Addressing vaccine hesitancy and resistance for COVID-19 vaccines.
Micah D J Peters
PMID 35489108WHAT IT FOUND
Vaccine hesitancy ranges from delay to refusal.
Nurses should build trust, tailor conversations, and improve access rather than rely on financial incentives or assume mandates will transfer to COVID-19.
Key findings
01Some vaccinated adults remain hesitant: 60 percent of 1475 recently vaccinated adults reported hesitancy, including 10 percent who were very hesitant.
02Campaigns for mandatory influenza vaccination, including a vaccinate-or-wear-mask policy and mandatory declination, reached over 90 percent healthcare-worker coverage, but this evidence may not transfer to COVID-19 community vaccination.
03Evidence for addressing hesitancy is limited, and a cited review found multicomponent and dialogue-based interventions most effective when adapted to context.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a discussion review, not an original study, so it has no participants, no primary outcome, and no direct test of an intervention. Much of the evidence summarised comes from other studies, often about seasonal influenza or healthcare workers, not from COVID-19 community vaccination care. The paper gives no methods for how the literature was selected, so its conclusions about effective interventions may reflect the authors' chosen sources. It does not report patient outcomes for PT, OT, or SLP practice, so relevance is limited to nursing and general vaccine communication.
The easy way to misread this
Do not read this as proof that mandating vaccination alone will change community hesitancy or that nurses have tested interventions to use. The paper is a discussion review, and much of the mandate evidence comes from healthcare-worker influenza vaccination, not COVID-19 community care.