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Parents' Experiences and Nurses' Perceptions of Decision-Making About Childhood Immunization
Sharolyn Mossey1, Shelly Hosman2, Phyllis Montgomery1
1School of Nursing, Laurentian University, Sudbury, Ontario, Canada.
Parents and nurses prioritize child protection in immunization decisions. Parents actively seek information and deliberate risks and benefits, while nurses focus on child and population health. This highlights key areas for nursing education and parent engagement.
Area of Science:
- Pediatric Nursing
- Public Health
- Immunization Practices
Background:
- Canadian immunization is recommended, not mandated, leading to parental autonomy in decision-making.
- Childhood immunization uptake in Canada is currently below national targets.
- Nurses encounter parental vaccine hesitancy and diverse decision-making experiences.
Purpose of the Study:
- To explore parents' and nurses' decision-making experiences regarding childhood immunizations.
- Focus on specific vaccines: measles-mumps-rubella (MMR) and diphtheria-tetanus-acellular pertussis (DTaP).
Main Methods:
- Utilized Thorne's interpretative description approach.
- Involved qualitative data collection from 6 nurses and 16 parents in northeastern Ontario.
Main Results:
- The primary motivation for both parents and nurses was child protection.
- Parents engaged in information seeking, deliberation of risks/benefits, and decision responsibility.
- Nurses' motivations included child protection and broader population health.
Conclusions:
- Nursing implications include integrating immunization competencies into curricula and professional development.
- Recommendations involve validating parental protective actions and enhancing nurse-led education.
- Engaging parents via social media is suggested to improve access to reliable immunization information.
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