Italian health professionals on the mandatory COVID-19 vaccine: An online cross-sectional survey

Italy was the first country in Europe to make vaccination against COVID-19 mandatory for healthcare professionals by imposing restrictions in cases of non-compliance. This study investigates the opinions of the Italian healthcare professionals' categories affected by the regulation. We performe...

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Main Authors: Luca Ghirotto, Matías Eduardo Díaz Crescitelli, Ludovica De Panfilis, Luana Caselli, Arianna Serafini, Luca De Fiore, Gian Maria Galeazzi, Massimo Costantini
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1015090/full
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author Luca Ghirotto
Matías Eduardo Díaz Crescitelli
Ludovica De Panfilis
Luana Caselli
Arianna Serafini
Luca De Fiore
Gian Maria Galeazzi
Gian Maria Galeazzi
Massimo Costantini
author_facet Luca Ghirotto
Matías Eduardo Díaz Crescitelli
Ludovica De Panfilis
Luana Caselli
Arianna Serafini
Luca De Fiore
Gian Maria Galeazzi
Gian Maria Galeazzi
Massimo Costantini
author_sort Luca Ghirotto
collection DOAJ
description Italy was the first country in Europe to make vaccination against COVID-19 mandatory for healthcare professionals by imposing restrictions in cases of non-compliance. This study investigates the opinions of the Italian healthcare professionals' categories affected by the regulation. We performed a qualitative online survey: the questionnaire comprised both close- and open-ended questions. The final dataset included n = 4,677 valid responses. Responses to closed-ended questions were analyzed with descriptive statistics. The framework method was applied for analyzing the open-ended questions. The sample spanned all health professions subject to compulsory vaccination, with a prevalence of physicians (43.8%) and nurses (26.3%). The vaccine adhesion before the introduction of the obligation was substantial. 10.4% declared not to have adhered to the vaccination proposal. Thirty-five percent of HPs who opted not to get vaccinated said they experienced consequences related to their choice. The trust in the vaccine seems slightly cracked, demonstrating overall vaccine confidence among professionals. Nonetheless, our results show that whether (or not) professionals adhere to vaccination is not a reliable indicator of consent to how it was achieved. There are criticisms about the lawfulness of the obligation. The data show a great variety of participants interpreting their roles concerning public and individual ethics. The scientific evidence motivates ethics-related decisions—the epidemic of confusing and incorrect information affected professionals. The Law triggered an increased disaffection with the health system and conflicts between professionals. Dealing with the working climate should be a commitment to assume soon.
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spelling doaj.art-44e2f543a13747659b9fa0b78a56a1c72022-12-22T02:34:20ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.10150901015090Italian health professionals on the mandatory COVID-19 vaccine: An online cross-sectional surveyLuca Ghirotto0Matías Eduardo Díaz Crescitelli1Ludovica De Panfilis2Luana Caselli3Arianna Serafini4Luca De Fiore5Gian Maria Galeazzi6Gian Maria Galeazzi7Massimo Costantini8Qualitative Research Unit, Azienda USL – IRCCS di Reggio Emilia, Reggio Emilia, ItalyQualitative Research Unit, Azienda USL – IRCCS di Reggio Emilia, Reggio Emilia, ItalyBioethics Unit, Azienda USL – IRCCS di Reggio Emilia, Reggio Emilia, ItalyScientific Directorate, Azienda USL – IRCCS di Reggio Emilia, Reggio Emilia, ItalyScientific Directorate, Azienda USL – IRCCS di Reggio Emilia, Reggio Emilia, ItalyIl Pensiero Scientifico Editore, Roma, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Mental Health and Drug Abuse, Azienda USL – IRCCS di Reggio Emilia, Reggio Emilia, ItalyScientific Directorate, Azienda USL – IRCCS di Reggio Emilia, Reggio Emilia, ItalyItaly was the first country in Europe to make vaccination against COVID-19 mandatory for healthcare professionals by imposing restrictions in cases of non-compliance. This study investigates the opinions of the Italian healthcare professionals' categories affected by the regulation. We performed a qualitative online survey: the questionnaire comprised both close- and open-ended questions. The final dataset included n = 4,677 valid responses. Responses to closed-ended questions were analyzed with descriptive statistics. The framework method was applied for analyzing the open-ended questions. The sample spanned all health professions subject to compulsory vaccination, with a prevalence of physicians (43.8%) and nurses (26.3%). The vaccine adhesion before the introduction of the obligation was substantial. 10.4% declared not to have adhered to the vaccination proposal. Thirty-five percent of HPs who opted not to get vaccinated said they experienced consequences related to their choice. The trust in the vaccine seems slightly cracked, demonstrating overall vaccine confidence among professionals. Nonetheless, our results show that whether (or not) professionals adhere to vaccination is not a reliable indicator of consent to how it was achieved. There are criticisms about the lawfulness of the obligation. The data show a great variety of participants interpreting their roles concerning public and individual ethics. The scientific evidence motivates ethics-related decisions—the epidemic of confusing and incorrect information affected professionals. The Law triggered an increased disaffection with the health system and conflicts between professionals. Dealing with the working climate should be a commitment to assume soon.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1015090/fullCOVID-19vaccine adherencehealthcare professionalsmandatory vaccinationopinionsqualitative survey
spellingShingle Luca Ghirotto
Matías Eduardo Díaz Crescitelli
Ludovica De Panfilis
Luana Caselli
Arianna Serafini
Luca De Fiore
Gian Maria Galeazzi
Gian Maria Galeazzi
Massimo Costantini
Italian health professionals on the mandatory COVID-19 vaccine: An online cross-sectional survey
Frontiers in Public Health
COVID-19
vaccine adherence
healthcare professionals
mandatory vaccination
opinions
qualitative survey
title Italian health professionals on the mandatory COVID-19 vaccine: An online cross-sectional survey
title_full Italian health professionals on the mandatory COVID-19 vaccine: An online cross-sectional survey
title_fullStr Italian health professionals on the mandatory COVID-19 vaccine: An online cross-sectional survey
title_full_unstemmed Italian health professionals on the mandatory COVID-19 vaccine: An online cross-sectional survey
title_short Italian health professionals on the mandatory COVID-19 vaccine: An online cross-sectional survey
title_sort italian health professionals on the mandatory covid 19 vaccine an online cross sectional survey
topic COVID-19
vaccine adherence
healthcare professionals
mandatory vaccination
opinions
qualitative survey
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1015090/full
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