centre, Oxford, Oxfordshire, UK.
Soc Sci Med. 2023 Dec;339:116313. doi: 10.1016/j.socscimed.2023.116313. Epub 2023 Oct 18.
This paper explores vaccine hesitancy among healthcare workers (HCWs) in the UK, where different COVID-19 vaccines were being rolled out through a national vaccination campaign from 2020 to 2022, consisting of a first and second dose programme. Through a mixed-method approach using qualitative discourse analysis and network analysis of Twitter data, we assessed HCW perceptions and views about the administration and delivery of COVID-19 vaccines in the United Kingdom (UK). We were also interested in exploring HCWs' personal experiences and attitudes towards taking COVID-19 vaccines themselves. We drew upon sociology, ethics, communication studies and used research methods concentrating on social media and media analysis. By employing the '5C framework' of 'confidence, complacency, constraints, calculation, and collective responsibility' we evaluated a longitudinal selection of tweets to capture relevant factors driving vaccination views and behaviours among HCWs. We found differing positions expressed about COVID-19 vaccines and policy during the first dose compared with the second, through a drop in confidence compounded by supply and access issues, as well the news of a vaccine mandate for HCWs by the UK government in 2021. HCWs asked calculation questions to the community or brought forward competing pieces of information about vaccine policy and guidelines. Constraint levels in access issues were noted, especially for those with work and caregiving responsibilities, and student nurses found they did not have equal vaccination access. HCWs also displayed collective responsibility on social platforms to both encourage vaccination and express concerns through the organisation of social action against vaccine mandates.
本文探讨了英国医护人员（HCWs）对疫苗的犹豫态度，2020 年至 2022 年期间，英国通过全国疫苗接种运动推出了不同的 COVID-19 疫苗，包括第一剂和第二剂疫苗接种计划。我们采用定性话语分析和 Twitter 数据网络分析相结合的混合方法，评估了 HCW 对英国 COVID-19 疫苗接种的管理和提供的看法和意见。我们还对 HCW 自身接种 COVID-19 疫苗的个人经验和态度感兴趣。我们借鉴了社会学、伦理学、传播学，并使用专注于社交媒体和媒体分析的研究方法。通过采用“信心、自满、约束、计算和集体责任”的“5C 框架”，我们评估了一组纵向选择的推文，以捕捉推动 HCW 接种疫苗观点和行为的相关因素。我们发现，与第二剂相比，在第一剂期间，HCW 对 COVID-19 疫苗和政策表达了不同的立场，信心下降，再加上供应和获取问题，以及英国政府在 2021 年对 HCW 实施疫苗接种规定的消息。HCW 向社区提出了计算问题，或者提出了关于疫苗政策和指南的相互竞争的信息。获取问题的约束水平受到关注，特别是对于那些有工作和照顾责任的人，以及实习护士发现他们没有平等的疫苗接种机会。HCW 还在社交平台上表现出集体责任感，既鼓励接种疫苗，又通过组织反对疫苗接种规定的社会行动来表达关切。
