Olga Visser1, Marlies E J L Hulscher2, Laura Antonise-Kamp3, Reinier Akkermans3, Koos van der Velden3, Robert A C Ruiter4, Jeannine L A Hautvast3. 1. Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands; Regional Public Health Service Utrecht, P.O. Box 51, 3700 AB Zeist, The Netherlands. Electronic address: olga.visser@radboudumc.nl. 2. Scientific Institute for Quality of Healthcare (IQ Healthcare), Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. 3. Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. 4. Department of Work and Social Psychology, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
Abstract
OBJECTIVE: To assess the intention to accept a pertussis cocooning vaccination and to examine the determinants that influence this intention among healthcare workers (HCWs) in maternity and paediatric care. DESIGN: Cross-sectional survey. SETTING: Maternity assistants, midwives, and paediatric nurses in the Netherlands. METHODS: We developed a 123-item questionnaire based on a literature review and the Reasoned Action Approach (a social cognitive model of behaviour). We used the questionnaire to explore the determinants of intention to accept pertussis cocooning vaccination among the HCW groups. We also assessed the behavioural beliefs underlying HCWs' attitudes towards pertussis cocooning. We used correlation and regression analyses to assess univariate and multivariate associations in the study variables. RESULTS: Altogether, 486 maternity assistants, 320 midwives, and 200 paediatric nurses completed the questionnaire; 45%-63% reported their intentions to accept pertussis vaccination. Attitude, anticipated affect regarding non-acceptance, and decisional uncertainty were uniquely associated with the intention to accept a pertussis vaccination. The respondents' attitude towards pertussis cocooning vaccination was further explained by their general vaccination beliefs, agreement with a policy advice to vaccinate HCWs, the perceived cost-benefit ratio, and the perceived personal responsibility to prevent pertussis in patients. CONCLUSION: About half of the participating HCWs reported their intentions to accept a pertussis cocooning vaccination. Attitude, anticipated affect regarding non-acceptance, and decisional uncertainty came forward as the most important determinants of intention. This study helps build the evidence base describing the determinants of the intention to accept a pertussis cocooning vaccination among HCWs.
OBJECTIVE: To assess the intention to accept a pertussis cocooning vaccination and to examine the determinants that influence this intention among healthcare workers (HCWs) in maternity and paediatric care. DESIGN: Cross-sectional survey. SETTING: Maternity assistants, midwives, and paediatric nurses in the Netherlands. METHODS: We developed a 123-item questionnaire based on a literature review and the Reasoned Action Approach (a social cognitive model of behaviour). We used the questionnaire to explore the determinants of intention to accept pertussis cocooning vaccination among the HCW groups. We also assessed the behavioural beliefs underlying HCWs' attitudes towards pertussis cocooning. We used correlation and regression analyses to assess univariate and multivariate associations in the study variables. RESULTS: Altogether, 486 maternity assistants, 320 midwives, and 200 paediatric nurses completed the questionnaire; 45%-63% reported their intentions to accept pertussis vaccination. Attitude, anticipated affect regarding non-acceptance, and decisional uncertainty were uniquely associated with the intention to accept a pertussis vaccination. The respondents' attitude towards pertussis cocooning vaccination was further explained by their general vaccination beliefs, agreement with a policy advice to vaccinate HCWs, the perceived cost-benefit ratio, and the perceived personal responsibility to prevent pertussis in patients. CONCLUSION: About half of the participating HCWs reported their intentions to accept a pertussis cocooning vaccination. Attitude, anticipated affect regarding non-acceptance, and decisional uncertainty came forward as the most important determinants of intention. This study helps build the evidence base describing the determinants of the intention to accept a pertussis cocooning vaccination among HCWs.
Authors: Edouard Ledent; Giovanni Gabutti; Esther W de Bekker-Grob; Juan Luis Alcázar Zambrano; Magda Campins Martí; María Teresa Del Hierro Gurruchaga; María José Fernández Cruz; Giuseppe Ferrera; Francesca Fortunato; Pierfederico Torchio; Giorgio Zoppi; Christian Agboton; Walid Kandeil; Federico Marchetti Journal: Hum Vaccin Immunother Date: 2019-04-15 Impact factor: 3.452
Authors: Massimiliano Barattucci; Stefano Pagliaro; Chiara Ballone; Manuel Teresi; Carlo Consoli; Alice Garofalo; Andrea De Giorgio; Tiziana Ramaci Journal: Vaccines (Basel) Date: 2022-07-08