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Lui JNM, Andres EB, Johnston JM. How do organizational culture and leadership style affect nurse presenteeism and productivity?: A cross sectional study of Hong Kong acute public hospitals. Int J Nurs Stud 2024; 152:104675. [PMID: 38277926 DOI: 10.1016/j.ijnurstu.2023.104675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 11/03/2023] [Accepted: 12/11/2023] [Indexed: 01/28/2024]
Abstract
BACKGROUND Presenteeism is defined as a type of work behavior in which employees are physically present at work when ill, often with reduced performance. While organizational culture and leadership style are known to impact the organizational behavior of hospital staff, as indicated by increased burnout and decreased work engagement, their impact on nurse presenteeism and productivity has not been explored. Moreover, nursing studies often neglect the importance of using multi-level analysis, adopting aggregated unit-level scores to account for collective perceptions to evaluate culture and leadership. OBJECTIVE This study aims to evaluate the impact of unit-level organizational culture and leadership style on individual-level nurse presenteeism and productivity in acute care hospitals using multilevel analysis. DESIGN Cross-sectional study. SETTING(S) Three major acute care public hospitals in Hong Kong, where public hospitals provide over 90 % of inpatient services. PARTICIPANTS All full-time nurses (N = 4657) in the three study hospitals were invited to participate in this study. A total of 2339 nurses responded to the survey for a 65 % response rate. METHODS Organizational culture and leadership style are characterized using the competing values framework and a two-factor leadership style typology, respectively. Multilevel hierarchical linear modeling was applied with unit-level clustering in each hospital. RESULTS Hierarchical culture was the dominant culture (M = 3.64, SD = 0.74) in our nurse sample. None of the unit-level organizational culture and leadership styles were associated with nurse presenteeism, however, rational organizational culture at the unit-level was significantly associated with increased productivity (regression coefficient: 0.17, 95 % CI: 0.04-0.31). CONCLUSIONS This study provides hospital managers with improved understanding of the differential impact of unit-level organizational culture and leadership style on nurse presenteeism and productivity. Unit-level leadership style did not have a direct impact on nurse presenteeism and productivity in this study, while the externally focused rational organizational culture increased nurse productivity. Further research is needed to understand the impacts of modifiable work factors and nurse psychosocial emotions on presenteeism and productivity.
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Affiliation(s)
- Juliana Nga Man Lui
- Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China.
| | | | - Janice Mary Johnston
- School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, G/F, Patrick Manson Building (North Wing), 7 Sassoon Road, Pokfulam, Hong Kong, China
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Enea V, Eisenbeck N, Carreno DF, Douglas KM, Sutton RM, Agostini M, Bélanger JJ, Gützkow B, Kreienkamp J, Abakoumkin G, Abdul Khaiyom JH, Ahmedi V, Akkas H, Almenara CA, Atta M, Bagci SC, Basel S, Berisha Kida E, Bernardo ABI, Buttrick NR, Chobthamkit P, Choi HS, Cristea M, Csaba S, Damnjanovic K, Danyliuk I, Dash A, Di Santo D, Faller DG, Fitzsimons G, Gheorghiu A, Gómez Á, Grzymala-Moszczynska J, Hamaidia A, Han Q, Helmy M, Hudiyana J, Jeronimus BF, Jiang DY, Jovanović V, Kamenov Ž, Kende A, Keng SL, Kieu TTT, Koc Y, Kovyazina K, Kozytska I, Krause J, Kruglanski AW, Kurapov A, Kutlaca M, Lantos NA, Lemay EP, Lesmana CBJ, Louis WR, Lueders A, Malik NI, Martinez A, McCabe KO, Mehulić J, Milla MN, Mohammed I, Molinario E, Moyano M, Muhammad H, Mula S, Muluk H, Myroniuk S, Najafi R, Nisa CF, Nyúl B, O'Keefe PA, Osuna JJO, Osin EN, Park J, Pica G, Pierro A, Rees J, Reitsema AM, Resta E, Rullo M, Ryan MK, Samekin A, Santtila P, Sasin E, Schumpe BM, Selim HA, Stanton MV, Sultana S, Tseliou E, Utsugi