Objective: The aim of this study is to evaluate the views of nurse candidates who do not want to be vaccinated against coronavirus disease-2019 (COVID-19) on vaccine rejection by using a qualitative approach. Material and Methods: This qualitative study is based on Husserlian phenomenological approach. The study was conducted with 12 nurse candidates who did not want to be vaccinated against COVID-19. The data were collected face-to-face. The Consolidated Criteria for Reporting Qualitative Research guideline for qualitative studies was applied. The kappa analysis was conducted to measure the reliability of comparative fit and the value obtained in the analysis was 0.82. Results: 83.3% of them or a family member of them were diagnosed with COVID-19, and 16.7% of them lost a relative due to COVID-19. They mostly follow up-to-date information about vaccines from the official website of the Ministry of Health (41.7%), lecture notes (25.0%) and social media/internet (25.0%). Based on the data, participants' views on vaccine rejection were under four themes: 1) Concern, 2) Lack of confidence in COVID-19 vaccines, 3) Doubts about the effectiveness of vaccines and 4) Not considering her/himself in the risk group. Conclusion: Nursing candidates with COVID-19 vaccine refusal reported negative views about the uncertain content of these vaccines, their rapid production, and the uncertainty of their side effects. Awareness of health care and nursing students should be increased on infectious diseases and immunization for possible pandemics in the future.
Keywords: Vaccine; vaccine rejection; COVID-19; phenomenological study; nurse
Amaç: Bu çalışmanın amacı, hemşire adaylarının koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] aşı reddine yönelik görüşlerini kalitatif yaklaşımla değerlendirmektir. Gereç ve Yöntemler: Bu kalitatif çalışma, Husserlian fenomenolojik yaklaşımı temelli yürütülmüştür. Çalışma, COVID-19 aşısı yaptırmayı reddeden 12 hemşire adayı ile yürütülmüştür. Veriler yüz yüze toplanmıştır. Bu süreçte, ''Consolidated Criteria for Reporting Qualitative Research'' kalitatif araştırmalar rehberi uygulanmıştır. Karşılaştırmalı uyumun güvenirliğini ölçmek için kappa analizi yapılmış ve analizde elde edilen değer 0,82 olarak bulunmuştur. Bulgular: %83,3'ünün kendisinin veya bir aile üyesinin COVID-19 tanısı aldığı ve %16,7'sinin COVID-19 nedeniyle bir yakınını kaybettiği belirlenmiştir. Aşılarla ilgili güncel bilgileri çoğunlukla Sağlık Bakanlığının resmî internet sitesinden (%41,7), ders notlarından (%25,0) ve sosyal medya/internetten (%25,0) takip etmektedirler. Veriler doğrultusunda katılımcıların aşı reddine ilişkin görüşlerine yönelik 4 tema belirlenmiştir: 1) Endişe, 2) COVID19 aşılarına güven eksikliği, 3) Aşıların etkinliği hakkında şüpheler ve 4) Kendini risk grubunda görmemek. Sonuç: COVID-19 aşı reddi olan hemşire adayları, bu aşıların içeriğinin belirsiz olması, hızlı üretimi ve yan etkilerinin belirsizliğine ilişkin olumsuz görüş bildirmişlerdir. Sağlık bakımı ve hemşirelik öğrencilerinin bulaşıcı hastalıklar ve gelecekte olası pandemilere karşı bağışıklama konusunda farkındalıkları artırılmalıdır.
Anahtar Kelimeler: Aşı; aşı reddi; COVID-19; fenomenolojik çalışma; hemşire
- Schaffer DeRoo S, Pudalov NJ, Fu LY. Planning for a COVID-19 vaccination program. JAMA. 2020;323(24):2458-9. [Crossref] [PubMed]
- T.C. Sağlık Bakanlığı COVID-19 Aşısı Bilgilendirme Platformu [İnternet]. [Erişim tarihi: 10 Mayıs 2021]. COVID-19 Aşısı Çeşitleri. Erişim linki: [Link]
- Rodriguez-Coira J, Sokolowska M. SARS-CoV-2 candidate vaccines - composition, mechanisms of action and stages of clinical development. Allergy. 2021;76(6):1922-4. [Crossref] [PubMed]
- Bloomberg [Internet]. ©2021 Bloomberg L.P. All Rights Reserved [Cited: March 23, 2021]. More Than 12.7 Billion shots given: Covid-19 tracker. Available from: [Link]
- Cohen J. Russia's approval of a COVID-19 vaccine is less than meets the press release. Science. 2020. [Crossref]
- Logunov DY, Dolzhikova IV, Zubkova OV, Tukhvatullin AI, Shcheblyakov DV, Dzharullaeva AS, et al. Safety and immunogenicity of an rAd26 and rAd5 vector-based heterologous prime-boost COVID-19 vaccine in two formulations: two open, non-randomised phase 1/2 studies from Russia. Lancet. 2020;396(10255):887-97. Erratum in: Lancet. 2021;397(10269):98. [PubMed] [PMC]
- COCONEL Group. A future vaccination campaign against COVID-19 at risk of vaccine hesitancy and politicisation. Lancet Infect Dis. 2020;20(7):769-70. [Crossref] [PubMed] [PMC]
- Ball P. Anti-vaccine movement could undermine efforts to end coronavirus pandemic, researchers warn. Nature. 2020;581(7808):251. [Crossref] [PubMed]
- Yoda T, Katsuyama H. Willingness to receive COVID-19 vaccination in Japan. Vaccines (Basel). 2021;9(1):48. [Crossref] [PubMed] [PMC]
- Chandani S, Jani D, Sahu PK, Kataria U, Suryawanshi S, Khubchandani J, et al. COVID-19 vaccination hesitancy in India: state of the nation and priorities for research. Brain Behav Immun Health. 2021;18:100375. [Crossref] [PubMed] [PMC]
- MacDonald NE; SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: definition, scope and determinants. Vaccine. 2015;33(34):4161-4. [Crossref] [PubMed]
- Kumar D, Chandra R, Mathur M, Samdariya S, Kapoor N. Vaccine hesitancy: understanding better to address better. Isr J Health Policy Res. 2016;5:2. [Crossref] [PubMed] [PMC]
- WHO. Report of the SAGE working group on vaccine hesitancy. 2014. (Accessed: 17 May 2021). [Link]
- Matua GA, Van Der Wal DM. Differentiating between descriptive and interpretive phenomenological research approaches. Nurse Res. 2015;22(6):22-7. [Crossref] [PubMed]
- COREQ (COnsolidated criteria for REporting Qualitative research) Checklist. [Cited: April 15, 2021]. Available from: [Link]
- Creswell JW, Poth CN. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. 4th ed. Singapore: Sage Publications; 2016.
