Journal of Korean Academy of Nursing

Examination of Predicting Factors for COVID-19 Vaccination Behaviors of University Students Utilizing the Theory of Planned Behavior: Heo, Yeon Jeong , Hyun, Hye-Jin; J Korean Acad Nurs 2024;54(2):178-192. Published online May 31, 2024; DOI: https://doi.org/10.4040/jkan.24020

Abstract PDF: Purpose
This study aimed to examine the predictive factors of COVID-19 vaccination behavior by evaluating the moderating effect of perceived behavioral control on the theory of planned behavior.
Methods
Data were collected from August 6 to August 31, 2022 from 235 college students (aged 20~29 years) across 12 universities using a structured web-based survey. Statistical analyses were conducted using the SPSS and AMOS software.
Results
Attitudes toward COVID-19 vaccination, subjective norms, and intention to be vaccinated significantly influenced COVID-19 vaccination behavior. Attitudes and subjective norms indirectly affected COVID-19 vaccination behavior through intention to vaccinate, whereas intention to vaccinate had a direct effect. The moderating effect of perceived behavioral control on the relationship between subjective norms and intention to vaccinate was significant.
Conclusion
Interventions that foster a positive attitude toward COVID-19 vaccination and bolster subjective norms and perceived behavioral control can boost the intention to be vaccinated and facilitate the uptake of COVID-19 vaccination.

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The Reliability and Validity of the Korean Version of the 5C Psychological Antecedents of Vaccination Scale: Bae, SuYeon , Kim, HeeJu; J Korean Acad Nurs 2023;53(3):324-339. Published online June 30, 2023; DOI: https://doi.org/10.4040/jkan.23021

Purpose
This study aimed to valuate the reliability and validity of the Korean version of the 5C Psychological Antecedents of Vaccination (K-5C) scale.
Methods
The English version of the 5C scale was translated into Korean, following the World Health Organization guidelines. Data were collected from 316 community-dwelling adults. Content validity was evaluated using the content validity index, while construct validity was evaluated through confirmatory factor analysis. Convergent validity was examined by assessing the correlation with vaccination attitude, and concurrent validity was evaluated by examining the association with coronavirus disease 2019 (COVID-19) vaccination status. Internal consistency and test-retest reliability were also evaluated.
Results
Content validity results indicated an item-level content validity index ranging from .83 to 1, and scale-level content validity index, averaging method was .95. Confirmatory factor analysis supported the fit of the measurement model, comprising a five-factor structure with a 15-item questionnaire (RMSEA = .05, SRMR = .05, CFI = .97, TLI = .96). Convergent validity was acceptable with a significant correlation between each sub-scale of the 5C scale and vaccination attitude. In concurrent validity evaluation, confidence, constraints, and collective responsibility of the 5C scale were significant independent predictors of the current COVID-19 vaccination status. Cronbach’s alpha for each subscale ranged from .78 to .88, and the intraclass correlation coefficient for each subscale ranged from .67 to .89.
Conclusion
The Korean version of the 5C scale is a valid and reliable tool to assess the psychological antecedents of vaccination among Korean adults.

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COVID-19 vaccine acceptance and 5C psychological antecedents amid the omicron surge in South Korea and China
Minjung Lee, Chenyuan Qin, Yubin Lee, Jie Deng, Myoungsoon You, Jue Liu
Vaccine.2025; 43: 126515. CrossRef

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Factors Influencing the COVID-19 Vaccination Intentions in Parents for Their Children Aged 5~11: Korea, April 2022: Choi, In Suk , Kim, Eun A; J Korean Acad Nurs 2023;53(2):208-221. Published online April 30, 2023; DOI: https://doi.org/10.4040/jkan.22096