A, van Breen JA, Van Lissa CJ, Van Veen K, vanDellen MR, Vázquez A, Wollast R, Yeung VWL, Zand S, Žeželj IL, Zheng B, Zick A, Zúñiga C, Leander NP. Intentions to be Vaccinated Against COVID-19: The Role of Prosociality and Conspiracy Beliefs across 20 Countries. HEALTH COMMUNICATION 2023; 38:1530-1539. [PMID: 35081848 DOI: 10.1080/10410236.2021.2018179] [Citation(s) in RCA: 17] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Understanding the determinants of COVID-19 vaccine uptake is important to inform policy decisions and plan vaccination campaigns. The aims of this research were to: (1) explore the individual- and country-level determinants of intentions to be vaccinated against SARS-CoV-2, and (2) examine worldwide variation in vaccination intentions. This cross-sectional online survey was conducted during the first wave of the pandemic, involving 6697 respondents across 20 countries. Results showed that 72.9% of participants reported positive intentions to be vaccinated against COVID-19, whereas 16.8% were undecided, and 10.3% reported they would not be vaccinated. At the individual level, prosociality was a significant positive predictor of vaccination intentions, whereas generic beliefs in conspiracy theories and religiosity were negative predictors. Country-level determinants, including cultural dimensions of individualism/collectivism and power distance, were not significant predictors of vaccination intentions. Altogether, this study identifies individual-level predictors that are common across multiple countries, provides further evidence on the importance of combating conspiracy theories, involving religious institutions in vaccination campaigns, and stimulating prosocial motives to encourage vaccine uptake.
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Affiliation(s)
- Violeta Enea
- Department of Psychology, Alexandru Ioan Cuza University, Iasi
| | - Nikolett Eisenbeck
- Department of Personality, Evaluation andPsychological Treatment, Faculty of Psychology, University of Seville
| | | | | | | | | | | | - Ben Gützkow
- Department of Psychology, University of Groningen
| | | | - Georgios Abakoumkin
- Laboratory of Psychology, Department of Early Childhood Education, University of Thessaly
| | | | | | - Handan Akkas
- Business Administration Dept., Ankara Science University
| | - Carlos A Almenara
- Faculty of Health Science, Universidad Peruana de Ciencias Aplicadas
| | - Mohsin Atta
- Department of Psychology, University of Sargodha
| | | | - Sima Basel
- Department of Social Sciences, New York University Abu Dhabi
| | | | | | | | | | | | | | - Sára Csaba
- Doctoral School of Psychology, ELTE Eötvös Loránd University
| | | | - Ivan Danyliuk
- Department of Psychology, Taras Shevchenko National University of Kyiv
| | - Arobindu Dash
- Institute of Management and Organization, Leuphana University of Luneburg
| | - Daniela Di Santo
- Department of Social and Developmental Psychology, University "La Sapienza", Rome
| | | | | | | | - Ángel Gómez
- Social and Organizational Psychology, Universidad Nacional de Educación a Distancia
| | | | - Ali Hamaidia
- Psychology/ Research Unit Human Resources Development, Setif 2 University
| | - Qing Han
- The School of Psychological Science, University of Bristol
| | - Mai Helmy
- Department of Psychology, Sultan Qaboos University, Menoufia University
| | | | | | - Ding-Yu Jiang
- Department of Psychology, National Chung-Cheng University
| | | | - Željka Kamenov
- Faculty of Humanities and Social Sciences, University of Zagreb
| | - Anna Kende
- Department of Social Psychology, ELTE Eötvös Loránd University
| | | | | | - Yasin Koc
- Department of Psychology, University of Groningen
| | | | - Inna Kozytska
- Department of Psychology, Taras Shevchenko National University of Kyiv
| | | | | | - Anton Kurapov
- Department of Psychology, Taras Shevchenko National University of Kyiv
| | | | | | - Edward P Lemay
- Department of Psychology, University of Maryland, College Park
| | | | | | | | | | | | | | - Jasmina Mehulić
- Faculty of Humanities and Social Sciences, University of Zagreb
| | | | | | | | | | | | - Silvana Mula
- Dipartimento dei Processi di Sviluppo e Socializzazione, University "La Sapienza, Rome
