Exploring determinants of vaccine hesitancy among healthcare professionals: a systematic literature review.

IF 5.6 3区医学 Q1 IMMUNOLOGY Expert Review of Vaccines Pub Date : 2026-12-01 Epub Date: 2025-12-25 DOI:10.1080/14760584.2025.2607479

Valeria Gabellone, Fabiana Nuccetelli, Elisa Gabrielli, Rosa Prato, Pierluigi Lopalco

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Abstract

Introduction: This systematic review aims to assess determinants of vaccine hesitancy (VH) among healthcare professionals, to identify knowledge gaps and inform targeted training programs.

Research design and methods: A systematic search of PubMed and Scopus was conducted in February 2024. PRISMA criteria were applied, and methodological quality was assessed using a cross-sectional study evaluation tool. Studies addressing HCWs' VH determinants, including knowledge, attitudes, communication, and organizational factors, were included.

Results: Out of 1394 records, 221 articles were included. Reported prevalence of VH among HCWs varied across studies, reflecting differences in professional roles, settings, and vaccines studied. Key determinants included gaps in knowledge, personal beliefs, organizational barriers, and communication skills. The review highlights the importance of evidence-based information, continuing education, and effective communication in addressing VH among HCWs.

Conclusions: Educational and organizational interventions are essential to improve HCWs' knowledge, attitudes, and practices regarding vaccination. Strengthening vaccine education, fostering effective communication, and addressing organizational challenges can reduce hesitancy and support HCWs in promoting vaccination among patients. Future initiatives should consider the diversity of educational settings, professional roles, and training requirements across healthcare systems.

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探索医疗保健专业人员中疫苗犹豫的决定因素：一项系统的文献综述。

本系统综述旨在评估卫生保健专业人员中疫苗犹豫（VH）的决定因素，确定知识差距并为有针对性的培训计划提供信息。研究设计与方法：于2024年2月系统检索PubMed和Scopus。采用PRISMA标准，采用横断面研究评价工具评价方法学质量。研究涉及卫生保健工作者的VH决定因素，包括知识、态度、沟通和组织因素。结果：1394篇文献中，共纳入221篇。各研究报告的卫生保健工作者中VH的流行率各不相同，反映了所研究的专业角色、环境和疫苗的差异。关键的决定因素包括知识差距、个人信念、组织障碍和沟通技巧。该审查强调了循证信息、继续教育和有效沟通在解决卫生保健工作者中的VH问题中的重要性。结论：教育和组织干预对于改善卫生保健工作者关于疫苗接种的知识、态度和做法至关重要。加强疫苗教育、促进有效沟通和应对组织挑战可以减少犹豫，并支持卫生保健工作者在患者中促进疫苗接种。未来的举措应考虑到教育环境、专业角色和医疗保健系统培训要求的多样性。

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来源期刊

Expert Review of Vaccines 医学-免疫学

CiteScore

9.10

自引率

3.20%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Expert Review of Vaccines (ISSN 1476-0584) provides expert commentary on the development, application, and clinical effectiveness of new vaccines. Coverage includes vaccine technology, vaccine adjuvants, prophylactic vaccines, therapeutic vaccines, AIDS vaccines and vaccines for defence against bioterrorism. All articles are subject to rigorous peer-review. The vaccine field has been transformed by recent technological advances, but there remain many challenges in the delivery of cost-effective, safe vaccines. Expert Review of Vaccines facilitates decision making to drive forward this exciting field.