Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Nurses' vaccination acceptance and related factors in the initial stage of COVID-19 vaccination in Korea: a cross-sectional study

COVID-19 백신접종 시작 단계에서 간호사의 백신접종 수용도와 관련 요인

  • 김경하 (서울아산병원 간호부) ;
  • 정재심 (울산대학교 산업대학원 임상전문간호학)
  • Received : 2024.05.03
  • Accepted : 2024.07.27
  • Published : 2024.08.31
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Abstract

Purpose: This study aimed to identify factors associated with nurses' vaccination acceptance in the initial stage of coronavirus infectious disease 2019 (COVID-19) vaccination in Korea. Methods: This cross-sectional study collected data from hospital-level or higher medical institutions from May 5 to May 7, 2021 with a total of 368 nurses via an online survey. Multiple regression analysis was used to identify factors associated with vaccination acceptance. Results: The acceptance of COVID-19 vaccination had an average score of 4.28 ± 0.80 out of 7 points. Among the sub-areas of acceptance, the safety of the vaccine exhibited the lowest score (average, 2.80 ± 0.83). The factors related to COVID-19 vaccination acceptance in nurses were age (over 40 compared to under 29) (β = .16, p = .008), experience (more than 11 years compared to under 5) (β = .16, p = .010), the absence of a preferred vaccine (β = -.14, p = .004), and educational background (a master's degree or higher compared to a bachelor's degree or lower) (β = .12, p = .042). Conclusion: In the initial stage of COVID-19 vaccination, nurses believed that the COVID-19 vaccine was important and that people should be vaccinated, but had concerns regarding the safety of the vaccine. Older age, more experience, the absence of a preferred vaccine, and a higher educational background were associated with higher acceptance of COVID-19 vaccination. Therefore, more active education on the necessity and value of vaccination for young people is required at the individual and socio-cultural level, and a sufficient supply of preferred vaccines at the national level is needed.

Keywords

Acknowledgement

This manuscript is based on a part of the first author's master's thesis from the University of Ulsan.