| | - Hamdi Muluk
- Department of Psychology, Universitas Indonesia
| | | | - Reza Najafi
- Department of Psychology, Islamic Azad University, Rasht Branch
| | | | - Boglárka Nyúl
- Department of Social Psychology, ELTE Eötvös Loránd University
| | - Paul A O'Keefe
- Division of Social Science, Yale-NUS College
- Department of Management and Organisation, National University of Singapore Business School
| | - Jose Javier Olivas Osuna
- Department of Political Science and Administration, National Distance Education University (UNED)
| | | | - Joonha Park
- Graduate School of Management, NUCB Business School
| | | | - Antonio Pierro
- Department of Social and Developmental Psychology, University "La Sapienza", Rome
| | - Jonas Rees
- Research Institute Social Cohesion, Institute for Interdisciplinary Research on Conflict and Violence, and Department of Social Psychology, University of Bielefeld
| | | | - Elena Resta
- Dipartimento dei Processi di Sviluppo e Socializzazione, University "La Sapienza, Rome
| | - Marika Rullo
- Department of Social, Political and Cognitive Sciences, University of Siena
| | - Michelle K Ryan
- Department of Psychology, University of Exeter
- Faculty of Economics and Business, University of Groningen
| | - Adil Samekin
- School of Liberal Arts, M. Narikbayev KAZGUU University Nur-Sultan, Kazakhstan
| | - Pekka Santtila
- Faculty of Arts and Sciences; NYU-ECNU Institute for Social Development, New York University Shanghai
| | - Edyta Sasin
- Department of Psychology, New York University Abu Dhabi
| | - Birga M Schumpe
- Faculty of Social and Behavioural Sciences, University of Amsterdam
| | | | | | | | - Eleftheria Tseliou
- Laboratory of Psychology, Department of Early Childhood Education, University of Thessaly
| | - Akira Utsugi
- Graduate School of Humanities, Nagoya University
| | | | | | | | | | - Alexandra Vázquez
- Social and Organizational Psychology, Universidad Nacional de Educación a Distancia
| | - Robin Wollast
- Laboratoire de Psychologie Sociale et Cognitive, Université Clermont-Auvergne
| | | | - Somayeh Zand
- Department of Psychology, University of Milano-Bicocca
| | | | - Bang Zheng
- Ageing Epidemiology Research Unit, School of Public Health, Faculty of Medicine, Imperial College London
| | - Andreas Zick
- Institute for Interdisciplinary Research on Conflict and Violence (IKG), Bielefeld University
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Calabrò GE, D’Ambrosio F, Fallani E, Ricciardi W. Influenza Vaccination Assessment according to a Value-Based Health Care Approach. Vaccines (Basel) 2022; 10:vaccines10101675. [PMID: 36298540 PMCID: PMC9612276 DOI: 10.3390/vaccines10101675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Revised: 10/02/2022] [Accepted: 10/04/2022] [Indexed: 11/06/2022] Open
Abstract
Background: Seasonal influenza has a considerable public health impact, and vaccination is the key to preventing its consequences. Our aim was to describe how the value of influenza vaccination is addressed in the scientific literature considering a new value framework based on four pillars (personal, allocative, technical, and societal value). Methods: A systematic review was conducted by querying three databases. The analysis was performed on international studies focused on influenza vaccination value, and the four value pillars were taken into consideration for their description. Results: Overall, 40 studies were considered. Most of them focused on influenza vaccination in the general population (27.5%), emphasizing its value for all age groups. Most studies addressed technical value (70.4%), especially in terms of economic models and cost drivers to be considered for the economic evaluations of influenza vaccines, and societal value (63%), whereas few dealt with personal (37%) and allocative values (22.2%). Conclusions: The whole value of influenza vaccination is still not completely recognized. Knowledge and communication of the whole value of influenza vaccination is essential to guide value-based health policies. To achieve this goal, it is necessary to implement initiatives that involve all relevant stakeholders.
