{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T00:42:00Z","timestamp":1760229720585,"version":"build-2065373602"},"reference-count":53,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T00:00:00Z","timestamp":1656288000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vaccines"],"abstract":"<jats:p>The COVID-19 pandemic has lasted for two years as of 2022, and it is common knowledge that vaccines are an essential tool to mitigate the health, economic, and social fallout. Unfortunately, vaccine hesitancy is still a serious global problem, both in the general population and among healthcare workers. The authors used an original questionnaire to conduct an anonymous survey study in the University Clinical Hospital in Wroc\u0142aw, Poland, in April and May of 2021 after acquiring consent from the Medical University of Wroc\u0142aw, Poland Bioethical Committee. The study results demonstrate that, to a significant extent, the decisions concerning vaccinations are based on factors that are difficult to change with rational argumentation, including people\u2019s personal opinions or beliefs concerning vaccinations and their earlier experiences with vaccinations. The study results suggest that the impregnating effect of one\u2019s own opinions, beliefs, and experiences can be surmounted if vaccines are dispensed free and conveniently while the pathogen is irrationally and emotionally perceived as untamed and possibly severe and life threatening. It makes a significant difference as in such cases that the percentage of participants whose decisions concerning vaccination are influenced by the risks to life or health of one\u2019s own or others rises by about 27 and 36 percent points, respectively. Therefore, in order to succeed, campaigns for vaccinations need to include strong subjective and emotional communication, appealing to negative emotions and exploiting the public\u2019s fear of the unknown while stressing tangible and personal threats possibly resulting from acquiring a vaccine-preventable infectious disease.<\/jats:p>","DOI":"10.3390\/vaccines10071026","type":"journal-article","created":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T00:07:02Z","timestamp":1656374822000},"page":"1026","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Fear of Illness and Convenient Access to Vaccines Appear to Be the Missing Keys to Successful Vaccination Campaigns: Analysis of the Factors Influencing the Decisions of Hospital Staff in Poland concerning Vaccination against Influenza and COVID-19"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2680-7617","authenticated-orcid":false,"given":"Robert","family":"Sus\u0142o","sequence":"first","affiliation":[{"name":"Epidemiology and Medical Education Unit, Population Health Department, Health Sciences Faculty, Wroc\u0142aw Medical University, 50-556 Wroc\u0142aw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9216-451X","authenticated-orcid":false,"given":"Piotr","family":"Pobrotyn","sequence":"additional","affiliation":[{"name":"Citodent, 50-403 Wroc\u0142aw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Artur","family":"Mierzecki","sequence":"additional","affiliation":[{"name":"Family Medicine Department, General Medicine and Dentistry Faculty, Medical University in Szczecin, 70-203 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5472-1485","authenticated-orcid":false,"given":"Jaros\u0142aw","family":"Drobnik","sequence":"additional","affiliation":[{"name":"Epidemiology and Medical Education Unit, Population Health Department, Health Sciences Faculty, Wroc\u0142aw Medical University, 50-556 Wroc\u0142aw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,6,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Leith\u00e4user, N., Schneider, J., Johann, S., Krumke, S., Schmidt, E., and Streicher, M. (2021). Quantifying COVID-19-vaccine location strategies for Germany. BMC Health Serv. Res., 21.","DOI":"10.1186\/s12913-021-06587-x"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"102306","DOI":"10.1016\/j.dsx.2021.102306","article-title":"Symptomatic post-vaccination SARS-CoV-2 infections in healthcare workers\u2014A multicenter cohort study","volume":"15","author":"Vaishya","year":"2021","journal-title":"Diabetes Metab. Syndr. Clin. Res. Rev."