- Gibbs GR. Analyzing Qualitative Data. 2nd ed. Los Angeles: Sage Publications; 2018. [Crossref]
- Rowlands J. Interviewee transcript review as a tool to improve data quality and participant confidence in sensitive research. Int J Qual Methods. 2021;20:1-11. [Crossref]
- Yıldırım A, Şimşek H. Sosyal Bilimlerde Nitel Araştırma Yöntemleri. 5. Baskı. Ankara: Seçkin Yayıncılık; 2016.
- Kılıç S. Kappa testi [kappa test]. Journal of Mood Disorders. 2015;5(3):142-4. [Crossref]
- Khubchandani J, Sharma S, Price JH, Wiblishauser MJ, Sharma M, Webb FJ. COVID-19 vaccination hesitancy in the United States: a rapid national assessment. J Community Health. 2021;46(2):270-7. [Crossref] [PubMed] [PMC]
- Reynolds DL, Garay JR, Deamond SL, Moran MK, Gold W, Styra R. Understanding, compliance and psychological impact of the SARS quarantine experience. Epidemiol Infect. 2008;136(7):997-1007. [Crossref] [PubMed] [PMC]
- Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3):228-9. [Crossref] [PubMed] [PMC]
- Williams SN, Dienes K. Public attitudes to COVID-19 vaccines: a qualitative study. Medrxiv. 2021. [Crossref]
- Yeşiltepe A, Aslan S, Bulbuloglu S. Investigation of perceived fear of COVID-19 and vaccine hesitancy in nursing students. Hum Vaccin Immunother. 2021;17(12):5030-7. [Crossref] [PubMed] [PMC]
- Sallam M, Dababseh D, Eid H, Hasan H, Taim D, Al-Mahzoum K, et al. Low COVID-19 vaccine acceptance is correlated with conspiracy beliefs among university students in Jordan. Int J Environ Res Public Health. 2021;18(5):2407. [Crossref] [PubMed] [PMC]
- Gao X, Li H, He W, Zeng W. COVID-19 vaccine hesitancy among medical students: the next COVID-19 challenge in Wuhan, China. Disaster Med Public Health Prep. 2021:1-6. [Crossref] [PubMed] [PMC]
- Digregorio M, Van Ngoc P, Delogne S, Meyers E, Deschepper E, Duysburgh E, et al. Vaccine hesitancy towards the COVID-19 vaccine in a random national sample of Belgian nursing home staff members. Vaccines (Basel). 2022;10(4):598. [Crossref] [PubMed] [PMC]
- Momplaisir F, Haynes N, Nkwihoreze H, Nelson M, Werner RM, Jemmott J. Understanding drivers of coronavirus disease 2019 vaccine hesitancy among blacks. Clin Infect Dis. 2021;73(10):1784-9. [Crossref] [PubMed] [PMC]
- Kurtuluş Ş, Can R. What do health care professionals think about COVID-19 vaccine applications: a university example. Journal of Harran University Medical Faculty. 2021;18(1):29-34. [Crossref]
- Fournet N, Mollema L, Ruijs WL, Harmsen IA, Keck F, Durand JY, et al. Under-vaccinated groups in Europe and their beliefs, attitudes and reasons for non-vaccination; two systematic reviews. BMC Public Health. 2018;18(1):196. [Crossref] [PubMed] [PMC]
- Keske Ş, Mutters NT, Tsioutis C, Ergönül Ö; EUCIC influenza vaccination survey team. Influenza vaccination among infection control teams: A EUCIC survey prior to COVID-19 pandemic. Vaccine. 2020;38(52):8357-61. [Crossref] [PubMed]
- Caserotti M, Girardi P, Rubaltelli E, Tasso A, Lotto L, Gavaruzzi T. Associations of COVID-19 risk perception with vaccine hesitancy over time for Italian residents. Soc Sci Med. 2021;272:113688. [Crossref] [PubMed] [PMC]
- Heper Y. COVID-19 genel bakış. Heper C, editör. Multi disipliner COVID-19. Bursa: Bursa Tabip Odası Yayınları; 2020. p.67-80. [Link]
- Factsheet on current threatened SARS-CoV-2 variants. (Accessed: 10 May 2021) [Link]
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