Abstract PDF

Purpose
This study aimed to investigate COVID-19 vaccination intentions in Korean parents for their children aged 5 to 11 years and the factors influencing them.
Methods
A cross-sectional online survey of 363 parents of children aged 5 to 11 years was conducted in Korea in April 2022. Data were analyzed using independent t-test, χ2-test, Fisher’s exact test, and hierarchical logistic regression analysis using SPSS/WIN 26.0 and MedCalc software version 20.113.
Results
Of 363 Korean parents with children aged 5 to 11, 42.4% intended to vaccinate their children. Significant factors influencing vaccination intention were the second or third birth order of children (OR = 3.45, 95% CI = 1.45~8.21), vaccine hesitancy-confidence (OR = 2.00, 95% CI = 1.51~2.65), vaccine hesitancy-collective responsibility (OR = 1.57, 95% CI: 1.10~2.25), and COVID-19 anxiety-avoidance (OR = 1.55, 95% CI = 1.13~2.11).
Conclusion
Findings suggest that COVID-19 vaccine campaigns based on reliable information and evidence from health authorities are needed to increase COVID-19 vaccination. Well-designed health communications for the target population may help to increase parental vaccine acceptance.

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Effective Vaccination and Education Strategies for Emerging Infectious Diseases Such as COVID-19
Seong-Heon Wie, Jaehun Jung, Woo Joo Kim
Journal of Korean Medical Science.2023;[Epub] CrossRef

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Factors Influencing the COVID-19 Vaccination Intentions in Nurses: Korea, February 2021: Park, Ju Young , Ha, Jiyeon; J Korean Acad Nurs 2021;51(5):537-548. Published online October 31, 2021; DOI: https://doi.org/10.4040/jkan.21110

Abstract PDF

Purpose
This study aimed to identify the factors influencing COVID-19 vaccination intentions in nurses.
Methods
The participants were 184 nurses in Korea. Data were collected using a Google Form online survey method in February, 2021, and analyzed using an independent t-test, one-way ANOVA, Pearson correlation, and multiple regression analysis with the SPSS/WIN 26.0 program.
Results
COVID-19 vaccination intention in nurses was correlated significantly with vaccine hesitancy (r = .58, p < .001), risk perception of COVID-19 (r = .22, p = .003), perception of vaccination as a professional duty (r = .59, p < .001), and attitude towards workplace infection control policies (r = .20, p = .007). Vaccine hesitancy (β = .40, p < .001) and the perception of vaccination as a professional duty (β = .44, p < .001) significantly influenced COVID-19 vaccination intention. The model developed in this study explained 50% of the variation in COVID-19 vaccination intention.
Conclusion
Improving the perception of vaccination as a professional duty and lowering vaccine hesitancy may enhance nurses’ COVID-19 vaccination intention. Above all, it is necessary to provide programs to encourage voluntary recognition of vaccination as a professional duty and develop strategies to reduce hesitancy toward COVID-19 vaccinations.

Citations

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COVID-19 Vaccine Acceptance and Associated Factors among General Population
Jung-Whan Lee
Journal of Health Informatics and Statistics.2024; 49(1): 19. CrossRef
Nurses' vaccination acceptance and related factors in the initial stage of COVID-19 vaccination in Korea: a cross-sectional study
Kyoung Ha Kim, Jae Sim Jeong
Journal of Korean Biological Nursing Science.2024; 26(3): 240. CrossRef
Factors Influencing the COVID-19 Vaccination Intentions in Parents for Their Children Aged 5~11: Korea, April 2022
In Suk Choi, Eun A Kim
Journal of Korean Academy of Nursing.2023; 53(2): 208. CrossRef
Factors influencing COVID-19 vaccination intention among parents of children aged 5-11 years in South Korea: a cross-sectional study
Jung Hwa Kang, Yunsoo Kim
Child Health Nursing Research.2023; 29(3): 237. CrossRef
Nurses’ Intentions for COVID-19 Vaccination in South Korea in 2022
Byung Yun Song, Sun Hee Choi, Dong Yeon Kim
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 125. CrossRef
The Reliability and Validity of the Korean Version of the 5C Psychological Antecedents of Vaccination Scale
SuYeon Bae, HeeJu Kim
Journal of Korean Academy of Nursing.2023; 53(3): 324. CrossRef
Adapting and Validating the COVID-19 Vaccine Hesitancy and Vaccine Conspiracy Beliefs Scales in Korea
Hyesung Ock, Mihyeon Seong, Insook Kim
Healthcare.2022; 10(11): 2274. CrossRef
Factors Influencing Clinical Nurse’s Intention for Acquiring Coronavirus Disease 2019 Vaccination
YeonHui Choe, Jieun Cha
Journal of Health Informatics and Statistics.2022; 47(1): 48. CrossRef
Confidence in a Vaccine against COVID-19 among Registered Nurses in Barcelona, Spain across Two Time Periods
David Palma, Anna Hernández, Camila A. Picchio, Glòria Jodar, Paola Galbany-Estragués, Pere Simón, Montserrat Guillaumes, Elia Diez, Cristina Rius
Vaccines.2022; 10(6): 873. CrossRef