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Pascucci, D., Nurchis, M., Sapienza, M., Castrini, F., Beccia, F., and D\u2019ambrosio, F. (2021). Evaluation of the effectiveness and safety of the bnt162b2 covid-19 vaccine in the vaccination campaign among the health workers of fondazione policlinico universitario agostino gemelli irccs. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182111098"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2016","DOI":"10.1016\/j.jamda.2021.08.015","article-title":"COVID-19 Vaccine Uptake Among Residents and Staff Members of Assisted Living and Residential Care Communities\u2014Pharmacy Partnership for Long-Term Care Program, December 2020\u2013April 2021","volume":"22","author":"Gharpure","year":"2021","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Scardina, G., Ceccarelli, L., Casigliani, V., Mazzilli, S., Napoletano, M., and Padovan, M. (2021). Evaluation of flu vaccination coverage among healthcare workers during a 3 years\u2019 study period and attitude towards influenza and potential covid-19 vaccination in the context of the pandemic. Vaccines, 9.","DOI":"10.3390\/vaccines9070769"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Spinewine, A., P\u00e9tein, C., Evrard, P., Vastrade, C., Laurent, C., and Delaere, B. (2021). Attitudes towards covid-19 vaccination among hospital staff\u2014understanding what matters to hesitant people. Vaccines, 9.","DOI":"10.3390\/vaccines9050469"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1693","DOI":"10.1016\/j.vaccine.2021.02.029","article-title":"Perspectives on the receipt of a COVID-19 vaccine: A survey of employees in two large hospitals in Philadelphia","volume":"39","author":"Kuter","year":"2021","journal-title":"Vaccine"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.idh.2021.03.002","article-title":"Determinants of intention to get vaccinated against COVID-19 among healthcare personnel in hospitals in Greece","volume":"26","author":"Maltezou","year":"2021","journal-title":"Infect. Dis. Health"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Nohl, A., Abdallah, H., Weichert, V., Zeiger, S., Ohmann, T., and Dudda, M. (2021). A local survey of COVID-19: Vaccine potential acceptance rate among personnel in a level 1 trauma center without severe COVID-19 cases. Healthcare, 9.","DOI":"10.3390\/healthcare9121616"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"159","DOI":"10.4103\/1995-7645.312513","article-title":"COVID-19 vaccination intention among healthcare workers in Vietnam","volume":"14","author":"Huynh","year":"2021","journal-title":"Asian Pac. J. Trop. Med."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Sirikalyanpaiboon, M., Ousirimaneechai, K., Phannajit, J., Pitisuttithum, P., Jantarabenjakul, W., and Chaiteerakij, R. (2021). COVID-19 vaccine acceptance, hesitancy, and determinants among physicians in a university-based teaching hospital in Thailand. BMC Infect. Dis., 21.","DOI":"10.1186\/s12879-021-06863-5"},{"key":"ref_12","first-page":"1","article-title":"Uptake of COVID-19 vaccination among general hospital staff in Israel","volume":"1","author":"Myers","year":"2021","journal-title":"Infect. Control Hosp. Epidemiol."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Fotiadis, K., Dadouli, K., Avakian, I., Bogogiannidou, Z., Mouchtouri, V., and Gogosis, K. (2021). Factors associated with healthcare workers\u2019 (HCWs) acceptance of COVID-19 vaccinations and indications of a role model towards population vaccinations from a cross-sectional survey in Greece, May 2021. