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Effect of patient COVID-19 vaccine hesitancy on hospital care team perceptions

World Journal of Clinical Cases 2023年第4期11卷 821-829页

作者： inbar caspi Ophir Freund Omer Pines Odelia Elkana Jacob N Ablin Gil Bornstein Internal Medicine Department B Tel-Aviv Sourasky Medical Center and Sackler Faculty of MedicineTel Aviv UniversityTel Aviv 6423906Israel Behavioral Sciences Department Academic College of Tel Aviv-YaffoTel Aviv 6818211Israel Internal Medicine Department H Tel Aviv Sourasky Medical Center and Sackler School of MedicineTel Aviv 6423906Israel

BACKGROUND The coronavirus disease 2019(COVID-19)pandemic posed new challenges in patient care ***,which have proven efficacious in lowering the COVID-19 hospital burden,are still avoided by large ***,therefore,hypothesized that hospital care teams would have worse perceptions regarding the characteristics and care of patients with vaccine *** To evaluate whether patient vaccine hesitancy affected the hospital care team(HCT)*** We performed a prospective clinical study using structured *** approached physicians and nurses with previous experience caring for COVID-19patients from 11 medical centers across Israel during the fourth COVID-19 surge(September and October 2021).The participants completed a questionnaire with the following parts:(1)Sociodemographic characteristics;(2)Assessment of anger(STAXI instrument)and chronic workplace stress(Shirom-Melamed burnout measure);and(3)Three tools to assess the effect of patient vaccine hesitancy on the HCT perceptions(the difficult doctor-patient relation questionnaire,the medical staff perception of patient’s responsibility questionnaire and the characterological derogation questionnaire).Results were evaluated according to each part of the questionnaire and the questionnaire as a *** between HCT perceptions and their baseline characteristics,anger or chronic workplace stress were *** The HCT experienced their relationship with unvaccinated patients as more difficult(P<0.001,Cohen’s d=0.85),perceived unvaccinated patients as responsible for their medical condition(P<0.001,d=1.39)and perceived vaccinated patients as having a higher character value(P<0.001,d=1.03).Unvaccinated patients were considered selfish(P<0.001),less mature(P<0.001)and less satisfying to care for(P<0.001).The relationship with unvaccinated patients was more difficult among HCT with higher burnout(r=0.37,n=66,P=0.002).No correlations with baseline characte

关键词： COVID-19 Vaccination Hesitancy Patient care Doctor-patient relationship Attitudes

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