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Lessons learned from frontline skilled nursing facility staff regarding COVID-19 vaccine hesitancy.
Berry, Sarah D; Johnson, Kimberly S; Myles, Lonnita; Herndon, Laurie; Montoya, Ana; Fashaw, Shekinah; Gifford, David.
  • Berry SD; Hinda and Arthur Marcus Institute for Aging Research, Hebrew Senior Life & Harvard Medical School, Boston, Massachusetts, USA.
  • Johnson KS; Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
  • Myles L; Center for Health Policy and Evaluation in LTC, American Health Care Association, Washington, District of Columbia, USA.
  • Herndon L; Hinda and Arthur Marcus Institute for Aging Research, Hebrew Senior Life & Harvard Medical School, Boston, Massachusetts, USA.
  • Montoya A; Department of Medicine, University of Michigan School of Medicine, Ann Arbor, Michigan, USA.
  • Fashaw S; Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island, USA.
  • Gifford D; Center for Health Policy and Evaluation in LTC, American Health Care Association, Washington, District of Columbia, USA.
J Am Geriatr Soc ; 69(5): 1140-1146, 2021 05.
Article in English | MEDLINE | ID: covidwho-1150156
ABSTRACT

BACKGROUND:

Presently a median of 37.5% of the U.S. skilled nursing facility (SNF) workforce has been vaccinated for COVID-19. It is essential to understand vaccine hesitancy among SNF workers to inform vaccine campaigns going forward.

OBJECTIVE:

To describe the concerns raised among healthcare workers and staff from SNFs during town hall meetings.

DESIGN:

Sixty-three SNFs from four corporations were invited to send Opinion Leaders, outspoken staff from nursing, nurse aid, dietary, housekeeping or recreational therapy, to attend a 1-h virtual town hall meeting. Meetings used a similar format where the moderator solicited concerns that the attendees themselves had or had heard from others in the facility about the COVID-19 vaccine. Physicians and moderators used personal stories to address concerns and reaffirmed positive emotions.

SETTING:

Twenty-six video town hall meetings with SNF staff.

PARTICIPANTS:

Healthcare workers and staff, with physicians serving as content experts. MEASUREMENT Questions and comments about the COVID-19 vaccines noted by physicians.

RESULTS:

One hundred and ninety three staff from 50 facilities participated in 26 meetings between December 30, 2020 and January 15, 2021. Most staff reported getting information about the vaccine from friends or social media. Concerns about how rapidly the vaccines were developed and side effects, including infertility or pregnancy related concerns, were frequently raised. There were no differences in concerns raised by discipline. Questions about returning to prior activities after being vaccinated were common and offered the opportunity to build on positive emotions to reduce vaccine hesitancy.

CONCLUSIONS:

Misinformation about the COVID-19 vaccine was widespread among SNF staff. Sharing positive emotions and stories may be more effective than sharing data when attempting to reduce vaccine hesitancy in SNF staff.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Skilled Nursing Facilities / COVID-19 Vaccines / COVID-19 / Nursing Staff Type of study: Qualitative research Topics: Vaccines Limits: Humans Language: English Journal: J Am Geriatr Soc Year: 2021 Document Type: Article Affiliation country: Jgs.17136

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Skilled Nursing Facilities / COVID-19 Vaccines / COVID-19 / Nursing Staff Type of study: Qualitative research Topics: Vaccines Limits: Humans Language: English Journal: J Am Geriatr Soc Year: 2021 Document Type: Article Affiliation country: Jgs.17136