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Factors Influencing the COVID-19 Vaccination Intentions in Nurses: Korea, February 2021

간호사의 COVID-19 백신 접종의도 영향요인: 한국, 2021년 2월 시점을 중심으로

  • Received : 2021.06.23
  • Accepted : 2021.08.31
  • Published : 2021.10.31

Abstract

Purpose: This study aimed to identify the factors influencing COVID-19 vaccination intentions in nurses. Methods: The participants were 184 nurses in Korea. Data were collected using a Google Form online survey method in February, 2021, and analyzed using an independent t-test, one-way ANOVA, Pearson correlation, and multiple regression analysis with the SPSS/WIN 26.0 program. Results: COVID-19 vaccination intention in nurses was correlated significantly with vaccine hesitancy (r = .58, p < .001), risk perception of COVID-19 (r = .22, p = .003), perception of vaccination as a professional duty (r = .59, p < .001), and attitude towards workplace infection control policies (r = .20, p = .007). Vaccine hesitancy (β = .40, p < .001) and the perception of vaccination as a professional duty (β = .44, p < .001) significantly influenced COVID-19 vaccination intention. The model developed in this study explained 50% of the variation in COVID-19 vaccination intention. Conclusion: Improving the perception of vaccination as a professional duty and lowering vaccine hesitancy may enhance nurses' COVID-19 vaccination intention. Above all, it is necessary to provide programs to encourage voluntary recognition of vaccination as a professional duty and develop strategies to reduce hesitancy toward COVID-19 vaccinations.

Keywords

Acknowledgement

This study was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. NRF-2020R1F1A1048135).