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph181910558"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Forgeschi, G., Cavallo, G., Lorini, C., Balboni, F., Sequi, F., and Bonaccorsi, G. (2021). Investigating adherence to COVID-19 vaccination and serum antibody concentration among hospital workers\u2014The experience of an italian private hospital. Vaccines, 9.","DOI":"10.3390\/vaccines9111332"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Drobnik, J., Suslo, R., Pobrotyn, P., Fabich, E., Magiera, V., Diakowska, D., and Uchmanowicz, I. (2021). COVID-19 among healthcare workers in the University Clinical Hospital in Wroclaw, Poland. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18115600"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1001\/jama.2020.26553","article-title":"Mandating COVID-19 vaccines","volume":"25","author":"Gostin","year":"2021","journal-title":"JAMA"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2958","DOI":"10.1016\/j.mayocp.2021.10.020","article-title":"Ethical Issues in Mandating COVID-19 Vaccination for Health Care Personnel","volume":"96","author":"Olick","year":"2021","journal-title":"Mayo Clin. Proc."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Mena, G., Blanco, B., Casas, I., Huertas, A., S\u00e1nchez, M., and Au\u00f1\u00f3n, M. (2021). Attitudes of Spanish hospital staff towards COVID-19 vaccination and vaccination rates. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0257002"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Vignier, N., Brureau, K., Granier, S., Breton, J., Michaud, C., and Gaillet, M. (2021). Attitudes towards the COVID-19 vaccine and willingness to get vaccinated among healthcare workers in french guiana: The influence of geographical origin. Vaccines, 9.","DOI":"10.3390\/vaccines9060682"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Kara Esen, B., Can, G., Pirdal, B., Aydin, S., Ozdil, A., and Balkan, I. (2021). Covid-19 vaccine hesitancy in healthcare personnel: A university hospital experience. Vaccines, 9.","DOI":"10.3390\/vaccines9111343"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1080\/21548331.2021.1914465","article-title":"Hospitalist perspectives on barriers to recommend and potential benefit of the COVID-19 vaccine","volume":"49","author":"Dugani","year":"2021","journal-title":"Hosp. Pract."},{"key":"ref_22","first-page":"245","article-title":"Acceptability of COVID-19 vaccine: A cross-sectional study in a Tunisian general hospital","volume":"39","author":"Kefi","year":"2021","journal-title":"Pan Afr. Med. J."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Robbins, T., Kyrou, I., Clark, C., Sharma, K., Laird, S., and Berry, L. (2021). Healthcare staff perceptions following inoculation with the bnt162b2 mrna covid-19 vaccine at university hospitals coventry & warwickshire nhs trust. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18179378"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1007\/s15010-021-01622-9","article-title":"Brief report: Attitudes towards COVID-19 vaccination among hospital employees in a tertiary care university hospital in Germany in December 2020","volume":"49","author":"Bauernfeind","year":"2021","journal-title":"Infection"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1093\/occmed\/kqab057","article-title":"COVID-19 vaccination intent among London healthcare workers","volume":"71","author":"Abuown","year":"2021","journal-title":"Occup. Med."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Mori, Y., Miyatake, N., Suzuki, H., Okada, S., and Tanimoto, K. (2021). A text mining-based survey of pre-impressions of medical staff toward COVID-19 vaccination in a designated medical institution for class ii infectious diseases. Vaccines, 9.","DOI":"10.3390\/vaccines9111282"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Martin, C., Marshall, C., Patel, P., Goss, C., Jenkins, D., and Ellwood, C. (2021). SARS-CoV-2 vaccine uptake in a multi-ethnic UK healthcare workforce: A cross-sectional study. PLoS Med., 18.","DOI":"10.1371\/journal.pmed.1003823"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e31125","DOI":"10.2196\/31125","article-title":"Willingness to Receive COVID-19 Vaccination among People Living with HIV and AIDS in China: Nationwide Cross-sectional Online Survey","volume":"7","author":"Huang","year":"2021","journal-title":"JMIR Public Health Surveill."