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Affiliation(s)
- Giovanna Elisa Calabrò
- Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
- VIHTALI (Value in Health Technology and Academy for Leadership & Innovation), Spinoff of Università Cattolica del Sacro Cuore, 00168 Rome, Italy
- Correspondence:
| | - Floriana D’Ambrosio
- Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Elettra Fallani
- Department of Life Sciences, University of Siena, 53100 Siena, Italy
- Seqirus S.R.L., Via del Pozzo 3/A, San Martino, 53035 Monteriggioni, Italy
| | - Walter Ricciardi
- Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
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Wang Y, Gu Y, Yu HP. Correlation between patients' power distance and their willingness to participate in patients' safety: A cross-sectional study. J Nurs Manag 2022; 30:1345-1354. [PMID: 35312133 DOI: 10.1111/jonm.13601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 03/15/2022] [Accepted: 03/17/2022] [Indexed: 11/29/2022]
Abstract
AIMS To explore the correlation between patient power distance and their willingness to participate in patient safety. BACKGROUND The positive significance of patient participation in patient safety has been widely recognized worldwide, but in clinical practice, patients' willingness to participate is uneven and lack of initiative. METHODS A cross-sectional survey of hospitalized patients (n=660) from 6 tertiary hospitals in Shanghai. Data were analyzed by Pearson correlation analysis. RESULTS Patients have a higher power distance (4.08 ± 0.59). The willingness of patients to participate in patient safety was moderate (3.50 ± 1.03). Pearson correlation analysis shows that patients' power distance negatively and slightly affected their willingness of participation (r=-0.134, p<0. 001); The perceived authority dimension of patients' power distance has no significant correlation with patients' willingness of participation. (P>0. 05); The emotional communication dimension of patients' power distance negatively affects patients' disease-related willingness (r=-0.077, P<0. 001); The decision-making participation dimension of patients' power distance negatively affects patients' willingness. (R=-0.201, P<0. 001) CONCLUSIONS: Medical staff should focus on patients' power distance in medical activities. In addition, appropriate communication methods should be selected according to patients' power distance, so as to help them improve their willingness of participation. IMPLICATION FOR NURSING MANAGEMENT Nurse managers should educate nurses on the knowledge of power distance and its importance. By evaluating patients' power distance, humanistic care and meticulous communication are implemented to encourage patients to actively participate in patient safety.
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Affiliation(s)
- Yinyu Wang
- Nursing Department of East Hospital Affiliated to Tongji University, Shanghai, China
| | - Yanfen Gu
- Nursing Department of East Hospital Affiliated to Tongji University, Shanghai, China
| | - Hai-Ping Yu
- Nursing Department of East Hospital Affiliated to Tongji University, Shanghai, China
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5
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Lincoln TM, Schlier B, Strakeljahn F, Gaudiano BA, So SH, Kingston J, Morris EMJ, Ellett L. Taking a machine learning approach to optimize prediction of vaccine hesitancy in high income countries. Sci Rep 2022; 12:2055. [PMID: 35136120 PMCID: PMC8827083 DOI: 10.1038/s41598-022-05915-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Accepted: 01/19/2022] [Indexed: 11/30/2022] Open
Abstract
Understanding factors driving vaccine hesitancy is crucial to vaccination success. We surveyed adults (N = 2510) from February to March 2021 across five sites (Australia = 502, Germany = 516, Hong Kong = 445, UK = 512, USA = 535) using a cross-sectional design and stratified quota sampling for age, sex, and education. We assessed willingness to take a vaccine and a comprehensive set of putative predictors. Predictive power was analysed with a machine learning algorithm. Only 57.4% of the participants indicated that they would definitely or probably get vaccinated. A parsimonious machine learning model could identify vaccine hesitancy with high accuracy (i.e. 82% sensitivity and 79–82% specificity) using 12 variables only. The most relevant predictors were vaccination conspiracy beliefs, various paranoid concerns related to the pandemic, a general conspiracy mentality, COVID anxiety, high perceived risk of infection, low perceived social rank, lower age, lower income, and higher population density. Campaigns seeking to increase vaccine uptake need to take mistrust as the main driver of vaccine hesitancy into account.
