保健专业人员提高爱尔兰青少年人乳头瘤病毒疫苗接种率的策略：一项定性研究

IF 7.5 1区医学 Q1 NURSING

International Journal of Nursing Studies Pub Date : 2025-04-01 DOI:10.1016/j.ijnurstu.2025.105080

Margaret Efua Sackey , Kathleen Markey , Annmarie Grealish

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引用次数: 0

摘要

爱尔兰青少年人乳头瘤病毒疫苗的接种率在2016年至2021年间降至50 - 60% %。保健专业人员在增加青少年对人乳头瘤病毒疫苗的吸收方面发挥着至关重要的作用。这是第一项旨在确定医疗保健专业人员使青少年疫苗接种率达到最佳率的关键机会的研究。目的探讨爱尔兰卫生保健专业人员用于促进青少年接种疫苗的策略，并了解他们如何解决疫苗犹豫问题。设计一项定性描述性研究。背景(5)爱尔兰的三个社区卫生组织。参与者在爱尔兰招募了17名参与人乳头瘤病毒疫苗接种计划的医疗保健专业人员。方法于2022年11月至2023年7月进行半结构化访谈。采用自反性主题分析法对访谈数据进行分析。结果数据显示了四个主题：对人乳头瘤病毒疫苗的态度；用于促进疫苗吸收的战略；组织和结构上的推动因素和障碍；以及未来的改进策略。卫生保健专业人员报告说，人们仍然对人乳头瘤病毒疫苗的安全性和有效性感到担忧，特别是在边缘人群中。卫生保健专业人员报告说，如果采取灵活的方式提供疫苗，便利的上门诊所，并提供更多机会向青少年和父母宣传疫苗的重要性，就更有可能提高接种率。尽管做出了这些努力，但医疗保健专业人员仍面临阻碍有效交付的组织障碍。支持和教育利益攸关方的政策改革可以改善疫苗的吸收。此外，还需要做更多的工作来解决社交媒体上未经证实的负面证词，以减少公众对疫苗安全性和潜在副作用的担忧。结论人乳头瘤病毒疫苗是公共卫生部门预防和减少人乳头瘤病毒相关癌症和感染的最佳预防措施之一。卫生保健专业人员展示了他们采取的几种干预措施，以提高青少年对人乳头瘤病毒疫苗的吸收。研究结果表明，对疫苗接种规划采用更好的多环境方法和多系统合作努力将显著提高疫苗的吸收率。推特摘要：卫生保健专业人员用于增加爱尔兰青少年人乳头瘤病毒疫苗摄取的策略。

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Strategies used by healthcare professionals to increase the human papillomavirus vaccine uptake among adolescents in Ireland: A qualitative study

Background

Adolescent human papillomavirus vaccine uptake in Ireland dropped to 50–60 % between 2016 and 2021. Healthcare professionals play a vital role in increasing the uptake of human papillomavirus vaccine among adolescents. This is the first study that sought to identify the key opportunities for healthcare professionals to get adolescent vaccination uptake to optimal rate.

Objective

To explore the strategies healthcare professionals in Ireland use to promote vaccine uptake among adolescents and to understand how they are addressing vaccine hesitancy.

Design

A qualitative descriptive study.

Setting(s)

Three community health organisations in Ireland.

Participants

A purposive sample of 17 healthcare professionals involved in the delivery of the human papillomavirus vaccination programme in Ireland was recruited.

Methods

Semi-structured interviews were conducted between November 2022 and July 2023. Reflexive thematic analysis method was used to analyse the interview data.

Results

Four themes emerged from the data: Attitudes towards the human papillomavirus vaccine; Strategies used to promote the vaccine's uptake; Organisational and structural enablers and barriers; and Future improvement strategies. Healthcare professionals reported that there are still concerns about the safety and efficacy of human papillomavirus vaccine especially among marginalised populations. Healthcare professionals reported that increased uptake was more likely if they adopted flexible approaches to delivering the vaccine, easily accessible drop-in clinics, and proving more opportunities to educate adolescents and parents about the importance of the vaccine. Despite these efforts, healthcare professionals are faced with organisational barriers that hinder effective delivery. Policy reform to support and educate stakeholders could improve the vaccine uptake. In addition, more work is needed to address unproven negative testimonies on social media, to reduce concerns among the public regarding the safety and potential side effects of the vaccine.

Conclusions

Human papillomavirus vaccine is one of the best preventative measures that public health care has to offer in preventing and reducing human papillomavirus related cancers and infections. Healthcare professionals demonstrated several interventions they adopt to improve the uptake of the human papillomavirus vaccine for adolescents. The findings suggest that adopting better multi-setting approaches to vaccination programmes and multi-system collaborative efforts would significantly increase the uptake of the vaccine.

Tweetable abstract: Strategies used by healthcare professionals to increase the human papillomavirus vaccine uptake among adolescents in Ireland.

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来源期刊

International Journal of Nursing Studies 医学-护理

CiteScore

15.00

自引率

2.50%

发文量

181

审稿时长

21 days

期刊介绍： The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).