},{"key":"ref_29","first-page":"e58","article-title":"Subjective well-being and ability to work of hospital staff after SARS-CoV2 immunization with the mRNA vaccine BNT162b2","volume":"146","author":"Kalbhenn","year":"2021","journal-title":"Dtsch. Med. Wochenschr."},{"key":"ref_30","unstructured":"(2022, February 15). Rozporz\u0105dzenie Rady Ministr\u00f3w z Dnia 14 Grudnia 2021 r. Zmieniaj\u0105ce Rozporz\u0105dzenie w Sprawie Ustanowienia Okre\u015blonych Ogranicze\u0144, Nakaz\u00f3w i Zakaz\u00f3w w Zwi\u0105zku z Wyst\u0105pieniem Stanu Epidemii (Dz.U. 2021 poz. 2311), (In Polish)."},{"key":"ref_31","unstructured":"(2021, December 14). Pfizer and Biontech Uzyskuj\u0105 Dopuszczenie do Obrotu w Unii Europejskiej Szczepionki Przeciw COVID-19. (In Polish)."},{"key":"ref_32","first-page":"101","article-title":"The Central Clinical Hospital of the Ministry of Internal Affairs and Administration Program Coordination Group OBO. Initiation of the COVID-19 vaccination program in Poland: Vaccination of the patient \u201czero\u201d and first experience from the Central Clinical Hospital of the Ministry of Internal Affairs and Administration","volume":"131","author":"Szarowska","year":"2021","journal-title":"Pol. Arch. Intern. Med."},{"key":"ref_33","unstructured":"Naczelna Izba Lekarska (2021, December 14). Szczepienia Lekarzy i Lekarzy Dentyst\u00f3w Przeciwko COVID-19 w Liczbach. (In Polish)."},{"key":"ref_34","unstructured":"D\u0105bek, A. (2021, December 14). Ile Lekarzy i Piel\u0119gniarek w Polsce Zosta\u0142o Zaszczepionych? Medonet.pl. Available online: https:\/\/www.medonet.pl\/porozmawiajmyoszczepionce,szczepienia-przeciw-covid-19--ilu-jest-zaszczepionych-lekarzy-w-polsce,artykul,32314696.html."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Byhoff, E., Paulus, J., Guardado, R., Zubiago, J., and Wurcel, A. (2021). Healthcare workers\u2019 perspectives on coronavirus testing availability: A cross sectional survey. BMC Health Serv. Res., 21.","DOI":"10.1186\/s12913-021-06741-5"},{"key":"ref_36","unstructured":"Matejuk, T. (2021, December 14). Koronawirus we Wroc\u0142awiu, na Dolnym \u015al\u0105sku, w Polsce. Wroclife.pl. (In Polish)."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"389","DOI":"10.5114\/fmpcr.2018.80081","article-title":"Conflict of individual freedom and community health safety: Legal conditions on mandatory vaccinations and changes in the judicial approach in the case of avoidance","volume":"20","author":"Paplicki","year":"2018","journal-title":"Fam. Med. Prim. Care Rev."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"252","DOI":"10.5114\/fmpcr.2020.98255","article-title":"Effectively enforcing mandatory vaccination in Poland and worldwide","volume":"22","author":"Paplicki","year":"2020","journal-title":"Fam. Med. Prim. Care Rev."},{"key":"ref_39","unstructured":"Central Statistical Office (2022, February 15). Population: Size and Structure and Vital Statistics in Poland by Territorial Division in 2019, Available online: https:\/\/stat.gov.pl\/files\/gfx\/portalinformacyjny\/pl\/defaultaktualnosci\/5468\/6\/27\/1\/ludnosc._stan_i_struktura_oraz_ruch_naturalny_w_przekroju_terytorialnym_na_31.12.2019.pdf."},{"key":"ref_40","unstructured":"Central Statistical Office (2022, February 15). Statistical Information and Elaborations\u2014Health and Health Care in 2020, Medical Personnel, Available online: https:\/\/stat.gov.pl\/download\/gfx\/portalinformacyjny\/pl\/defaultaktualnosci\/5513\/1\/11\/1\/zdrowie_i_ochrona_zdrowia_2020_korekta.pdf."},{"key":"ref_41","unstructured":"Polska na 23 (2022, February 15). Miejscu w UE pod Wzgl\u0119dem Odsetka Zaszczepionych Os\u00f3b. 300gospodarka.pl. (In Polish)."