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Current State of Influenza Vaccination and Factors Affecting Vaccination Rate among Pregnant Women: Og Son Kim, Sung Won Yoon; J Korean Acad Nurs 2014;44(5):534-541. Published online October 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.5.534

Abstract PDF

Purpose

This study was done to examine the actual state of influenza vaccination among pregnant women and factors affecting vaccination rate.

Methods

Data were collected using self-report questionnaires. Participants were pregnant women who participated in a prenatal education program at an acute care hospital in 2013. Data collected from 218 pregnant women were analyzed using the SPSS 18.0 Program.

Results

Only 48.6% of the pregnant women had received vaccination when the influenza was prevalent. Statistically significant factors affecting the influenza vaccination rate among pregnant women were vaccination experience in the previous year, knowledge and attitude about vaccination, and gestation period.

Conclusion

Results indicate that the influenza vaccination rate among pregnant women is lower than that of elders, healthcare workers, and patients with chronic diseases, who have been considered to be the mandatory vaccination recipients. Therefore, it is necessary to develop programs and policies which provide information including safety of vaccines for pregnant women and to induce positive attitudes towards vaccination for these women, in order to ultimately improve the vaccination rate.

Citations

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Factors Associated With Influenza Vaccination During Pregnancy: A Real-World Evidence-Based Study
Kuang-Hua Huang, Wan-Ting Xie, Jiun-Yi Wang, Te-Feng Yeh, Tung-Han Tsai, Yu-Chia Chang
INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2024;[Epub] CrossRef
Altered Influenza Vaccination Coverage and Related Factors in Pregnant Women in Korea from 2007 to 2019
Jae Hyoung Im, Dae Hoon Choi, Jihyeon Baek, Hea Yoon Kwon, Soo Ran Choi, Moon-Hyun Chung, Jin-Soo Lee
Journal of Korean Medical Science.2021;[Epub] CrossRef
Factors that influence vaccination decision-making among pregnant women: A systematic review and meta-analysis
Eliz Kilich, Sara Dada, Mark R. Francis, John Tazare, R. Matthew Chico, Pauline Paterson, Heidi J. Larson, Ray Borrow
PLOS ONE.2020; 15(7): e0234827. CrossRef
Influenza vaccine acceptance and health beliefs among Korean kidney transplant patients
Hye Jin Chong, Hyun Kyung Kim, Myung Ha Lee, Sik Lee
Psychology, Health & Medicine.2018; 23(9): 1113. CrossRef
Factors associated with Pneumococcal Vaccinations in Older Adults
Ju-Lee Lee, Eun Kyung Lee
Journal of Korean Gerontological Nursing.2018; 20(1): 1. CrossRef
Factors associated with a successful expansion of influenza vaccination among pregnant women in Nicaragua
Carmen S. Arriola, Nancy Vasconez, Mark Thompson, Sara Mirza, Ann C. Moen, Joseph Bresee, Ivy Talavera, Alba María Ropero
Vaccine.2016; 34(8): 1086. CrossRef
Comparison of the Incidence Rate of Influenza-like Illness between an Influenza-Vaccinated Group and Unvaccinated Group
So-Yeon Yoo, Og Son Kim
Journal of Korean Biological Nursing Science.2016; 18(2): 110. CrossRef
Coverage Rate and Factors Associated with Vaccination in Adult Recommended Pneumococcal Vaccine
Soon Young Lee, Soon Rim Suh
Journal of Health Informatics and Statistics.2016; 41(2): 231. CrossRef
Knowledge and Compliance with Prevention of Respiratory Tract Infection Among Workers in Geriatric Facilities
Og Son Kim
Korean Journal of Nosocomial Infection Control.2015; 20(2): 61. CrossRef

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