Standing alone: experiences of vaccine-hesitant Danish healthcare professionals during COVID-19

Abstract

Aim:

The aim of the study was to explore the experiences of Danish healthcare professionals who were hesitant about the COVID-19 vaccine.

Methods:

Interviews were conducted over the telephone in January and February 2021.

Results:

Healthcare professionals experienced the need to avoid impossible conversations about vaccine hesitancy with their colleagues. They felt a lack of knowledge of long-term experience with the vaccine and a need to balance trust in themselves and the authorities.

Conclusions:

Healthcare professionals who were hesitant towards the COVID-19 vaccine felt they had to keep their concerns to themselves and felt isolated and pressured by their managers. This study is especially important for managers, who must ensure a trusting working environment in which employees can discuss their concerns without feeling pressured.

Keywords

Attitudes COVID-19 corona vaccine hesitancy vaccination

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References

World Health Organization. Ten threats to global health in 2019. https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019 (accessed 1 August 2022).

Akarsu

Özdemir Canbay

Ayhan Baser

, et al. While studies on COVID-19 vaccine is ongoing, the public’s thoughts and attitudes to the future COVID-19 vaccine. Int J Clin Pract 2020;4:e13891.

Reiter

Pennell

Katz

. Acceptability of a COVID-19 vaccine among adults in the United States: how many people would get vaccinated? Vaccine 2020;38:6500–6507.

Taylor

Landry

Paluszek

, et al. A proactive approach for managing COVID-19: the importance of understanding the motivational roots of vaccination hesitancy for SARS-CoV2. Front Psychol 2020;11:575950.

Bell

Clarke

Mounier-Jack

, et al. Parents’ and guardians’ views on the acceptability of a future COVID-19 vaccine: a multi-methods study in England. Vaccine 2020;38:7789–7798.

Griffith

Marani

Monkman

. COVID-19 vaccine hesitancy in Canada: a content analysis of tweets using the theoretical domains framework. J Med Internet Res. Epub ahead of print 19 February 2021. DOI: 10.2196/26874

Sallam

. COVID-19 vaccine hesitancy worldwide: a concise systematic review of vaccine acceptance rates. Vaccines; 9. Epub ahead of print 16 February 2021. DOI: 10.3390/vaccines9020160

Gagneux-Brunon

Detoc

Bruel

, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross sectional survey. J Hosp Infect. Epub ahead of print 28 November 2020. DOI: 10.1016/j.jhin.2020.11.020

Unroe

Evans

Weaver

, et al. Willingness of long-term care staff to receive a COVID-19 vaccine: a single state survey. J Am Geriatr Soc. Epub ahead of print 28 December 2020. DOI: 10.1111/jgs.17022

10.

Lucia

Kelekar

Afonso

. COVID-19 vaccine hesitancy among medical students. J Public Health Oxf Engl. Epub ahead of print 26 December 2020. DOI: 10.1093/pubmed/fdaa230

11.

Kwok

K-K

Wei

, et al. Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: a survey. Int J Nurs Stud 2020;114:103854.

12.

Dror

Eisenbach

Taiber

, et al. Vaccine hesitancy: the next challenge in the fight against COVID-19. Eur J Epidemiol 2020;35:775–779.

13.

Greech

Gauci

. Vaccine hesitancy in the University of Malta Faculties of Health Sciences, Dentistry and Medicine vis-à-vis influenza and novel COVID-19 vaccination. Early Hum Dev. Epub ahead of print 12 November 2020. DOI: 10.1016/j.earlhumdev.2020.105258

14.

Gagneux-Brunon

Detoc

Bruel

, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross-sectional survey. J Hosp Infect Journal 2021;108:168–173.

15.

Statens Serum Institut. Survailance in numbers, graphs and maps. [Overvågning i tal, grafer og kort). https://statistik.ssi.dk//sygdomsdata#!/?vaccination=11&sex=3&landsdel=100&xaxis=Cohort&show=Graph&datatype=Vaccination (accessed 1 August 2022).

16.

Smith

. Mediacovering of the HPV-vaccine in Denmark [Mediedækning af HPV-vaccinen i Danmark: Et studie af mediernes indflydelse på HPV-debatten fra 1991 – 2017. Aarhus: Centre for Science Studies, University of Aarhus, 2018.

17.

Gørtz

Brewer

Hansen

, et al. The contagious nature of a vaccine scare: how the introduction of HPV vaccination lifted and eroded MMR vaccination in Denmark. Vaccine 2020;38:4432–4439.

18.

Gualano

Corradi

Voglino

, et al. Healthcare workers’ (HCWs) attitudes towards mandatory influenza vaccination: a systematic review and meta-analysis. Vaccine 2021;39:901–914.

19.

Jorgensen

Mereckiene

Cotter

, et al. How close are countries of the WHO European region to achieving the goal of vaccinating 75% of key risk groups against influenza? Results from national surveys on seasonal influenza vaccination programmes, 2008/2009 to 2014/2015. Vaccine 2018;36:442–452.

20.

Schumacher

Salmanton-García

Cornely

, et al. Increasing influenza vaccination coverage in healthcare workers: a review on campaign strategies and their effect. Infection 2021;49:387–399. DOI: 10.1007/s15010-020-01555-9

21.

Shaghaghi

Bhopal

Sheikh

. Approaches to recruiting ‘hard-to-reach’ populations into re-search: a review of the literature. Health Promot Perspect 2011;1:86–94.

22.

Braun

Clarke

. Using thematic analysis in psychology. Qual Res Psychol 2006;2:77–101. DOI: 10.1191/1478088706qp063oa

23.

O’Brien

Harris

Beckman

, et al. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med J Assoc Am Med Coll 2014;89:1245–1251.

24.

MacDonald

. Vaccine hesitancy: definition, scope and determinants. Vaccine 2015;33:4161–4164.

25.

Estrela

Magalhães Silva

Roque

, et al. What determines health professionals’ COVID-19 vaccine hesitancy? A nationwide study. Eur J Clin Invest 2022;7:e13785.

26.

Navin

Oberleitner

LM-S

Lucia

, et al. COVID-19 vaccine hesitancy among healthcare personnel who generally accept vaccines. J Community Health 2022;3:1–11.

27.

Marsaa

Mendahl

Heilman

, et al. Pride and uncertainty. J Hosp Palliat Nurs 2021;23:140–144.

28.

Karlsson

Soveri

Lewandowsky

, et al. Fearing the disease or the vaccine: the case of COVID-19. Personal Individ Differ 2021;172:110590.

29.

Shekhar

Sheikh

Upadhyay

, et al. COVID-19 vaccine acceptance among health care workers in the United States. Vaccines; 9. Epub ahead of print 3 February 2021. DOI: 10.3390/vaccines9020119

30.

Lazarus

Ratzan

Palayew

, et al. A global survey of potential acceptance of a COVID-19 vaccine. Nat Med 2021;27:225–228.

31.

Soares

Rocha

Moniz

, et al. Factors associated with COVID-19 vaccine hesitancy. Vaccines; 9. Epub ahead of print 22 March 2021. DOI: 10.3390/vaccines9030300

32.

Ward

Gott

Hoare

. Participants’ views of telephone interviews within a grounded theory study. J Adv Nurs 2015;71:2775–2785.