Renzi Erika, Panattoni Nicolò, Di Simone Emanuele, Riccio Marianna, Conti Alessio, Albanesi Beatrice, Luciani Michela, Fabrizi Diletta, Locatelli Giulia, Ausili Davide, Clari Marco, De Vito Corrado, Massimi Azzurra
Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Hum Vaccin Immunother. 2025 Dec;21(1):2520057. doi: 10.1080/21645515.2025.2520057. Epub 2025 Jun 18.
The use of validated tools to assess vaccine hesitancy is essential for designing strategies to improve vaccine uptake among healthcare workers (HCWs). This systematic review identified and evaluated tools measuring knowledge, attitudes, practices, vaccine intentions, and vaccine hesitancy in HCWs. Searches were conducted in PubMed, CINAHL, Scopus, Web of Science, PsycINFO, Cochrane Library, and JBI (PROSPERO: CRD42020212252). The methodological quality of the instruments was determined using the COnsensus-based Standards for the selection of health status Measurement Instruments (COSMIN) methodology. Of 11,580 articles screened, 33 studies were included, identifying 32 measurement tools related to vaccines recommended for HCWs, including influenza, HPV, HBV, and pertussis. The King's Nurses Influenza Vaccination Questionnaire was the most frequently used and demonstrated reliable properties. Two other validated questionnaires showed adequate measurement properties. No validated tool was identified to comprehensively assess vaccine hesitancy across all HCW-recommended vaccines, limiting instrument applicability for broad implementation in healthcare settings.
使用经过验证的工具来评估疫苗犹豫对于设计提高医护人员疫苗接种率的策略至关重要。本系统综述识别并评估了测量医护人员知识、态度、行为、疫苗接种意愿和疫苗犹豫的工具。在PubMed、CINAHL、Scopus、Web of Science、PsycINFO、Cochrane图书馆和JBI（国际前瞻性注册系统：CRD42020212252）中进行了检索。使用基于共识的健康状况测量工具选择标准（COSMIN）方法确定工具的方法学质量。在筛选的11580篇文章中，纳入了33项研究，识别出32种与推荐给医护人员的疫苗相关的测量工具，包括流感、人乳头瘤病毒、乙肝和百日咳疫苗。国王护士流感疫苗接种问卷是使用最频繁的，且显示出可靠的特性。另外两种经过验证的问卷显示出足够的测量特性。未识别出能全面评估所有推荐给医护人员的疫苗的疫苗犹豫情况的经过验证的工具，这限制了这些工具在医疗机构广泛应用的适用性。
