Exploring vaccine hesitancy in care home employees in North West England: A qualitative study

Amelia Dennis, Charlotte Robin, Leah Ffion Jones, Holly Carter

Research output: Contribution to journalArticlepeer-review

7 Citations (SciVal)


Objectives Care homes have experienced a high number of COVID-19 outbreaks, and it is therefore important for care home employees to receive the COVID-19 vaccine. However, there is high vaccine hesitancy among this group. We aimed to understand barriers and facilitators to getting the COVID-19 vaccine, as well as views on potential mandatory vaccination policies. Design Semi-structured interviews. Setting Care home employees in North West England. Interviews conducted in April 2021. Participants 10 care home employees (aged 25-61 years) in the North West, who had been invited to have, but not received the COVID-19 vaccine. Results We analysed the interviews using a framework analysis. Our analysis identified eight themes: perceived risk of COVID-19, effectiveness of the vaccine, concerns about the vaccine, mistrust in authorities, facilitators to getting the vaccine, views on mandatory vaccinations, negative experiences of care work during the COVID-19 pandemic, and communication challenges. Conclusions Making COVID-19 vaccination a condition of deployment may not result in increased willingness to get the COVID-19 vaccination, with most care home employees in this study favouring leaving their job rather than getting vaccinated. At a time when many care workers already had negative experiences during the pandemic due to perceived negative judgement from others and a perceived lack of support facing care home employees, policies that require vaccination as a condition of deployment were not positively received.

Original languageEnglish
Article numbere055239
JournalBMJ Open
Issue number5
Publication statusPublished - 2 May 2022

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  • COVID-19
  • public health
  • qualitative research

ASJC Scopus subject areas

  • Medicine(all)


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