References

  1. World Health Organization (WHO). WHO virtual press conference on COVID-19 - 11 March 2020 [Internet]. Geneva: WHO; c2020a [cited 2021 Jun 11]. Available from: https://www.who.int/docs/default-source/coronaviruse/transcripts/who-audio-emergencies-coronavirus-press-conference-full-and-final-11mar2020.pdf?sfvrsn=cb432bb3_2.
  2. Johns Hopkins University (JHU). COVID-19 dashboard by the center for systems science and engineering (CSSE) at Johns Hopkins University (JHU) [Internet]. Baltimore: JHU; c2021 [cited 2021 Jun 11]. Available from: https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6.
  3. Korea Disease Control and Prevention Agency (KDCA). COVID-19 incidence and vaccination in Republic of Korea [Internet]. Cheongju: KDCA; c2021 [cited 2021 Jun 11]. Available from: http://ncov.mohw.go.kr/tcmBoardView.do?brdId=3&brdGubun=31&dataGubun=&ncvContSeq=5527&contSeq=5527&board_id=312&gubun=ALL.
  4. Wang J, Du G. COVID-19 may transmit through aerosol. Irish Journal of Medical Science. 2020;189(4):1143-1144. https://doi.org/10.1007/s11845-020-02218-2
  5. Kwon KS, Park JI, Park YJ, Jung DM, Ryu KW, Lee JH. Evidence of long-distance droplet transmission of SARS-CoV-2 by direct air flow in a restaurant in Korea. Journal of Korean Medical Science. 2020;35(46):e415. https://doi.org/10.3346/jkms.2020.35.e415
  6. Tobias A, Molina T. Is temperature reducing the transmission of COVID-19 ? Environmental Research. 2020;186:109553. https://doi.org/10.1016/j.envres.2020.109553
  7. World Health Organization (WHO). Coronavirus disease (COVID-19) pandemic [Internet]. Geneva: WHO; c2020 [cited 2021 Jan 21]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019.
  8. Chu DK, Akl EA, Duda S, Solo K, Yaacoub S, Schunemann HJ; COVID-19 Systematic Urgent Review Group Effort (SURGE) study authors. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: A systematic review and meta-analysis. The Lancet. 2020;395(10242):1973-1987. https://doi.org/10.1016/S0140-6736(20)31142-9
  9. Debisarun PA, Struycken P, Dominguez-Andres J, Moorlag SJCFM, Taks E, Gossling KL, et al. The effect of influenza vaccination on trained immunity: Impact on COVID-19. MedRxiv. [Preprint]. 2020 [cited 2021 Jan 21]. Available from: https://doi.org/10.1101/2020.10.14.20212498.
  10. Choi EK. Ethical debates surrounding the development of vaccines during COVID-19 pandemic. Bio, Ethics and Policy. 2020;4(2):1-18.
  11. Lee DH, Shin SS, Jun BY, Lee JK. National level response to pandemic (H1N1) 2009. Journal of Preventive Medicine and Public Health. 2010;43(2):99-104. https://doi.org/10.3961/jpmph.2010.43.2.99
  12. Dini G, Toletone A, Sticchi L, Orsi A, Bragazzi NL, Durando P. Influenza vaccination in healthcare workers: A comprehensive critical appraisal of the literature. Human Vaccines & Immunotherapeutics. 2018;14(3):772-789. https://doi.org/10.1080/21645515.2017.1348442
  13. Bartsch SM, O'Shea KJ, Ferguson MC, Bottazzi ME, Wedlock PT, Strych U, et al. Vaccine efficacy needed for a COVID-19 coronavirus vaccine to prevent or stop an epidemic as the sole intervention. American Journal of Preventive Medicine. 2020;59(4):493-503. https://doi.org/10.1016/j.amepre.2020.06.011
  14. Ministry of Health and Welfare (MOHW). Seven out of ten non-vaccinated people are willing to get vaccinated [Internet]. Sejong: MOHW; c2021 [cited 2021 Jun 11]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=4&CONT_SEQ=365875.
  15. Office of Disease Prevention and Health Promotion (ODPHP). Increase the proportion of people who get the flu vaccine every year - IID-09 [Internet]. Rockville: ODPHP; c2021 [cited 2021 Jun 14]. Available from: https://health.gov/healthypeople/objectives-and-data/browse-objectives/vaccination/increase-proportion-people-who-get-flu-vaccineevery-year-iid-09.
  16. Korean Centers for Disease Control and Prevention (KCDC) 2009-2010 Influenza A(H1N1) vaccination program in Korea. Public Health Weekly Report. 2010;3(22):357-360.
  17. Cheong HJ, Sohn JW, Choi SJ, Eom JS, Woo HJ, Chun BC, et al. Factors influencing decision regarding influenza vaccination: A survey of healthcare workers in one hospital. Infection & Chemotherapy. 2004;36(4):213-218.
  18. Maridor M, Ruch S, Bangerter A, Emery V. Skepticism toward emerging infectious diseases and influenza vaccination intentions in nurses. Journal of Health Communication. 2017;22(5):386-394. https://doi.org/10.1080/10810730.2017.1296509
  19. Kwok KO, Li KK, Wei WI, Tang A, Wong SYS, Lee SS. Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: A survey. International Journal of Nursing Studies. 2021;114:103854. https://doi. org/10.1016/j.ijnurstu.2020.103854
  20. Hamel L, Kirzinger A, Munana C, Brodie M. KFF COVID-19 vaccine monitor: December 2020 [Internet]. San Francisco: Kaiser Family Foundation (KFF); c2020 [cited 2021 May 31]. Available from: https://www.kff.org/coronavirus-covid-19/report/kff-covid-19-vaccine-monitor-december-2020/.
  21. Kim YH, Heo EJ, Lim HS, Park EJ. A study on the impact of health belief model on the prevalence of influenza vaccination intention. The Journal of Humanities and Social Science. 2017;8(5):149-166. https://doi.org/10.22143/HSS21.8.5.9
  22. Wang K, Wong ELY, Ho KF, Cheung AWL, Chan EYY, Yeoh EK, et al. Intention of nurses to accept coronavirus disease 2019 vaccination and change of intention to accept seasonal influenza vaccination during the coronavirus disease 2019 pandemic: A cross-sectional survey. Vaccine. 2020;38(45):7049-7056. https://doi.org/10.1016/j.vaccine.2020.09.021
