Evidence map›Paper›PMID 31671115›Full record

ArticlePloS one2019

The association between vaccination confidence, vaccination behavior, and willingness to recommend vaccines among Finnish healthcare workers.

Linda Cecilia Karlsson, Stephan Lewandowsky, Jan Antfolk, Paula Salo, Mikael Lindfelt, Tuula Oksanen, Mika Kivimäki, Anna Soveri

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 4 pooled it
20.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

109 citing papers in PubMed, 4 syntheses or guidelines pooled it, 187 citations in OpenAlex.

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  17. Development and validation of Join Clinical Trial Questionnaire (JoinCT).Asia-Pacific journal of clinical oncology · 2025
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49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Linda Cecilia KarlssonDepartment of Psychology, Åbo Akademi University, Turku, Finland.ORCID 0000-0002-2883-9153
Stephan LewandowskySchool of Psychological Science, University of Bristol, Bristol, United Kingdom.
Jan AntfolkDepartment of Psychology, Åbo Akademi University, Turku, Finland.
Paula SaloDepartment of Psychology, University of Turku, Turku, Finland.
Mikael LindfeltDepartment of Theological Ethics, Åbo Akademi University, Turku, Finland.
Tuula OksanenFinnish Institute of Occupational Health, Turku, Finland.
Mika KivimäkiFinnish Institute of Occupational Health, Turku, Finland.
Anna SoveriDepartment of Psychology, Åbo Akademi University, Turku, Finland.
Åbo Akademi University · FIFinnish Institute of Occupational Health · FIThe University of Western Australia · AUUniversity of Helsinki · FIUniversity of Turku · FI

Funding

Medical Research Council MR/K013351/1
6 · The paper itself

Abstract

Information and assurance from healthcare workers (HCWs) is reported by laypeople as a key factor in their decision to get vaccinated. However, previous research has shown that, as in the general population, hesitancy towards vaccines exists among HCWs as well. Previous studies further suggest that HCWs with a higher confidence in vaccinations and vaccine providers are more willing to take the vaccines themselves and to recommend vaccines to patients. In the present study with 2962 Finnish HCWs (doctors, head nurses, nurses, and practical nurses), we explored the associations between HCWs' vaccination confidence (perceived benefit and safety of vaccines and trust in health professionals), their decisions to accept vaccines for themselves and their children, and their willingness to recommend vaccines to patients. The results showed that although the majority of HCWs had high confidence in vaccinations, a notable share reported low vaccination confidence. Moreover, in line with previous research, HCWs with higher confidence in the benefits and safety of vaccines were more likely to accept vaccines for their children and themselves, and to recommend vaccines to their patients. Trust in other health professionals was not directly related to vaccination or recommendation behavior. Confidence in the benefits and safety of vaccines was highest among doctors, and increased along with the educational level of the HCWs, suggesting a link between confidence and the degree of medical training. Ensuring high confidence in vaccines among HCWs may be important in maintaining high vaccine uptake in the general population.

Indexed as

AdultAttitude of Health PersonnelDecision MakingFemaleFinlandHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansInfluenza, HumanInfluenza VaccinesMaleMiddle AgedPatient Acceptance of Health CareSurveys and QuestionnairesTrustVaccinationInfluenza Vaccines

Identifiers

PMID31671115
PMCPMC6822763
OpenAlexW2989537329

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.