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Effect of patient COVID-19 vaccine hesitancy on hospital care team perceptions.
Caspi, Inbar; Freund, Ophir; Pines, Omer; Elkana, Odelia; Ablin, Jacob N; Bornstein, Gil.
  • Caspi I; Internal Medicine Department B, Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6423906, Israel.
  • Freund O; Internal Medicine Department B, Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6423906, Israel. ophir068@gmail.com.
  • Pines O; Behavioral Sciences Department, Academic College of Tel Aviv-Yaffo, Tel Aviv 6818211, Israel.
  • Elkana O; Behavioral Sciences Department, Academic College of Tel Aviv-Yaffo, Tel Aviv 6818211, Israel.
  • Ablin JN; Internal Medicine Department H, Tel Aviv Sourasky Medical Center and Sackler School of Medicine, Tel Aviv 6423906, Israel.
  • Bornstein G; Internal Medicine Department B, Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6423906, Israel.
World J Clin Cases ; 11(4): 821-829, 2023 Feb 06.
Article in English | MEDLINE | ID: covidwho-2239569
ABSTRACT

BACKGROUND:

The coronavirus disease 2019 (COVID-19) pandemic posed new challenges in patient care worldwide. Vaccinations, which have proven efficacious in lowering the COVID-19 hospital burden, are still avoided by large populations. We, therefore, hypothesized that hospital care teams would have worse perceptions regarding the characteristics and care of patients with vaccine hesitancy.

AIM:

To evaluate whether patient vaccine hesitancy affected the hospital care team (HCT) perceptions.

METHODS:

We performed a prospective clinical study using structured questionnaires. We approached physicians and nurses with previous experience caring for COVID-19 patients from 11 medical centers across Israel during the fourth COVID-19 surge (September and October 2021). The participants completed a questionnaire with the following parts (1) Sociodemographic characteristics; (2) Assessment of anger (STAXI instrument) and chronic workplace stress (Shirom-Melamed burnout measure); and (3) Three tools to assess the effect of patient vaccine hesitancy on the HCT perceptions (the difficult doctor-patient relation questionnaire, the medical staff perception of patient's responsibility questionnaire and the characterological derogation questionnaire). Results were evaluated according to each part of the questionnaire and the questionnaire as a whole. Associations between HCT perceptions and their baseline characteristics, anger or chronic workplace stress were assessed.

RESULTS:

The HCT experienced their relationship with unvaccinated patients as more difficult (P < 0.001, Cohen's d = 0.85), perceived unvaccinated patients as responsible for their medical condition (P < 0.001, d = 1.39) and perceived vaccinated patients as having a higher character value (P < 0.001, d = 1.03). Unvaccinated patients were considered selfish (P < 0.001), less mature (P < 0.001) and less satisfying to care for (P < 0.001). The relationship with unvaccinated patients was more difficult among HCT with higher burnout (r = 0.37, n = 66, P = 0.002). No correlations with baseline characteristics were found. All three study tools showed high internal consistency (α between 0.72 and 0.845).

CONCLUSION:

Our results should raise awareness of the possible effects of vaccine hesitancy on HCT perceptions regarding unvaccinated patients. In order to minimize the potential negative impact on patient care, designated departments should promote specific patient-centered preparations. Further investigations should assess whether vaccine hesitancy directly affects patient quality of care.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research Topics: Vaccines Language: English Journal: World J Clin Cases Year: 2023 Document Type: Article Affiliation country: Wjcc.v11.i4.821

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research Topics: Vaccines Language: English Journal: World J Clin Cases Year: 2023 Document Type: Article Affiliation country: Wjcc.v11.i4.821