Knowledge and training of Italian students in Healthcare Settings on COVID-19 vaccines and vaccination strategies, one year after the immunization campaign
pdf

Keywords

medical education, elective training activities, HCWs, SARS-CoV-2 vaccine, public health

Abstract

Abstract

Introduction: COVID-19 vaccines represent an important opportunity for defeating the disease, as long as high vaccination acceptance rates are achieved. Healthcare workers (HCWs) have a relevant role in the promotion of immunization. The aim of the study is to assess the knowledge of medical and pharmaceutical area students regarding COVID-19 vaccination and the impact of a specific Elective Teaching Activity (ETA), one year after the immunization campaign in Italy.

Methods: Students’ knowledge was tested with a questionnaire before and after attending the course. Descriptive statistical methods were used to analyse the results obtained. Student’s t-tests for paired data were used.

Results: Overall, 387 students at the University of Florence attended the course and took the same test before and after the ETA on COVID-19 vaccines. Despite achieving satisfactory average scores in the pre-course test (26/32±4.0), all students were able to significantly enhance their final score (+17.1%; p<0.001), indicating that the ETA was highly effective in improving their knowledge of COVID-19 vaccination. Medical students demonstrated a better comprehension of the role of the medical specialist in public health in the COVID-19 vaccination campaign, while some uncertainties were revealed regarding the role of pharmacists.

 Conclusions: The results of this study confirm that specific training activities on vaccination are effective for implementing the knowledge of future health professionals.

https://doi.org/10.15167/2421-4248/jpmh2023.64.2.2934
pdf

References

Giurgea LT, Morens DM. Great Expectations of COVID-19 Herd Immunity. Mbio, 2022; 13(1):e0349521. DOI: 10.1128/mbio.03495-21.

Word Health Organization (WHO). COVID-19 vaccines. Available at: https:// www. who. int/ emergencies/ diseases/ novel-coronavirus-2019/ covid-19-vaccines (accessed on 1/03/2023).

Ulbrichtova R, Svihrova V, Svihra J. Prevalence of COVID-19 Vaccination among Medical Students: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2022; 19(7), doi: 10.3390/ijerph19074072

Ministero della salute. Vaccini COVID-19. Available at: https://www.salute.gov.it/portale/p5_1_1.jsp?id=255 (accessed on 1/03/2023).

Yaseen MO, Saif A, Khan TM, Yaseen M, Saif A, Bukhsh A, Shahid MN, Alsenani F, Tahir H, Ming LC, Amin MU, Suleiman AK, Al-Worafi YM, Baig MR, Saeed Imran M, Jaber AA. A qualitative insight into the perceptions and COVID-19 vaccine hesitancy among Pakistani pharmacists. Hum Vaccin Immunother 2022; 18(1):2031455, doi: 10.1080/21645515.2022.2031455.

World Health Organization (WHO). Vaccine hesitancy: A growing challenge for immunization programmes. Available at: https://www.who.int/news/item/18-08-2015-vaccine-hesitancy-a-growing-challenge-for-immunization-programmes (accessed on 1/03/2023).

World Health Organization (WHO). Ten Threats to Global Health in 2019. Available at: https://www.who.int/news-room/spotlight/ten-threats-to-global-healthin-2019 (accessed on 1/03/2023).

Sessa, F.; Salerno, M.; Esposito, M.; Di Nunno, N.; Zamboni, P.; Pomara, C. Autopsy Findings and Causality Relationship between Death and COVID-19 Vaccination: A Systematic Review. J. Clin. Med. 2021; 10, 5876. https://doi.org/10.3390/jcm10245876

Ng, Q.X.; Lim, S.R.; Yau, C.E.; Liew, T.M. Examining the Prevailing Negative Sentiments Related to COVID-19 Vaccination: Unsupervised Deep Learning of Twitter Posts over a 16 Month Period. Vaccines 2022; 10, 1457. https://doi.org/10.3390/vaccines10091457

Del Riccio M,Bechini A, Buscemi P, Bonanni P, On Behalf Of The Working Group Dhs, Boccalini S. Reasons for the Intention to Refuse COVID-19 Vaccination and Their Association with Preferred Sources of Information in a Nationwide, Population-Based Sample in Italy, before COVID-19 Vaccines Roll Out. Vaccines (Basel), 2022; 8;10(6):913. doi: 10.3390/vaccines10060913.