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Affiliation(s)
- Tania M Lincoln
- Clinical Psychology and Psychotherapy, Institute of Psychology, Faculty of Psychology and Movement Sciences, Universität Hamburg, Von-Melle-Park 5, 20146, Hamburg, Germany.
| | - Björn Schlier
- Clinical Psychology and Psychotherapy, Institute of Psychology, Faculty of Psychology and Movement Sciences, Universität Hamburg, Von-Melle-Park 5, 20146, Hamburg, Germany
| | - Felix Strakeljahn
- Clinical Psychology and Psychotherapy, Institute of Psychology, Faculty of Psychology and Movement Sciences, Universität Hamburg, Von-Melle-Park 5, 20146, Hamburg, Germany
| | | | - Suzanne H So
- The Chinese University of Hong Kong, Hong Kong, China
| | | | | | - Lyn Ellett
- Royal Holloway University of London, London, UK
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Liao Q, Cowling BJ, Xiao J, Yuan J, Dong M, Ni MY, Fielding R, Lam WWT. Priming with social benefit information of vaccination to increase acceptance of COVID-19 vaccines. Vaccine 2022; 40:1074-1081. [PMID: 35090777 PMCID: PMC8769881 DOI: 10.1016/j.vaccine.2022.01.031] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 01/10/2022] [Accepted: 01/15/2022] [Indexed: 01/24/2023]
Abstract
Vaccine hesitancy can be heightened due to increasing negative reports about vaccines. Emphasizing the social benefits of vaccination may shift individual attention from individual to social benefit of vaccination and hence promote prosocial vaccination. In six rounds of a population-based survey conducted over one major community epidemic of coronavirus disease 2019 (COVID-19) in Hong Kong from June to November 2020, we manipulated the question asking about acceptance of a COVID-19 vaccine with or without emphasizing the social benefit of vaccination against COVID-19 (prosocial priming) and monitored the changes of vaccine confidence by news media sentiment on vaccines. Population-weighted percentages of accepting COVID-19 vaccines by priming condition and vaccine confidence were compared across survey rounds. Logit regression models assessed the main effect of prosocial priming and the modification effects of vaccine confidence and perceived personal risk from COVID-19 on acceptance of COVID-19 vaccines. We found that prosocial priming significantly increased acceptance of COVID-19 vaccines across all survey rounds except for Round 3 when incidence of COVID-19 reached a peak. Vaccine confidence significantly declined in Round 6 when news media sentiment on vaccines became predominantly negative. The effect of prosocial priming on promoting vaccine acceptance was significantly greater in participants with low vaccine confidence and those perceiving the severity of COVID-19 to be mild/very mild. Our study suggests that packaging vaccination against COVID-19 as a prosocial behaviour can help overcome low vaccine confidence and promote prosocial vaccination particularly when disease incidence temporarily declines and the public perceive low severity of COVID-19.
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Raftopoulos V, Iordanou S, Katsapi A, Dedoukou X, Maltezou HC. A comparative online survey on the intention to get COVID-19 vaccine between Greek and Cypriot healthcare personnel: is the country a predictor? Hum Vaccin Immunother 2021; 17:2397-2404. [PMID: 33754953 PMCID: PMC8475582 DOI: 10.1080/21645515.2021.1896907] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2021] [Revised: 02/05/2021] [Accepted: 02/22/2021] [Indexed: 12/18/2022] Open
Abstract
Vaccine hesitancy amongst healthcare personnel (HCP) is a critical issue. The aim was to explore the factors that determine the intention to opt for COVID-19 vaccine among HCP from two southern European countries. An anonymous online self-administered survey using Google Forms has been conducted between December 1st to December 15th, 2020 among the HCP in Greece and the Republic of Cyprus. A total of 2,238 HCPs participated in the study (1,220/54.5% from Republic of Cyprus and 1,018 from Greece). Overall 1,082 (48.3%) stressed their intention to get vaccinated (64.4% for Greece and 34.9% for Republic of Cyprus). The main reasons for those who intend to get the COVID-19 vaccine include self (94.2%), family (98.7%), and patients protection (95.2%) as well as mitigation of COVID-19 pandemic (95.4%). The multivariate logistic regression that was performed for the total sample revealed that the following variables were significantly associated with an increased probability to get vaccinated against COVID-19: being a physician, a member of the nursing personnel, paramedical staff, working in Greece, age, the belief that influenza vaccination should be mandatory for HCP, and the rating of the overall management of COVID-19 pandemic in the country and from the public hospitals. Physicians were more likely to get vaccinated against COVID-19 than other HCP. The age was a predictor of COVID-19 uptake intention in the Republic of Cyprus. The belief that there was a successful management of the COVID-19 pandemic contributed to the intention to COVID-19 vaccination uptake.
