Perceptions of French healthcare students of vaccines and the impact of conducting an intervention in health promotion.


Journal

Vaccine
ISSN: 1873-2518
Titre abrégé: Vaccine
Pays: Netherlands
ID NLM: 8406899

Informations de publication

Date de publication:
07 10 2020
Historique:
received: 13 02 2020
revised: 10 08 2020
accepted: 14 08 2020
pubmed: 9 9 2020
medline: 28 4 2021
entrez: 8 9 2020
Statut: ppublish

Résumé

The perceptions of healthcare students of vaccines have been poorly explored and appropriate training strategies to address possible confidence gaps concerning vaccination for these future professionals is still a subject of debate. A questionnaire to assess the perceptions of vaccination and the feeling of preparedness to address patient concerns was submitted to 874 multidisciplinary healthcare students enrolled in the French program "Service Sanitaire des Etudiants en Santé" (SSES). The evolution of their perceptions during the year and the impact of having performed a primary prevention intervention in the context of the SSES program were assessed. In total, 530 students of nursing (42.5%), medicine (31.5%), physiotherapy (11.3%), pharmacy (10.9%), and midwifery (3.8%) completed the questionnaires. Among them, 7.0% carried out an intervention within the topic "vaccination and hygiene" and 93.0% within another topic ("nutrition and physical activity" or "addiction"). A portion of the students showed traits of vaccine hesitancy, including specific concerns about side effects (61.5%) or the number of vaccines in the vaccination schedule (30.0%). They felt ill prepared to address vaccine-hesitant patients, with poor confidence of their knowledge about vaccines (52.5%), their ability to inform patients about the side effects (42.5%), the benefit/risk of adjuvants (51.7%), and the rules for introducing a new vaccine (51.9%). They showed significant differences in perception depending on their curriculum. Misconceptions and hesitancy concerning vaccines were significantly improved after the students had performed the primary prevention intervention, regardless of the topic. A portion of French healthcare students show traits of vaccine hesitancy, with significant differences depending on the courses attended. Programs of health promotion, such as the French SSES program, which includes a primary prevention intervention conducted by multidisciplinary groups of students, may improve the global confidence of healthcare students concerning vaccination.

Sections du résumé

BACKGROUND
The perceptions of healthcare students of vaccines have been poorly explored and appropriate training strategies to address possible confidence gaps concerning vaccination for these future professionals is still a subject of debate.
METHODS
A questionnaire to assess the perceptions of vaccination and the feeling of preparedness to address patient concerns was submitted to 874 multidisciplinary healthcare students enrolled in the French program "Service Sanitaire des Etudiants en Santé" (SSES). The evolution of their perceptions during the year and the impact of having performed a primary prevention intervention in the context of the SSES program were assessed.
RESULTS
In total, 530 students of nursing (42.5%), medicine (31.5%), physiotherapy (11.3%), pharmacy (10.9%), and midwifery (3.8%) completed the questionnaires. Among them, 7.0% carried out an intervention within the topic "vaccination and hygiene" and 93.0% within another topic ("nutrition and physical activity" or "addiction"). A portion of the students showed traits of vaccine hesitancy, including specific concerns about side effects (61.5%) or the number of vaccines in the vaccination schedule (30.0%). They felt ill prepared to address vaccine-hesitant patients, with poor confidence of their knowledge about vaccines (52.5%), their ability to inform patients about the side effects (42.5%), the benefit/risk of adjuvants (51.7%), and the rules for introducing a new vaccine (51.9%). They showed significant differences in perception depending on their curriculum. Misconceptions and hesitancy concerning vaccines were significantly improved after the students had performed the primary prevention intervention, regardless of the topic.
CONCLUSIONS
A portion of French healthcare students show traits of vaccine hesitancy, with significant differences depending on the courses attended. Programs of health promotion, such as the French SSES program, which includes a primary prevention intervention conducted by multidisciplinary groups of students, may improve the global confidence of healthcare students concerning vaccination.

Identifiants

pubmed: 32896467
pii: S0264-410X(20)31077-X
doi: 10.1016/j.vaccine.2020.08.036
pii:
doi:

Substances chimiques

Vaccines 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

6794-6799

Informations de copyright

Copyright © 2020 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Quentin Lepiller (Q)

Laboratoire de Virologie, CHU Besançon, France; UFR Santé, Université Bourgogne France-Comté, France; EA3181, Université Bourgogne France-Comté, France. Electronic address: q1lepiller@chu-besancon.fr.

Kévin Bouiller (K)

UFR Santé, Université Bourgogne France-Comté, France; Service de Maladies Infectieuses, CHU Besançon, France.

Céline Slekovec (C)

UFR Santé, Université Bourgogne France-Comté, France; CPIAS, CHU Besançon, France.

Dominique Millot (D)

Institut Régional de Formation Sanitaire et Sociale Bourgogne Franche-Comté, France.

Nathalie Mazué (N)

Institut Régional de Formation Sanitaire et Sociale Bourgogne Franche-Comté, France.

Virginie Pourchet (V)

Institut de Formation en Soins Infirmiers, Besançon, France.

Rachel Balice (R)

Institut de Formation en Soins Infirmiers, Pontarlier, France.

Fabienne Garrien-Maire (F)

Institut de Formation en Soins Infirmiers, Dole, France.

Edith Simon (E)

Institut Régional de Formation Sanitaire et Sociale Bourgogne Franche-Comté, France.

Valérie Wintenberger (V)

Institut de Formation aux Métiers de la Santé, Hôpital Nord Franche-Comté, Montbéliard, France.

Agnès Guillaume (A)

Unité de formation en Masso-kinésithérapie, CHU Besançon, France.

Marie-Françoise Monaton (MF)

Institut de Formation aux Métiers de la Santé, Hôpital Nord Franche-Comté, Montbéliard, France.

Béatrice Van Eis (B)

Ecole de Sage-femmes, CHU Besançon, France.

Xavier Bertrand (X)

UFR Santé, Université Bourgogne France-Comté, France; Service d'hygiène hospitalière, CHU Besançon, France.

Djamila Bennabi (D)

UFR Santé, Université Bourgogne France-Comté, France; Service de Psychiatrie de l'adulte, CHU Besançon, France.

Thierry Moulin (T)

UFR Santé, Université Bourgogne France-Comté, France; Service de Neurologie, CHU Besançon, France.

Raphaël Anxionnat (R)

UFR Santé, Université Bourgogne France-Comté, France; Service de Pédiatrie, CHU Besançon, France.

Virginie Nerich (V)

UFR Santé, Université Bourgogne France-Comté, France; Department of Pharmacy, CHU Besançon, France; INSERM, EFS BFC, UMR1098, University of Bourgogne Franche-Comté, Besançon, France.

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