Healthcare workers’ attitudes on mandates, incentives, and strategies to improve COVID-19 vaccine uptake: A mixed methods study

Healthcare workers are a trusted health information source and are uniquely positioned to reduce the burden of the COVID-19 pandemic. The purpose of this sequential exploratory mixed methods study was to understand attitudes of healthcare workers working in Massachusetts during the COVID-19 pandemic...

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Main Authors: Sharon M. Casey, Shana A. B. Burrowes, Taylor Hall, Sidney Dobbins, Mengyu Ma, Ruqiyya Bano, Christina Yarrington, Elissa M. Schechter-Perkins, Christopher Garofalo, Mari-Lynn Drainoni, Rebecca B. Perkins, Natalie Pierre-Joseph
Format: Article
Language:English
Published: Taylor & Francis Group 2022-11-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2022.2144048
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author Sharon M. Casey
Shana A. B. Burrowes
Taylor Hall
Sidney Dobbins
Mengyu Ma
Ruqiyya Bano
Christina Yarrington
Elissa M. Schechter-Perkins
Christopher Garofalo
Mari-Lynn Drainoni
Rebecca B. Perkins
Natalie Pierre-Joseph
author_facet Sharon M. Casey
Shana A. B. Burrowes
Taylor Hall
Sidney Dobbins
Mengyu Ma
Ruqiyya Bano
Christina Yarrington
Elissa M. Schechter-Perkins
Christopher Garofalo
Mari-Lynn Drainoni
Rebecca B. Perkins
Natalie Pierre-Joseph
author_sort Sharon M. Casey
collection DOAJ
description Healthcare workers are a trusted health information source and are uniquely positioned to reduce the burden of the COVID-19 pandemic. The purpose of this sequential exploratory mixed methods study was to understand attitudes of healthcare workers working in Massachusetts during the COVID-19 pandemic regarding strategies to improve COVID-19 vaccine utilization, including vaccine mandates and incentives. Fifty-two individuals completed one-on-one interviews between April 22nd and September 7th, 2021. The survey was developed based on findings from the interviews; 209 individuals completed the online survey between February 17th and March 23rd, 2022. Both the interview and survey asked about attitudes toward COVID-19 vaccine and booster mandates, incentives, and strategies to improve vaccination rates. Most participants were female (79%-interview, 81%-survey), Caucasian (56%, 73%), and worked as physicians (37%, 34%) or nurses (10%, 18%). Overall, nuanced attitudes regarding vaccine and booster mandates were expressed; many supported mandates to protect their patients’ health, others emphasized personal autonomy, while some were against mandates if job termination was the consequence of declining vaccines. Similarly, views regarding vaccine incentives differed; some considered incentives helpful, yet many viewed them as coercive. Strategies believed to be most effective to encourage vaccination included improving accessibility to vaccination sites, addressing misinformation, discussing vaccine safety, tailored community outreach via trusted messengers, and one-on-one conversations between patients and healthcare workers. Healthcare workers’ experiences with strategies to improve utilization of COVID-19 vaccines and boosters have implications for public health policies. Generally, efforts to improve access and education were viewed more favorably than incentives and mandates.
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spelling doaj.art-3f74fc29fecf4acdb7b63a3873557f292023-09-26T13:25:46ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2022-11-0118610.1080/21645515.2022.21440482144048Healthcare workers’ attitudes on mandates, incentives, and strategies to improve COVID-19 vaccine uptake: A mixed methods studySharon M. Casey0Shana A. B. Burrowes1Taylor Hall2Sidney Dobbins3Mengyu Ma4Ruqiyya Bano5Christina Yarrington6Elissa M. Schechter-Perkins7Christopher Garofalo8Mari-Lynn Drainoni9Rebecca B. Perkins10Natalie Pierre-Joseph11Boston University Chobanian and Avedisian School of MedicineBoston University Chobanian and Avedisian School of MedicineBoston University Chobanian and Avedisian School of MedicineBoston University School of Public HealthBoston University School of Public HealthBoston University School of Public HealthBoston University Chobanian and Avedisian School of MedicineBoston University Chobanian and Avedisian School of MedicineSturdy Memorial HospitalBoston University Chobanian and Avedisian School of MedicineBoston University Chobanian and Avedisian School of MedicineBoston University Chobanian and Avedisian School of MedicineHealthcare workers are a trusted health information source and are uniquely positioned to reduce the burden of the COVID-19 pandemic. The purpose of this sequential exploratory mixed methods study was to understand attitudes of healthcare workers working in Massachusetts during the COVID-19 pandemic regarding strategies to improve COVID-19 vaccine utilization, including vaccine mandates and incentives. Fifty-two individuals completed one-on-one interviews between April 22nd and September 7th, 2021. The survey was developed based on findings from the interviews; 209 individuals completed the online survey between February 17th and March 23rd, 2022. Both the interview and survey asked about attitudes toward COVID-19 vaccine and booster mandates, incentives, and strategies to improve vaccination rates. Most participants were female (79%-interview, 81%-survey), Caucasian (56%, 73%), and worked as physicians (37%, 34%) or nurses (10%, 18%). Overall, nuanced attitudes regarding vaccine and booster mandates were expressed; many supported mandates to protect their patients’ health, others emphasized personal autonomy, while some were against mandates if job termination was the consequence of declining vaccines. Similarly, views regarding vaccine incentives differed; some considered incentives helpful, yet many viewed them as coercive. Strategies believed to be most effective to encourage vaccination included improving accessibility to vaccination sites, addressing misinformation, discussing vaccine safety, tailored community outreach via trusted messengers, and one-on-one conversations between patients and healthcare workers. Healthcare workers’ experiences with strategies to improve utilization of COVID-19 vaccines and boosters have implications for public health policies. Generally, efforts to improve access and education were viewed more favorably than incentives and mandates.http://dx.doi.org/10.1080/21645515.2022.2144048covid-19vaccinesvaccine hesitancyvaccine attitudesincentivesmandates
spellingShingle Sharon M. Casey
Shana A. B. Burrowes
Taylor Hall
Sidney Dobbins
Mengyu Ma
Ruqiyya Bano
Christina Yarrington
Elissa M. Schechter-Perkins
Christopher Garofalo
Mari-Lynn Drainoni
Rebecca B. Perkins
Natalie Pierre-Joseph
Healthcare workers’ attitudes on mandates, incentives, and strategies to improve COVID-19 vaccine uptake: A mixed methods study
Human Vaccines & Immunotherapeutics
covid-19
vaccines
vaccine hesitancy
vaccine attitudes
incentives
mandates
title Healthcare workers’ attitudes on mandates, incentives, and strategies to improve COVID-19 vaccine uptake: A mixed methods study
title_full Healthcare workers’ attitudes on mandates, incentives, and strategies to improve COVID-19 vaccine uptake: A mixed methods study
title_fullStr Healthcare workers’ attitudes on mandates, incentives, and strategies to improve COVID-19 vaccine uptake: A mixed methods study
title_full_unstemmed Healthcare workers’ attitudes on mandates, incentives, and strategies to improve COVID-19 vaccine uptake: A mixed methods study
title_short Healthcare workers’ attitudes on mandates, incentives, and strategies to improve COVID-19 vaccine uptake: A mixed methods study
title_sort healthcare workers attitudes on mandates incentives and strategies to improve covid 19 vaccine uptake a mixed methods study
topic covid-19
vaccines
vaccine hesitancy
vaccine attitudes
incentives
mandates
url http://dx.doi.org/10.1080/21645515.2022.2144048
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