Qualitative Insights into Vaccine Uptake of Nursing Staff in Long-Term Care Facilities in Finland

• Published in: Vaccines (Basel) Vol. 11; no. 3; p. 530
• Main Authors: Lohiniva, Anna-Leena, Hussein, Idil, Lehtinen, Jaana-Marija, Sivelä, Jonas, Hyökki, Suvi, Nohynek, Hanna, Nuorti, Pekka, Lyytikäinen, Outi
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 23-02-2023; MDPI
• Subjects: Behavior; behavior change; Beliefs, opinions and attitudes; Coronaviruses; COVID-19; COVID-19 vaccine; COVID-19 vaccines; Domains; Epidemics; Human resource management; Immunization; Information sources; Interviews; Long term health care; Long-term care; Long-term care facilities; Medical personnel; Nurses; Nursing; Professional practice; Psychological factors; Qualitative analysis; Qualitative research; Safety and security measures; Severe acute respiratory syndrome coronavirus 2; Theoretical Domains Framework; Trustworthiness; Vaccine efficacy; Vaccines; Finland; COVID-19 vaccine; long-term care facilities; behavior change; Theoretical Domains Framework
• ISSN: 2076-393X; 2076-393X
• DOI: 10.3390/vaccines11030530

Vaccine hesitancy and refusal have undermined COVID-19 vaccination efforts of nursing staff. This study aimed to identify behavioral factors associated with COVID-19 vaccine uptake among unvaccinated nursing staff in long-term care facilities (LTCF) in Finland. Methodology: The study was based on the Theoretical Domains Framework. Data were collected through qualitative in-depth interviews among nursing staff and managers of LTCFs. The analysis was based on thematic analysis. We identified seven behavioral domains, with several themes, that reduced the staff's intention to get vaccinated: knowledge (information overload, inability to identify trustworthy information sources, lack of vaccine-specific and understandable scientific information), beliefs about consequences (incorrect perceptions about the vaccine effectiveness, and lack of trust in the safety of the vaccine), social influences (influence of family and friends), reinforcement (limited abilities of the management to encourage vaccination), beliefs about capabilities (pregnancy or desire to get pregnant), psychological factors (coping with changing opinion), and emotions (confusion, suspicion, disappointment, and fatigue). We also identified three behavioral domains that encouraged vaccine uptake: social influences (trust in health authorities), environmental context and resources (vaccination logistics), and work and professional role (professional pride). The study findings can help authorities to develop tailored vaccine promotion strategies for healthcare workers in LTCFs.