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Affiliation(s)
- Vasilios Raftopoulos
- Epidemiological Surveillance of HIV/AIDS Division, National Public Health Organization, Athens, Greece
| | - Stelios Iordanou
- Intensive Care Unit, Limassol General Hospital, Limassol, Cyprus
| | - Angeliki Katsapi
- Euro-Mediterranean Institute for Quality and Safety in Health Services Avedis Donabedian, Athens, Greece
| | | | - Helena C. Maltezou
- Directorate of Research, Studies and Documentation, National Public Health Organization, Athens, Greece
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How Culture and Sociopolitical Tensions Might Influence People’s Acceptance of COVID-19 Control Measures That Use Individual-Level Georeferenced Data. ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION 2021. [DOI: 10.3390/ijgi10070490] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
This study extends an earlier study in the United States and South Korea on people’s privacy concerns for and acceptance of COVID-19 control measures that use individual-level georeferenced data (IGD). Using a new dataset collected via an online survey in Hong Kong, we first examine the influence of culture and recent sociopolitical tensions on people’s privacy concerns for and acceptance of three types of COVID-19 control measures that use IGD: contact tracing, self-quarantine monitoring, and location disclosure. We then compare Hong Kong people’s views with the views of people in the United States and South Korea using the pooled data of the three study areas. The results indicate that, when compared to people in the United States and South Korea, people in Hong Kong have a lower acceptance rate for digital contact tracing and higher acceptance rates for self-quarantine monitoring using e-wristbands and location disclosure. Further, there is geographic heterogeneity in the age and gender differences in privacy concerns, perceived social benefits, and acceptance of COVID-19 control measures: young people (age < 24) and women in Hong Kong and South Korea have greater privacy concerns than men. Further, age and gender differences in privacy concerns, perceived social benefits, and acceptance of COVID-19 control measures in Hong Kong and South Korea are larger than those in the United States, and people in Hong Kong have the largest age and gender differences in privacy concerns, perceived social benefits, and acceptance of COVID-19 measures among the three study areas.
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Kwok KO, Li KK, Wei WI, Tang A, Wong SYS, Lee SS. Editor's Choice: Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: A survey. Int J Nurs Stud 2021; 114:103854. [PMID: 33326864 PMCID: PMC7831770 DOI: 10.1016/j.ijnurstu.2020.103854] [Citation(s) in RCA: 394] [Impact Index Per Article: 131.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 11/05/2020] [Accepted: 11/08/2020] [Indexed: 11/05/2022]
Abstract
BACKGROUND A healthy healthcare system requires healthy healthcare workers. Protecting healthcare workers including nurses against COVID-19 is crucial, and vaccination could be a viable future option. However, vaccine hesitancy remains a global challenge. Nurses, as a trustworthy and creditable source of vaccine-related information, may build public confidence in vaccination. Hence, research on vaccine hesitancy among nurses is warranted. OBJECTIVES This study estimated nurses' influenza vaccination behaviors and intention to receive COVID-19 vaccine when available, and examined their corresponding 5C psychological antecedents (confidence, complacency, constraints, calculation, and collective responsibility). To investigate the impact of COVID-19-related work demands, the mediation effects of work stress on the association between work demands and COVID-19 vaccination intention were also examined. DESIGN Cross-sectional online survey SETTINGS: Nurses were invited to participate via the promotion of a professional nursing organization and by personal referrals during the COVID-19 outbreak in Hong Kong between mid-March and late April 2020. PARTICIPANTS 1,205 eligible nurses (mean age = 40.79, SD = 10.47; 90% being female) were included in the analyses. METHODS Demographics, influenza vaccination, intention to have COVID-19 vaccine, the 5C vaccine hesitancy components, work stress and COVID-19-related work demands (insufficient supply of personal protective equipment, involvement in isolation rooms, and unfavorable attitudes towards workplace infection control policies) were reported in the survey. RESULTS The influenza vaccine uptake rate and the proportion intending