References

Barello S, Nania T, Dellafiore F, Graffigna G, Caruso R. ‘Vaccine hesitancy’ among university students in Italy during the COVID-19 pandemic. Eur J Epidemiol. 2020; 35:(8)781-783 https://doi.org/10.1007/s10654-020-00670-z

Dror AA, Eisenbach N, Taiber S Vaccine hesitancy: the next challenge in the fight against COVID-19. Eur J Epidemiol. 2020; 35:(8)775-779 https://doi.org/10.1007/s10654-020-00671-y

El-Elimat T, AbuAlSamen MM, Almomani BA, Al-Sawalha NA, Alali FQ. Acceptance and attitudes toward COVID-19 vaccines: a cross-sectional study from Jordan. PLoS One. 2021; 16:(4) https://doi.org/10.1371/journal.pone.0250555

García CB, García J, López Martín MM, Salmerón R. Collinearity: revisiting the variance inflation factor in ridge regression. J Appl Stat. 2015; 42:(3)648-661 https://doi.org/10.1080/02664763.2014.980789

Graffigna G, Palamenghi L, Boccia S, Barello S. Relationship between citizens' health engagement and intention to take the COVID-19 vaccine in Italy: a mediation analysis. Vaccines (Basel). 2020; 8:(4) https://doi.org/10.3390/vaccines8040576

Harapan H, Wagner AL, Yufika A Acceptance of a COVID-19 vaccine in Southeast Asia: a cross-sectional study in Indonesia. Front Public Health. 2020; 8 https://doi.org/10.3389/fpubh.2020.00381

Hu D, Martin C, Dredze M, Broniatowski DA. Chinese social media suggest decreased vaccine acceptance in China: an observational study on Weibo following the 2018 Changchun Changsheng vaccine incident. Vaccine. 2020; 38:(13)2764-2770 https://doi.org/10.1016/j.vaccine.2020.02.027

Izzati AN, Indarwati R, Makhfudli M Pro-and anti-vaccination among mothers in deciding children's immunization: a qualitative study. Open Access Maced J Med Sci. 2020; 9:(B)385-391 https://doi.org/10.3889/oamjms.2021.6113

Jiang N, Wei B, Lin H, Wang Y, Chai S, Liu W. Nursing students' attitudes, knowledge and willingness of to receive the coronavirus disease vaccine: a cross-sectional study. Nurse Educ Pract. 2021; 55 https://doi.org/10.1016/j.nepr.2021.103148

Kwok KO, Li KK, Wei WI, Tang A, Wong SYS, Lee SS. Editor's choice: influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: a survey. Int J Nurs Stud. 2021; 114 https://doi.org/10.1016/j.ijnurstu.2020.103854

Lazarus JV, Ratzan SC, Palayew A A global survey of potential acceptance of a COVID-19 vaccine. Nat Med. 2021; 27:(2)225-228 https://doi.org/10.1038/s41591-020-1124-9

Lipsey MW, Wilson DB. The efficacy of psychological, educational, and behavioral treatment: confirmation from meta-analysis. Am Psychol. 1993; 48:(12)1181-1209 https://doi.org/10.1037/0003-066X.48.12.1181

Malik AA, McFadden SM, Elharake J, Omer SB. Determinants of COVID-19 vaccine acceptance in the US. EClinicalMedicine. 2020; 26 https://doi.org/10.1016/j.eclinm.2020.100495

Muslih M, Susanti HD, Rias YA, Chung MH. Knowledge, attitude, and practice of Indonesian residents toward COVID-19: a cross-sectional survey. Int J Environ Res Public Health. 2021; 18:(9) https://doi.org/10.3390/ijerph18094473

Patelarou E, Galanis P, Mechili EA Factors influencing nursing students' intention to accept COVID-19 vaccination: A pooled analysis of seven European countries. Nurse Educ Today. 2021; 104 https://doi.org/10.1016/j.nedt.2021.105010

Quinn SC, Kumar S, Freimuth VS, Kidwell K, Musa D. Public willingness to take a vaccine or drug under emergency use authorization during the 2009 H1N1 pandemic. Biosecur Bioterror. 2009; 7:(3)275-290 https://doi.org/10.1089/bsp.2009.0041

Quinn SC, Parmer J, Freimuth VS, Hilyard KM, Musa D, Kim KH. Exploring communication, trust in government, and vaccination intention later in the 2009 H1N1 pandemic: results of a national survey. Biosecur Bioterror. 2013; 11:(2)96-106 https://doi.org/10.1089/bsp.2012.0048

Rias YA, Rosyad YS, Chipojola R Effects of spirituality, knowledge, attitudes, and practices toward anxiety regarding COVID-19 among the general population in Indonesia: a cross-sectional study. J Clin Med. 2020; 9:(12) https://doi.org/10.3390/jcm9123798

Rosental H, Shmueli L. Integrating health behavior theories to predict COVID-19 vaccine acceptance: differences between medical students and nursing students. Vaccines (Basel). 2021; 9:(7) https://doi.org/10.3390/vaccines9070783