Blandi, L.; Sabbatucci, M.; Dallagiacoma, G.; Alberti, F.; Bertuccio, P.; Odone, A. Digital Information Approach through Social Media among Gen Z and Millennials: The Global Scenario during the COVID-19 Pandemic. Vaccines 2022; 10, 1822. https://doi.org/10.3390/vaccines10111822

Epicentro. Vaccini e Vaccinazioni. Available at: https://www.epicentro.iss.it/vaccini/settimana-vaccinazioni-2021. (accessed on 1/03/2023)

Ministry of Health. Available at: https://www.salute.gov.it/portale/nuovocoronavirus/archivioFaqNuovoCoronavirus.jsp (accessed on 1/03/2023)

Herzog R, Álvarez-Pasquin MJ, Díaz C, Del Barrio JL, Estrada JM, Gil Á. Are healthcare workers' intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC Public Health 2013; 13, 154 , doi: 10.1186/1471-2458-13-154.

Loulergue P, Launay O. Vaccinations among medical and nursing students: coverage and opportunities. Vaccine 2014; 32, 4855-4859, doi: 10.1016/j.vaccine.2014.01.014.

Boccalini S, Vannacci A, Crescioli G, Lombardi N, Del Riccio M, Albora G, Shtylla J, Masoni M, Guelfi MR, Bonanni P, Bechini A. Knowledge of University Students in Health Care Settings on Vaccines and Vaccinations Strategies: Impact Evaluation of a Specific Educational Training Course during the COVID-19 Pandemic Period in Italy. Vaccines 2022; 10(7):1085, doi: 10.3390/vaccines10071085.

Istituto Superiore di Sanità. Available at: https://www.epicentro.iss.it/coronavirus/bollettino/Bollettino-sorveglianza-integrata-COVID-19_21-dicembre-2021.pdf (accessed on 1/03/2023).

Gazzetta Ufficiale. Legge n.178, 30/12/2020. Bilancio di previsione dello Stato per l'anno finanziario 2021 e bilancio pluriennale per il triennio 2021-2023. Available at: https://www.gazzettaufficiale.it/atto/serie_generale/caricaDettaglioAtto/originario?atto.dataPubblicazioneGazzetta=2020-12-30&atto.codiceRedazionale=20G00202 (accessed on 1/03/2023).

International Pharmaceutical Federation (FIP). Advocating expension of the pharmacistst’s role in immunisation: A focus on diphteria-tetanus-pertussis booster, COVID-19, and meningitidis vaccinations. Available at: https://www.fip.org/file/5137 (accessed on 1/03/2023).

Pandher R, Bilszta JLC. Novel COVID-19 vaccine hesitancy and acceptance, and associated factors, amongst medical students: a scoping review. Med Educ Online. 2023 Dec;28(1):2175620. doi: 10.1080/10872981.2023.2175620.

Bechini A, Moscadelli A, Sartor G, Shtylla J, Guelfi MR, Bonanni P, Boccalini S. Impact assessment of an educational course on vaccinations in a population of medical students. J Prev Med Hyg 2019; 60(3), E171-E177. doi: 10.15167/2421-4248/jpmh2019.60.3.1201.

Marotta C, Raia DD, Ventura G, Casuccio N, Dieli F, D'Angelo C, Restivo V, Costantino C, Vitale F, Casuccio A. Improvement in vaccination knowledge among health students following an integrated extracurricular intervention, an explorative study in the University of Palermo. J Prev Med Hyg 2017; 58(2), E93-E98

Bechini A, Vannacci A, Crescioli G, Lombardi N, Del Riccio M, Albora G, Shtylla J, Masoni M, Guelfi MR, Bonanni P, Boccalini S. Attitudes and Perceptions of University Students in Healthcare Settings towards Vaccines and Vaccinations Strategies during the COVID-19 Pandemic Period in Italy. Vaccines 2022; 10(8):1288. doi: 10.3390/vaccines10081288

Biasio LR, Carducci A, Fara GM, Giammanco G, Lopalco PL. Health literacy, emotionality, scientific evidence: Elements of an effective communication in public health. Hum Vaccin Immunother 2018; 14(6), 1515-1516. doi: 10.1080/21645515.2018.1434382