to take COVID-19 vaccine were 49% and 63%, respectively. Influenza vaccination was associated with working in public hospitals and all 5C constructs (more confidence, more collective responsibility and less complacency, constraints, and calculation), whereas stronger COVID-19 vaccination intention was associated with younger age, more confidence, less complacency and more collective responsibility. COVID-19-related demands were associated with greater work stress, and hence stronger COVID-19 vaccination intention. CONCLUSION The potential uptake rate of COVID-19 vaccine among nurses was suboptimal to achieve herd immunity. The 5C constructs were useful in predicting influenza vaccination and, to a lesser extent, the intention to take COVID-19 vaccine. The uncertain attributes such as effectiveness, side effects, and effective duration of the COVID-19 vaccine may contribute to this discrepancy. With less work stress among nurses in the post-pandemic period, the intention to take COVID-19 vaccine will likely drop. The 5C constructs should be infused in vaccination campaigns. While a COVID-19 vaccine could be ready soon, the nursing profession may not be ready to accept it. More research work is needed to boost the uptake rate. TWEETABLE ABSTRACT Less than two-third of nurses intended to take COVID-19 vaccine when available. While a COVID-19 vaccine could be ready soon, nursing profession is not ready to accept it.
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Affiliation(s)
- Kin On Kwok
- JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China; Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China; Shenzhen Research Institute of the Chinese University of Hong Kong, Shenzhen, China.
| | - Kin-Kit Li
- Department of Social and Behavioural Sciences, City University of Hong Kong, China
| | - Wan In Wei
- JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Arthur Tang
- Department of Software, Sungkyunkwan University, Seoul, South Korea
| | - Samuel Yeung Shan Wong
- JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Shui Shan Lee
- JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China; Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
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Chang IC, Lin PJ, Chen TH, Chang CH. Cultural Impact on the Intention to Use Nursing Information Systems of Nurses in Taiwan and China: Survey and Analysis. J Med Internet Res 2020; 22:e18078. [PMID: 32784174 PMCID: PMC7450378 DOI: 10.2196/18078] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2020] [Revised: 05/11/2020] [Accepted: 06/13/2020] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Nursing workforce shortage has emerged as a global problem. Foreign nurse importation is a popular strategy to address the shortage. The interactions between nursing staff on either side of the Taiwan Strait continue to increase. Since both nurses in Taiwan and nurses in China have adopted nursing information systems to improve health care processes and quality, it is necessary to investigate factors influencing nursing information system usage in nursing practice. OBJECTIVE This study examined the effects of cultural and other related factors on nurses' intentions to use nursing information systems. The findings were expected to serve as an empirical base for further benchmarking and management of cross-strait nurses. METHODS This survey was conducted in two case hospitals (one in Taiwan and one in China). A total of 880 questionnaires were distributed (n=440 in each hospital). RESULTS The results showed effort expectancy had a significant effect on the intention to use nursing information systems of nurses in China (P=.003) but not nurses in Taiwan (P=.16). CONCLUSIONS Findings suggest nursing managers should adopt different strategies to motivate cross-strait nurses to use nursing information systems. Promoting effort expectancy is more likely to motivate nurses in China than in Taiwan. This discrepancy is probably due to the less hierarchical and more feminine society in Taiwan.
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Affiliation(s)
- I-Chiu Chang
- Department of Information Management, National Chung Cheng University, Chia-Yi, Taiwan
| | - Po-Jin Lin
- Department of Information Management, National Chung Cheng University, Chia-Yi, Taiwan
| | - Ting-Hung Chen
- Institute of Health Policy and Management, National Taiwan University, Taipei, Taiwan
| | - Chia-Hui Chang
- Department of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan
- Department of Nursing, Hungkuang University, Taichung, Taiwan
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