Ross JG, Myers SM. The current use of social media in undergraduate nursing education. A review of the literature. Comput Inform Nurs. 2017; 35:(7)338-344 https://doi.org/10.1097/CIN.0000000000000342

Rubin GJ, Amlôt R, Page L, Wessely S. Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: cross sectional telephone survey. BMJ. 2009; 339 https://doi.org/10.1136/bmj.b2651

Sallam M. COVID-19 vaccine hesitancy worldwide: a concise systematic review of vaccine acceptance rates. vaccines (Basel). 2021; 9:(2) https://doi.org/10.3390/vaccines9020160

Sallam M, Dababseh D, Eid H Low COVID-19 vaccine acceptance is correlated with conspiracy beliefs among university students in Jordan. Int J Environ Res Public Health. 2021; 18:(5) https://doi.org/10.3390/ijerph18052407

Sharma R, Tikka SK. COVID-19 online surveys need to follow standards and guidelines: comment on ‘Does COVID-19 pandemic affect sexual behaviour? A cross-sectional, cross-national online survey’ and ‘Binge watching behavior during COVID 19 pandemic: a cross-sectional, cross-national online survey’. Psychiatry Res. 2020; 290 https://doi.org/10.1016/j.psychres.2020.113173

Sharma M, Davis RE, Wilkerson AH. COVID-19 vaccine acceptance among college students: a theory-based analysis. Int J Environ Res Public Health. 2021; 18:(9) https://doi.org/10.3390/ijerph18094617

Siegrist M, Zingg A. The role of public trust during pandemics. Eur Psychol. 2014; 19:(1)23-32 https://doi.org/10.1027/1016-9040/a000169

Suwantika AA, Boersma C, Postma MJ. The potential impact of COVID-19 pandemic on the immunization performance in Indonesia. Expert Rev Vaccines. 2020; 19:(8)687-690 https://doi.org/10.1080/14760584.2020.1800461

Tuells J, Egoavil CM, Morales-Moreno I, Fortes-Montoya E, Salazar-García C, Rodríguez-Blanco N. Knowledge, attitudes, and sources of information on vaccines in Spanish nursing students: a cross-sectional study. Int J Environ Res Public Health. 2021; 18:(7) https://doi.org/10.3390/ijerph18073356

van der Weerd W, Timmermans DRM, Beaujean DJMA, Oudhoff J, van Steenbergen JE. Monitoring the level of government trust, risk perception and intention of the general public to adopt protective measures during the influenza A (H1N1) pandemic in the Netherlands. BMC Public Health. 2011; 11:(1) https://doi.org/10.1186/1471-2458-11-575

Wirawan GBS, Mahardani PNTY, Cahyani MRK, Laksmi NLPSP, Januraga PP. Conspiracy beliefs and trust as determinants of COVID-19 vaccine acceptance in Bali, Indonesia: cross-sectional study. Pers Individ Dif. 2021; 180 https://doi.org/10.1016/j.paid.2021.110995

World Health Organization. WHO coronavirus disease (COVID-19) dashboard. 2022. https://tinyurl.com/49cfzbve (accessed 20 April 2022)

Indonesian nursing students' intention to accept COVID-19 vaccines: an online, multicentre survey

12 May 2022
Volume 31 · Issue 9

Abstract

Background:

The determinants of intention to accept the COVID-19 vaccine and associated factors among nursing students during this pandemic need to be identified.

Aims:

The study assessed nursing students' attitudes to vaccination, health engagement and trust in government, as well as their intention to have a COVID-19 vaccination.

Methods:

A cross-sectional study was carried out among nursing students in three provinces of Java, Indonesia, from December 2020 to February 2021. Convenience sampling was used to gather primary data from 640 participants through a structured online survey. Multiple linear regression was used to analyse the results.

Findings:

All items of vaccine attitude and health engagement as well as trust in government were positive predictors of vaccine acceptance after adjusting for confounding factors.

Conclusion:

Nursing students were more likely to accept vaccination if they had a positive attitude to vaccination, high levels of health engagement and trust in the government regarding tackling the COVID-19 pandemic.

Vaccination is a major public health strategy, which has prevented the spread of diseases (Hu et al, 2020), particularly infectious COVID-19. It has significantly reduced mortality in Indonesia (Suwantika et al, 2020) as well as across the globe (Sallam et al, 2021).

Vaccine hesitancy, characterised by a delay in accepting or refusing vaccination despite it being available, has divided vaccine proponents and anti-vaccine advocates (Izzati et al, 2020; Kwok et al, 2021). As of 18 May 2021, a total of 23 262 139 vaccine COVID-19 doses have been administered worldwide; health professionals, security staff, educators and frontline humanitarian workers were a priority for receiving vaccinations in Indonesia (World Health Organization, 2022).

Nursing students were not included in the first phase of the Indonesian government's priority target vaccine but were included in the second phase, along with certain students. Nursing students can encourage other students to be vaccinated (Jiang et al, 2021), which could optimise COVID-19 vaccination among the student population.

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content