Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health Mosa, South Limburg Public Health Service, PO Box 33, Heerlen, 6400 AA, The Netherlands.
Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, PO Box 616, Maastricht, 6200 MD, The Netherlands.
BMC Infect Dis. 2024 Sep 2;24(1):903. doi: 10.1186/s12879-024-09681-7.
Healthcare professionals (HCPs) play a significant role in the decision-making process of pregnant women on maternal vaccinations. Whereas a high proportion of HCPs discuss maternal vaccinations with pregnant women, confidence in discussing maternal vaccinations is lacking and HCPs experience inadequate training to discuss maternal vaccinations with pregnant women. Furthermore, different practical barriers might influence the consultation process, such as lack of time. More studies on the barriers, as well as facilitators, to discussing maternal vaccinations is needed and will help us to better understand and support HCPs in discussing maternal vaccinations.
This qualitative study involved semi-structured interviews with fourteen HCPs working as midwives or gynaecologists in the Netherlands. An integrated theoretical approach was used to inform data collection and analysis. Thematic analysis was conducted using inductive and deductive approaches. This study followed the COnsolidated criteria for REporting Qualitative research (COREQ) guidelines.
The thematic analysis of the data pointed to the following five themes of HCP counselling: the consultation process, attitude, perceived norm, perceived control and improvement ideas. Most HCPs follow a similar approach in maternal pertussis vaccination consultations, beginning by assessing clients' understanding, providing basic information, and addressing questions. However, consultation timing and prioritization vary among HCPs. Challenges in consultations include client requests for clear advice, with HCPs trained to remain neutral, emphasizing client autonomy in decision-making. Most HCPs acknowledge the importance of their consultations in informing pregnant women about maternal pertussis vaccination.
This study offers a confirmation of the awareness of the pivotal role of HCPs in informing pregnant women about the maternal pertussis vaccination. HCPs stress the importance of neutral counselling, enabling pregnant women to make well-informed decisions independently. Because of upcoming vaccine hesitancy nowadays, HCPs must be equipped with the knowledge and confidence to navigate difficult conversations. Continuous education and training might help to increase HCPs' confidence in handling difficult consultations. Additionally, making the information materials for pregnant women available in multiple languages and incorporating more visuals to enhance comprehension could support HCPs in reaching a broader group of pregnant women.
医疗保健专业人员（HCPs）在孕妇对产妇疫苗接种的决策过程中发挥着重要作用。虽然很大比例的 HCPs 与孕妇讨论产妇疫苗接种，但他们在讨论产妇疫苗接种方面缺乏信心，并且 HCPs 在与孕妇讨论产妇疫苗接种方面接受的培训不足。此外，不同的实际障碍可能会影响咨询过程，例如缺乏时间。需要更多研究讨论产妇疫苗接种的障碍和促进因素，这将有助于我们更好地理解和支持 HCPs 讨论产妇疫苗接种。
本定性研究对 14 名在荷兰从事助产士或妇科医生工作的 HCPs 进行了半结构化访谈。采用综合理论方法进行数据收集和分析。采用归纳和演绎方法进行主题分析。本研究遵循 COnsolidated criteria for REporting Qualitative research（COREQ）指南。
对数据的主题分析指出了 HCP 咨询的以下五个主题：咨询过程、态度、感知规范、感知控制和改进思路。大多数 HCPs 在产妇百日咳疫苗接种咨询中遵循类似的方法，首先评估客户的理解能力，提供基本信息，并回答问题。然而，咨询的时间和优先级因 HCPs 而异。咨询中的挑战包括客户要求明确建议，HCPs 接受过保持中立的培训，强调客户在决策中的自主权。大多数 HCPs 承认他们的咨询在告知孕妇有关产妇百日咳疫苗接种方面的重要性。
本研究证实了 HCPs 在告知孕妇有关产妇百日咳疫苗接种方面的关键作用的意识。HCPs 强调中立咨询的重要性，使孕妇能够独立做出明智的决定。由于当今即将出现疫苗犹豫，HCPs 必须具备知识和信心，以应对困难的对话。持续的教育和培训可能有助于提高 HCPs 处理困难咨询的信心。此外，以多种语言提供孕妇信息材料，并增加更多视觉效果以提高理解能力，可以帮助 HCPs 接触到更广泛的孕妇群体。