},{"key":"ref_42","unstructured":"(2022, February 15). Kt\u00f3ra z Polskich Uczelni ma Najwy\u017cszy Odsetek Zaszczepionych Student\u00f3w? Medexpress.pl. (In Polish)."},{"key":"ref_43","unstructured":"(2022, February 15). Rozporz\u0105dzenie Ministra Zdrowia z Dnia 22 Grudnia 2021 r. Zmieniaj\u0105ce Rozporz\u0105dzenie w Sprawie Og\u0142oszenia na Obszarze Rzeczypospolitej Polskiej Stanu Epidemii (Dz. U. 2021 poz. 2398), (In Polish)."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Sus\u0142o, R., Pobrotyn, P., Brydak, L., Rypicz, \u0141., Grata-Borkowska, U., and Drobnik, J. (2021). Seasonal Influenza and Low Flu Vaccination Coverage as Important Factors Modifying the Costs and Availability of Hospital Services in Poland: A Retrospective Comparative Study. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18105173"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"S8","DOI":"10.1080\/17437199.2012.703527","article-title":"Threatening communication: A critical re-analysis and a revised meta-analytic test of fear appeal theory","volume":"7","author":"Peters","year":"2012","journal-title":"Health Psychol. Rev."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1016\/j.drugpo.2014.01.021","article-title":"Do disgusting and fearful anti-smoking advertisements increase or decrease support for tobacco control policies?","volume":"25","author":"Halkjelsvik","year":"2014","journal-title":"Int. J. Drug Policy"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Zar\u0119bska-Michaluk, D., Rzymski, P., Moniuszko-Malinowska, A., Brzd\u0119k, M., Martonik, D., Rorat, M., Wielgat, J., K\u0142os, K., Musierowicz, W., and Wasilewski, P. (2022). Does Hospitalization Change the Perception of COVID-19 Vaccines among Unvaccinated Patients?. Vaccines, 10.","DOI":"10.3390\/vaccines10030476"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Torres-Estrella, C.U., Reyes-Montes, M.d.R., Duarte-Escalante, E., Sierra Mart\u00ednez, M., Fr\u00edas-De-Le\u00f3n, M.G., and Acosta-Altamirano, G. (2022). Vaccines Against COVID-19: A Review. Vaccines, 10.","DOI":"10.3390\/vaccines10030414"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Araujo da Silva, A.R., de Carvalho, B.R.R., Esteves, M.d.M., Teixeira, C.H., and Souza, C.V. (2022). The Role of COVID-19 Vaccinal Status in Admitted Children during OMICRON Variant Circulation in Rio de Janeiro, City\u2014Preliminary Report. Vaccines, 10.","DOI":"10.1101\/2022.02.10.22270817"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"McElfish, P.A., Willis, D.E., Shah, S.K., Reece, S., Andersen, J.A., Schootman, M., Richard-Davis, G., Selig, J.P., and Warmack, T.S. (2022). Parents\u2019 and Guardians\u2019 Intentions to Vaccinate Children against COVID-19. Vaccines, 10.","DOI":"10.3390\/vaccines10030361"},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Van Hoecke, A.L., and Sanders, J.G. (2022). An Online Experiment of NHS Information Framing on Mothers\u2019 Vaccination Intention of Children against COVID-19. Vaccines, 10.","DOI":"10.3390\/vaccines10050720"},{"key":"ref_52","unstructured":"(2022, June 03). PZH-NIZP Zachorowania i podejrzenia zachorowa\u0144 na gryp\u0119 w Polsce. Pa\u0144stwowy Zak\u0142ad Higieny\u2014Narodowy Instytut Zdrowia Publicznego, (In Polish)."},{"key":"ref_53","unstructured":"(2022, June 03). Koronawirus w Polsce (SARS-CoV-2). Koronawirusunas.pl. (In Polish)."}],"container-title":["Vaccines"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-393X\/10\/7\/1026\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:38:51Z","timestamp":1760139531000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-393X\/10\/7\/1026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,27]]},"references-count":53,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022,7]]}},"alternative-id":["vaccines10071026"],"URL":"https:\/\/doi.org\/10.3390\/vaccines10071026","relation":{},"ISSN":["2076-393X"],"issn-type":[{"type":"electronic","value":"2076-393X"}],"subject":[],"published":{"date-parts":[[2022,6,27]]}}}