Chen, Yingyan, Tower, Marion, Zimmerman, Peta Ann, Sparke, Vanessa, Prichard, Roslyn, Layh, Janice, Mason, Matthew, and Lin, Frances Fengzhi (2026) Barriers and Facilitators to COVID-19 Vaccine Rollout among Health Professional Students: A Qualitative Study from an Organizational Stakeholder Perspective. Disaster Medicine and Public Health Preparedness, 20. e57.

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Abstract

Objectives To explore barriers and facilitators experienced by Australian organizational stakeholders in implementing COVID-19 vaccine rollout for health professional students. Methods A qualitative study using semi-structured interviews with organizational stakeholders, including senior health department staff, university clinical placement coordinators, and clinical educators across Australia from November 21 to December 20, 2022, via ZOOM. An inductive and then deductive thematic analysis was conducted, guided by the Theoretical Domains Framework. Findings Nineteen participants were interviewed. Five key domains were generated: environmental context and resources, attention, decision-making, and goals, professional role and identity, emotion, and optimism. Barriers included top-down communication, inconsistent messaging, and limited vaccine access, leading to negative emotions. Enablers included teamwork, adaptability, and optimism. Conclusions The findings offer insights into operational challenges and support during the vaccine rollout. These lessons should inform strategies to overcome similar barriers in future large-scale health interventions or emergency responses.

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