Evidence map›Paper›PMID 39158159›Full record

Observational studyInternational nursing review2025

Identifying patterns and profiles of vaccination hesitancy among nurses for tailoring healthcare policies in the UK: A cross-sectional study.

Goran Erfani, Jemma McCready, Bethany Nichol, Charlotte Gordon, John Unsworth, Michelle Croston, Dania Comparcini, Valentina Simonetti, Giancarlo Cicolini, Kristina Mikkonen and 2 more

Abstract readObservational Study
In one paragraph

Observational study in International nursing review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. Observational
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

12 authors.

Goran ErfaniDepartment of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0002-8135-2846
Jemma McCreadyDepartment of Social Work, Education and Community Wellbeing, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0002-9997-6956
Bethany NicholDepartment of Social Work, Education and Community Wellbeing, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0002-7642-1448
Charlotte GordonDepartment of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0002-1659-155X
John UnsworthDepartment of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0002-4150-6513
Michelle CrostonManchester University NHS Foundation Trust, Manchester, UK.ORCID https://orcid.org/0000-0002-5479-9853
Dania ComparciniDepartment of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro,", Bari, Italy.ORCID https://orcid.org/0000-0003-3622-6370
Valentina SimonettiDepartment of Innovative Technologies in Medicine and Dentistry, University "G. D'Annunzio" Chieti-Pescara, Chieti, Italy.ORCID https://orcid.org/0000-0002-7185-4850
Giancarlo CicoliniDepartment of Innovative Technologies in Medicine and Dentistry, University "G. D'Annunzio" Chieti-Pescara, Chieti, Italy.ORCID https://orcid.org/0000-0002-2736-1792
Kristina MikkonenResearch Unit of Health Science and Technology Faculty of Medicine, University of Oulu, Oulu, Finland.ORCID https://orcid.org/0000-0002-4355-3428
Jeremia KeisalaResearch Unit of Health Science and Technology Faculty of Medicine, University of Oulu, Oulu, Finland.
Marco TomiettoDepartment of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0002-3813-1490

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo profile the characteristics of nurses with varying levels of vaccine hesitancy toward the COVID-19 and influenza vaccines.

backgroundIn many countries across the world, healthcare workers, and nurses in particular, display significant reluctance toward COVID-19 and influenza vaccines due to concerns about safety, distrust in healthcare policies, and media influences. To address this, a proposed approach involves profiling nurses to tailor vaccination campaigns and to improve acceptance rates and public health outcomes.

methodsThis cross-sectional study adopted the Vaccination Attitudes Examination scale to assess hesitancy toward COVID-19 and influenza vaccines among 294 registered nurses in the UK between March and July 2023. A K-means cluster analysis was performed. The Strengthening the Reporting of Observational Studies in Epidemiology guidelines were adopted.

resultsThree profiles were identified. Profile A showed low vaccination hesitancy, profile B showed average hesitancy, and profile C showed high hesitancy toward vaccines. The highest concern for all profiles was related to unforeseen future effects of vaccination. Profile C had more nurses in early career roles, whereas nurses in profiles A and B were in more senior roles. Profile A showed higher educational attainment. Nurses in profile C used Snapchat more, whereas nurses in profile A used Twitter more frequently.

conclusionThis study identified specific characteristics associated with higher levels of vaccination hesitancy in nursing. Unforeseen future effects of vaccination are a core aspect to consider in promoting vaccination. IMPLICATIONS FOR NURSING AND NURSING POLICY: Policies and vaccination campaigns should be targeted on early career nurses and should deliver tailored messages to dispel misinformation about unforeseen future effects of vaccination through specific social media platforms. Senior nurses should be involved as role models in promoting vaccination. These results are key for enhancing an evidence-based approach to implementing global health policies in healthcare.

Indexed as

Attitude of Health PersonnelCOVID-19COVID-19 VaccinesHealth PolicyInfluenza VaccinesVaccinationVaccination HesitancyAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedUnited KingdomCOVID-19 VaccinesInfluenza VaccinesCOVID‐19influenzamachine learningnursesprofilesvaccination campaignsvaccination hesitancy

Identifiers

PMID39158159
PMCPMC11969296

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.