中国社区护士接种COVID-19疫苗的障碍和道德斗争:一项重要的医学人类学分析。

IF 3.5
Vaccine Pub Date : 2025-08-30 Epub Date: 2025-08-06 DOI:10.1016/j.vaccine.2025.127574
Judy Yuen-Man Siu
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引用次数: 0

摘要

背景:过去的研究表明,当医疗保健提供者对免疫接种犹豫不决时,人们不太愿意接种疫苗。在西方和中国社区,护士都是对COVID-19疫苗接种最犹豫不决的医疗保健群体。本研究调查了中国社会护士对COVID-19疫苗的看法以及导致其高度犹豫的原因。方法:采用定性描述方法,于2022年9月至12月对香港35名未接种COVID-19疫苗的护士进行深度半结构化访谈。根据关键医学人类学框架对数据进行了专题分析。结果:确定了两个主题:接种COVID-19疫苗的障碍和未接种疫苗的参与者的道德斗争。参与者表现出缺乏信心和个人安全担忧,这与他们的医疗保健同事和非医疗保健工作者通过社交媒体平台分享的负面信息有关。与会者表示,他们对政府和工作单位的疫苗接种政策持抵制态度,对COVID-19疫苗的商业化和营利性表示怀疑。结论:在个体层面,参与者对疫苗安全的缺乏信心和担忧来自于其医疗保健同事和非医疗保健工作者通过社交媒体平台分享的负面信息在个人和微观社会层面的相互交织关系。此外,在中间社会层面也出现了抵制,包括对资本主义经营的利润导向性质的不信任,以及宏观社会层面对中医药治疗COVID-19感染功效的文化信心。这项研究表明,根据关键的医学人类学框架,在不同的社会层面上解决影响护士社会化过程的因素对于激励护士接受疫苗至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers to COVID-19 vaccinations and moral struggle among nurses in a Chinese community: A critical medical anthropology analysis.

Background: Past studies have shown that people are less inclined to get vaccinated when healthcare providers are hesitant about the immunisation. Nurses have been documented as the most hesitant healthcare group towards COVID-19 vaccination in both Western and Chinese communities. This study investigates the perceptions of COVID-19 vaccines among nurses in a Chinese society and the reasons contributing to their high hesitancy.

Methods: A qualitative descriptive approach was used, involving in-depth semi-structured interviews from September to December 2022 with 35 nurses in Hong Kong who did not receive COVID-19 vaccinations. A thematic analysis of the data was implemented in accordance with the critical medical anthropology framework.

Results: Two themes were identified: barriers to receiving COVID-19 vaccinations and the moral struggles of participants in not getting vaccinated. Participants demonstrated a lack of confidence and individual safety concerns, related to the negative information shared among their healthcare colleagues and non-healthcare workers through social media platforms. Participants revealed resistance towards the vaccination policies of the government and their workplaces, and they distrusted the commercial and profit-oriented nature of the vaccines against COVID-19.

Conclusion: At the individual level, participants' lack of confidence and worries about vaccine safety emerged from the intertwined relationship of the negative information shared among their healthcare colleagues and non-healthcare workers through social media platforms at both the individual and micro-social levels. In addition, resistance was seen at the intermediate-social level, involving distrust of the profit-oriented nature of the capitalist operation, as well as cultural confidence in the efficacy of traditional Chinese medicine against COVID-19 infection at the macro-social level. This study suggests that addressing the agents that can affect nurses' socialisation process at different social levels according to the critical medical anthropology framework is crucial for motivating nurses' vaccine acceptance.

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