Vaccine Hesitancy and the Frontline: A Review of How Nurses, Pharmacists, and Emergency Medical Services Personnel Can Collaborate as Trusted Messengers for Health Security and Community Immunity

Faris Minshut Saeed Alshahrani (1), Yazeed Mohammed Salem Alatawi (2), Kheder Moussa Yahia Gabarri (3), Ali Mohammed Ali Qaysi (3), Tariq Ahmed Hamoud Al Khairat (4), Abdullah Solan Mhnashi (3), Eissa Mohd Essaily (5), Taher Mohammed Yahya Muhr (6), Ali Hadi Mohammed Kariri , Haitham Ali Mohammed Akkur
(1) Ashwaq General Hospital, Ministry of Health, Saudi Arabia,
(2) Ashwag General Hospital, Ministry of Health, Saudi Arabia,
(3) Samtah General Hospital,Ministry of Health, Saudi Arabia,
(4) Samtah General Hospital, Jazan, Ministry of Health, Saudi Arabia,
(5) Sabya General Hospital, Ministry of Health, Saudi Arabia,
(6) Crisis And Disaster Management Center of Jazan,Ministry of Health, Saudi Arabia

Abstract

Background: Vaccine hesitancy—the delay in acceptance or refusal of safe vaccines despite their availability—has been identified as one of the greatest threats to global health, a challenge that intensified during the COVID-19 pandemic as misinformation proliferated and immunization rates declined worldwide.


Aim: This narrative review examines the critical role of nurses, pharmacists, and Emergency Medical Services (EMS) personnel as trusted healthcare professionals in addressing vaccine hesitancy, synthesizing evidence on effective communication strategies, the impact of interprofessional collaboration on vaccination uptake, and the barriers these frontline providers face.


Methods: A comprehensive literature search was conducted across academic databases and government publications for peer-reviewed articles, systematic reviews, and policy analyses published between 2010 and 2024.


Results: The review highlights barriers to vaccine uptake, such as misinformation, inadequate communication tools, time constraints, and systemic obstacles, while identifying facilitators like trusting patient relationships and access to educational resources. It discusses effective communication strategies, including motivational interviewing and empathetic-refutational interviewing, that positively influence vaccine attitudes and uptake. Additionally, interprofessional education initiatives, particularly involving EMS personnel, are noted for their potential in fostering collaborative vaccine advocacy, as they work closely with vulnerable populations in both routine and emergency contexts.


Conclusion: Nurses, pharmacists, and EMS personnel play crucial roles in combating vaccine hesitancy. Their effectiveness can be increased by addressing systemic barriers, offering training in evidence-based communication, promoting interprofessional collaboration, and aligning efforts with health security priorities.

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Authors

Faris Minshut Saeed Alshahrani
fmsmshahrani@gmail.com (Primary Contact)
Yazeed Mohammed Salem Alatawi
Kheder Moussa Yahia Gabarri
Ali Mohammed Ali Qaysi
Tariq Ahmed Hamoud Al Khairat
Abdullah Solan Mhnashi
Eissa Mohd Essaily
Taher Mohammed Yahya Muhr
Ali Hadi Mohammed Kariri
Haitham Ali Mohammed Akkur
Alshahrani, F. M. S., Yazeed Mohammed Salem Alatawi, Kheder Moussa Yahia Gabarri, Ali Mohammed Ali Qaysi, Tariq Ahmed Hamoud Al Khairat, Abdullah Solan Mhnashi, … Haitham Ali Mohammed Akkur. (2024). Vaccine Hesitancy and the Frontline: A Review of How Nurses, Pharmacists, and Emergency Medical Services Personnel Can Collaborate as Trusted Messengers for Health Security and Community Immunity. Saudi Journal of Medicine and Public Health, 1(2), 2398–2409. https://doi.org/10.64483/202412667

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