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      Overcoming the effect of pandemic fatigue on vaccine hesitancy—Will belief in science triumph?

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          Abstract

          Purpose

          The study aims to examine the factors that impact vaccination uptake and additional protective behavior during the fourth wave of the pandemic in Israel, whereas the “pandemic fatigue” phenomenon has been identified as a hurdle to adherence to protective health behaviors against coronavirus disease 2019 (COVID‐19).

          Design

          A cross‐sectional, structured questionnaire was utilized for this investigation in September 2021, during the fourth wave of the pandemic.

          Methods

          A sample of the adult (18+) Israeli population was employed for the study. Recruiting participants for the study was conducted through an online internet panel company that consists of over 100,000 members, representing all geographic and demographic sectors of the Israeli population.

          Results

          Our findings indicate that pandemic fatigue has begun to have cascading effects on vaccination efforts. In particular, this study found that at this stage of the COVID‐19 pandemic, trust in authorities, and even threat perception components, such as concern and fear of contracting the disease, are incapable of predicting vaccination uptake. Instead, perception of the importance of the vaccine and its effectiveness are predictive of vaccination uptake.

          Conclusion

          The findings indicate that at this stage of the pandemic, focusing on the robustness of the science behind the vaccine is more important than trying to regain public trust. The findings also suggest that risk communication employing fear tactics is losing its capacity to generate motivation for vaccination.

          Clinical Relevance

          The findings of this study reveal lessons learned from the COVID‐19 global pandemic. Specifically, the study reveals how in times of prolonged crisis, we can currently and, in the future, prepare improved strategies for public communication in order to promote uptake of protective health behavior, such as vaccination.

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          Most cited references34

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          Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe

          Following the detection of the new coronavirus1 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its spread outside of China, Europe has experienced large epidemics of coronavirus disease 2019 (COVID-19). In response, many European countries have implemented non-pharmaceutical interventions, such as the closure of schools and national lockdowns. Here we study the effect of major interventions across 11 European countries for the period from the start of the COVID-19 epidemics in February 2020 until 4 May 2020, when lockdowns started to be lifted. Our model calculates backwards from observed deaths to estimate transmission that occurred several weeks previously, allowing for the time lag between infection and death. We use partial pooling of information between countries, with both individual and shared effects on the time-varying reproduction number (Rt). Pooling allows for more information to be used, helps to overcome idiosyncrasies in the data and enables more-timely estimates. Our model relies on fixed estimates of some epidemiological parameters (such as the infection fatality rate), does not include importation or subnational variation and assumes that changes in Rt are an immediate response to interventions rather than gradual changes in behaviour. Amidst the ongoing pandemic, we rely on death data that are incomplete, show systematic biases in reporting and are subject to future consolidation. We estimate that-for all of the countries we consider here-current interventions have been sufficient to drive Rt below 1 (probability Rt < 1.0 is greater than 99%) and achieve control of the epidemic. We estimate that across all 11 countries combined, between 12 and 15 million individuals were infected with SARS-CoV-2 up to 4 May 2020, representing between 3.2% and 4.0% of the population. Our results show that major non-pharmaceutical interventions-and lockdowns in particular-have had a large effect on reducing transmission. Continued intervention should be considered to keep transmission of SARS-CoV-2 under control.
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            A global survey of potential acceptance of a COVID-19 vaccine

            Several coronavirus disease 2019 (COVID-19) vaccines are currently in human trials. In June 2020, we surveyed 13,426 people in 19 countries to determine potential acceptance rates and factors influencing acceptance of a COVID-19 vaccine. Of these, 71.5% of participants reported that they would be very or somewhat likely to take a COVID-19 vaccine, and 61.4% reported that they would accept their employer’s recommendation to do so. Differences in acceptance rates ranged from almost 90% (in China) to less than 55% (in Russia). Respondents reporting higher levels of trust in information from government sources were more likely to accept a vaccine and take their employer’s advice to do so.
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              A global panel database of pandemic policies (Oxford COVID-19 Government Response Tracker)

              COVID-19 has prompted unprecedented government action around the world. We introduce the Oxford COVID-19 Government Response Tracker (OxCGRT), a dataset that addresses the need for continuously updated, readily usable and comparable information on policy measures. From 1 January 2020, the data capture government policies related to closure and containment, health and economic policy for more than 180 countries, plus several countries' subnational jurisdictions. Policy responses are recorded on ordinal or continuous scales for 19 policy areas, capturing variation in degree of response. We present two motivating applications of the data, highlighting patterns in the timing of policy adoption and subsequent policy easing and reimposition, and illustrating how the data can be combined with behavioural and epidemiological indicators. This database enables researchers and policymakers to explore the empirical effects of policy responses on the spread of COVID-19 cases and deaths, as well as on economic and social welfare.
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                Author and article information

                Contributors
                moranbod@tauex.tau.ac.il
                Journal
                J Nurs Scholarsh
                J Nurs Scholarsh
                10.1111/(ISSN)1547-5069
                JNU
                Journal of Nursing Scholarship
                John Wiley and Sons Inc. (Hoboken )
                1527-6546
                1547-5069
                07 April 2022
                07 April 2022
                : 10.1111/jnu.12778
                Affiliations
                [ 1 ] Department of Emergency & Disaster Management, School of Public Health, Faculty of Medicine Tel‐Aviv University Tel‐Aviv‐Yafo Israel
                [ 2 ] National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Epidemiology & Health Policy Research Sheba Medical Center Tel‐HaShomer Israel
                [ 3 ] The Computerization and Information Division, The Gertner Institute for Epidemiology & Health Policy Research Sheba Medical Center Tel‐HaShomer Israel
                [ 4 ] Magen David Adom (the Israeli Red Cross) Tel Aviv Israel
                [ 5 ] Medical School Ben Gurion University in the Negev Beer‐Sheba Israel
                Author notes
                [*] [* ] Correspondence

                Moran Bodas, National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Epidemiology & Health Policy Research, Sheba Medical Center, Tel‐HaShomer, 5262000, Israel.

                Email: moranbod@ 123456tauex.tau.ac.il

                Author information
                https://orcid.org/0000-0002-6182-6362
                https://orcid.org/0000-0003-1251-3551
                https://orcid.org/0000-0002-4358-0872
                Article
                JNU12778 JNU-03-22-136.R1
                10.1111/jnu.12778
                9115056
                35388958
                15bef7fe-bef8-462c-a901-eac65bbae05e
                © 2022 The Authors. Journal of Nursing Scholarship published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 23 March 2022
                : 01 March 2022
                : 24 March 2022
                Page count
                Figures: 1, Tables: 2, Pages: 10, Words: 6619
                Categories
                Special Issue
                Special Issues
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.6 mode:remove_FC converted:18.05.2022

                Nursing
                attitudes,covid‐19,pandemic,pandemic fatigue,vaccination uptake
                Nursing
                attitudes, covid‐19, pandemic, pandemic fatigue, vaccination uptake

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