  23. Lau LHW, Lee SS, Wong NS. The continuum of influenza vaccine hesitancy among nursing professionals in Hong Kong. Vaccine. 2020;38(43):6785-6793. https://doi.org/10.1016/j.vaccine.2020.08.038
  24. Jung M, Yoon H, Choi M. Socio-contextual determinants of vaccination compliance: The case of the 2009 H1N1 pandemic in the United States. Health and Social Welfare Review. 2016;36(4):537-561. https://doi.org/10.15709/hswr.2016.36.4.537
  25. You J, Yang J. Factors influencing influenza vaccination intention among health personnel in general hospitals: An application of the theory of planned behavior. Journal of Korean Academy of Community Health Nursing. 2021;32(2):175-185. https://doi.org/10.12799/jkachn.2021.32.2.175
  26. Betsch C, Schmid P, Heinemeier D, Korn L, Holtmann C, Bohm R. Beyond confidence: Development of a measure assessing the 5C psychological antecedents of vaccination. PLoS One. 2018;13(12):e0208601. https://doi.org/10.1371/journal.pone.0208601
  27. Zhang J, While AE, Norman IJ. Seasonal influenza vaccination knowledge, risk perception, health beliefs and vaccination behaviours of nurses. Epidemiology and Infection. 2012;140(9):1569-1577. https://doi.org/10.1017/S0950268811002214
  28. Falomir-Pichastor JM, Toscani L, Despointes SH. Determinants of flu vaccination among nurses: The effects of group identification and professional responsibility. Applied Psychology. 2009;58(1):42-58. https://doi.org/10.1111/j.1464-0597.2008.00381.x
  29. Surra CA. The influence of the interactive network on developing relationships. In: Milardo RM, editor. Families and Social Networks. Newbury Park: Sage; 1988. p. 48-82.
  30. Cook RD. Detection of influential observation in linear regression. Technometrics. 1977;19(1):15-18. https://doi.org/10.1080/00401706.1977.10489493
  31. Thaker J. The persistence of vaccine hesitancy: COVID-19 vaccination intention in New Zealand. Journal of Health Communication. 2021;26(2):104-111. https://doi.org/10.1080/10810730.2021.1899346
  32. Galanis P, Vraka I, Fragkou D, Bilali A, Kaitelidou D. Intention of health care workers to accept COVID-19 vaccination and related factors: A systematic review and meta-analysis. MedRxiv. [Preprint]. 2020 [cited 2021 Aug 2]. Available from: https://doi.org/10.1101/2020.12.08.20246041.
  33. Abuown A, Ellis T, Miller J, Davidson R, Kachwala Q, Medeiros M, et al. COVID-19 vaccination intent among London healthcare workers. Occupational Medicine. 2021;71(4-5):211-214. https://doi.org/10.1093/occmed/kqab057
  34. Huynh G, Tran TT, Nguyen HTN, Pham LA. COVID-19 vaccination intention among healthcare workers in Vietnam. Asian Pacific Journal of Tropical Medicine. 2021;14(4):159-164. https://doi.org/10.4103/1995-7645.312513
  35. Our World in Data. Coronavirus (COVID-19) vaccinations [Internet]. Oxfordshire: Our World in Data; c2020 [cited 2021 Jun 12]. Available from: https://ourworldindata.org/covid-vaccinations.
  36. Mtolo LM, Motloba PD, Wood NH. Mandatory COVID-19 vaccination for oral health professionals (OHPs) - ethical appraisal. South African Dental Journal. 2021;76(1):42-45. https://doi.org/10.17159/2519-0105/2021/v76no1a7
  37. Gur-Arie R, Jamrozik E, Kingori P. No jab, no job? Ethical issues in mandatory COVID-19 vaccination of healthcare personnel. BMJ Global Health. 2021;6(2):e004877. https://doi.org/10.1136/bmjgh-2020-004877
  38. Griffith J, Marani H, Monkman H. COVID-19 vaccine hesitancy in Canada: Content analysis of tweets using the theoretical domains framework. Journal of Medical Internet Research. 2021;23(4):e26874. https://doi.org/10.2196/26874
  39. Fisher KA, Bloomstone SJ, Walder J, Crawford S, Fouayzi H, Mazor KM. Attitudes toward a potential SARS-CoV-2 vaccine: A survey of U.S. adults. Annals of Internal Medicine. 2020;173(12):964-973. https://doi.org/10.7326/M20-3569
  40. Cordina M, Lauri MA, Lauri J. Attitudes towards COVID-19 vaccination, vaccine hesitancy and intention to take the vaccine. Pharmacy Practice. 2021;19(1):2317. https://doi.org/10.18549/PharmPract.2021.1.2317
  41. Moberly T. Covid-19: Vaccine hesitancy fell after vaccination programme started. BMJ (British Medical Journal). 2021;372:n837. https://doi.org/10.1136/bmj.n837
  42. Beleche T, Ruhter J, Kolbe A, Marus J, Bush L, Sommers B. COVID-19 vaccine hesitancy: Demographic factors, geographic patterns, and changes over time [Internet]. Washington, DC: Assistant Secretary for Planning and Evaluation (ASPE); c2021 [cited 2021 Jun 11]. Available from: https://aspe.hhs.gov/system/files/pdf/265341/aspe-ib-vaccine-hesitancy.pdf.
  43. Boyd K. Beyond politics: Additional factors underlying skepticism of a COVID-19 vaccine. History and Philosophy of the Life Sciences. 2021;43(1):12. https://doi.org/10.1007/s40656-021-00369-8
  44. Alobaidi S. Predictors of intent to receive the COVID-19 vaccination among the population in the Kingdom of Saudi Arabia: A survey study. Journal of Multidisciplinary Healthcare. 2021;14:1119-1128. https://doi.org/10.2147/JMDH.S306654
  45. Agyekum MW, Afrifa-Anane GF, Kyei-Arthur F, Addo B. Acceptability of COVID-19 vaccination among health care workers in Ghana. Advances in Public Health. 2021;2021: 9998176. https://doi.org/10.1155/2021/9998176