Immunizations are very important on
the health of children and have a major role in reduce the number of
vaccine-preventable diseases. However, most of the parents are concerned about
the accuracy and the importance of vaccines. This concern of parents leads to take vaccinations (American Academy of Pediatrics).
As per the Periodic Survey of Fellows (PS#66) in 2006 75% of parents declined
the vaccine and in 2013 it is increased by 87%. The reason behind the refusal
of a vaccine is that parents are believed that vaccines have no significance on
child health and cause autism. Each vaccination is a nightmare for parents.
However, studies shows continue engagement and personal relationship with
parents helps them to receive vaccine after initially refusing them. Nurses
willingness to listen their concern play a major role to choose vaccination.
A number of studies have attempted to find
out the reason why parents are refusing vaccines? In study parents concerned
about mainly number of vaccines at a time, pain and fever , autism development,
new development of other learning disabilities, and finally the safety and
hygiene of vaccines before use. In this question, the parents are concerned
about MMR vaccine because their kid is 18 months old. First, child health
should be the primary concern of nurse, who is not involved in the parental decision.
When the child is due to receive vaccine spend more time with that family. Reassure
the mother about there is no evidence of vaccines and autism. Explain to parent
sometimes the onset of autism symptoms often coincides with the timing of
vaccines but is not caused by vaccines. Arrange a meeting with other parents
whose children already vaccinated. In my experience, I felt that Health care
providers (HCP’s) can influence positively on parent’s decision about
vaccination through their honest and respectful relationship with parents.
Especially readiness to hear their various concerns about vaccination as listed
above. After acknowledging the various concerns, take time and communicate with
parents about the safety and importance of vaccines, and seriousness of unimmunized.
The frequency, intensity, and depth of knowledge regarding vaccination are
different for each person. Parent-centered motivational interviewing is
another effective way to communicate. Encourage parents to ask questions this
will help HCP’s to provide more information. Nurses have an obligation to
promote a safe clinical environment for vaccine resistant through compassion,
patience, and respect. After so many appointments with parents regarding
immunization and still, they are decline vaccine without nonmedical reason as a
nurse you can refer them to another HCP. Make sure parents of unvaccinated
children fully aware of contagious diseases and symptoms. Advise them to seek
medical attention if necessary.
In conclusion, it is important that
all parents want what is best for their children. Effective communication helps
you to reach your goals. Reference to reliable resources helpful for parents
allays their concerns