References

  1. Korea Disease Control and Prevention Agency. COVID-19 infection [Internet]. Osong: Korea Disease Control and Prevention Agency; 2024 [citied 2024 May 20]. Available from: https://dportal.kdca.go.kr/pot/cv/trend/dmstc/selectMntrgSttus.do
  2. 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
  3. World Health Organization. WHO coronavirus (COVID-19) dashboard > vaccines [dashboard] [Internet]. Geneva: World Health Organization 2024 [cited 2024 Jul 23]. Available from: https://data.who.int/dashboards/covid19/vaccines
  4. Korea Disease Control and Prevention Agency. COVID-19 infection [Internet]. Osong: Korea Disease Control and Prevention Agency; 2021 [citied 2021 March 4]. Available from: https://www.kdca.go.kr/board/board.es?mid= a20501010000&bid = 0015&list_no=712615&cg_code=&act=view&nPage=9&newsField=202103
  5. Lee SH, Choi JS. Factors influencing COVID-19 AstraZeneca (ChAdOx1) vaccination and side effects among health care workers in an acute general hospital. Journal of Korean Biological Nursing Science. 2021;23(4):318-329. https://doi.org/10.7586/jkbns.2021.23.4.318
  6. Sarathchandra D, Navin MC, Largent MA, McCright AM. A survey instrument for measuring vaccine acceptance. Preventive Medicine. 2018;109:1-7. https://doi.org/10.1016/j.ypmed.2018.01.006
  7. 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
  8. Dror AA, Eisenbach N, Taiber S, Morozov NG, Mizrachi M, Zigron A, et al. Vaccine hesitancy: the next challenge in the fight against COVID-19. European Journal of Epidemiology. 2020;35(8):775-779. https://doi.org/10.1007/s10654-020-00671-y
  9. Lazarus JV, Ratzan SC, Palayew A, Gostin LO, Larson HJ, Rabin K, et al. A global survey of potential acceptance of a COVID-19 vaccine. Nature Medicine. 2021;27(2):225-228. https://doi.org/10.1038/s41591-020-1124-9
  10. Neumann-Bohme S, Varghese NE, Sabat I, Barros PP, Brouwer W, van Exel J, et al. Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19. The European Journal of Health Economics. 2020;21:977-982. https://doi.org/10.1007/s10198-020-01208-6
  11. Reiter PL, Pennell ML, Katz ML. Acceptability of a COVID-19 vaccine among adults in the United States: how many people would get vaccinated? Vaccine. 2020;38(42):6500-6507. https://doi.org/10.1016/j.vaccine.2020.08.043
  12. Wang J, Jing R, Lai X, Zhang H, Lyu Y, Knoll MD, et al. Acceptance of COVID-19 vaccination during the COVID-19 pandemic in China. Vaccines. 2020;8(3):482. https://doi.org/10.3390/vaccines8030482
  13. Park JY, Ha J. Factors influencing the COVID-19 vaccination intentions in nurses: Korea, February 2021. Journal of Korean Academy of Nursing. 2021;51(5):537-548. https://doi.org/10.4040/jkan.21110
  14. Joshi A, Kaur M, Kaur R, Grover A, Nash D, El-Mohandes A. Predictors of COVID-19 vaccine acceptance, intention, and hesitancy: a scoping review. Frontiers in Public Health. 2021;9:698111. https://doi.org/10.3389/fpubh.2021.698111
  15. Malik AA, McFadden SM, Elharake J, Omer SB. Determinants of COVID-19 vaccine acceptance in the US. EClinicalMedicine. 2020;26:100495. https://doi.org/10.1016/j.eclinm.2020.100495
  16. Medical Service Act. Hospital-level or higher medical institutions [Internet]. [cited 2020 Mar 4]. Available from: https://www.law.go.kr/법령/의료법/(20211230,17787,20201229)/제3조
  17. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G* Power 3.1: tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  18. Luo C, Yang Y, Liu Y, Zheng D, Shao L, Jin J, et al. Intention to COVID-19 vaccination and associated factors among health care workers: a systematic review and meta-analysis of cross-sectional studies. American Journal of Infection Control. 2021;49(10):1295-1304. https://doi.org/10.1016/j.ajic.2021.06.020
  19. Korea Disease Control and Prevention Agency. COVID-19 incidence and vaccination in Republic of Korea [Internet]. Osong: Korea Disease Control and Prevention Agency; 2021 [cited 2021 Nov 4]. Available from: https://www.kdca.go.kr/board/board.es?mid=a20501010000&bid=0015&list_no=717433&cg_code= &act=view&nPage=1
  20. Gualano MR, Corradi A, Voglino G, Catozzi D, Olivero E, Corezzi M, et al. Healthcare workers'(HCWs) attitudes towards mandatory influenza vaccination: a systematic review and meta-analysis. Vaccine. 2021;39:901-914. https://doi.org/10.1016/j.vaccine.2020.12.061
  21. Gagneux-Brunon A, Detoc M, Bruel S, Tardy B, Rozaire O, Frappe P, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross-sectional survey. The Journal of Hospital Infection. 2021;108:168-173. https://doi.org/10.1016/j.jhin.2020.11.020
  22. Merkley E, Loewen PJ. The correlates and dynamics of COVID-19 vaccine-specific hesitancy. Vaccine. 2022;40 (13):2020-2027. https://doi.org/10.1016/j.vaccine.2022.02.033
  23. European Medicines Agency. Vaxzevria (previously COVID-19 vaccine AstraZeneca) [Internet]. Amsterdam: European Medicines Agency; 2021 [cited 2021 Nov 18]. Available from: https://www.ema.europa.eu/en/medicines/human/EPAR/vaxzevria-previously-covid-19-vaccine-astrazeneca#authorisation-details-section
  24. Lin C, Tu P, Beitsch LM. Confidence and receptivity for COVID-19 vaccines: a rapid systematic review. Vaccines. 2021;9(1):16. https://doi.org/10.3390/vaccines9010016