Immunizations have a significantimpact on the health of children and significant role in decrease the rates ofvaccine-preventable diseases. Even though, some parents are concerned about thesafety and the necessity of vaccines. This concern of parents ranges fromhesitancy to refusal of vaccinations (American Academy of Pediatrics). As perthe Periodic Survey of Fellows (PS#66) in 2006 75% of parents declined thevaccine and in 2013 it is increased by 87%. The reason behind the refusal of avaccine is that parents are believed that vaccines are unnecessary and causeautism. Each child visits are so stressful for parents.
However, studies showscontinue engagement and personal relationship with parents helps them toreceive vaccine after initially refusing them. Nurses willingness to listen theirconcern play a major role to choose vaccination. A number of studies have attempted to findout the reason behind the vaccine refusal. In study parents concerned aboutmainly too many vaccines at a time, pain after receiving vaccines, developmentof autism, other learning disabilities or lead to chronic illness afterreceiving vaccines and finally the safety of vaccines before use.
In thisquestion, the parents are concerned about MMR vaccine because their kid is 18months old. First, give importance to the child, who is not responsible for theparental decision. When the child is due to receive vaccine nothing is moreimportant than making time for that family. Reassure the mother about there isno evidence of vaccines and autism. Explain to parent sometimes the onset of autismsymptoms often coincides with the timing of vaccines but is not caused byvaccines. Encourage them to talk with other parents whose children already vaccinated.
In my experience, I felt that parent’s decision about vaccination primarilyinfluenced by health care provider. Health care providers (HCP) can make apositive influence on parents through their honest and respectful relationshipwith parents. Especially readiness to hear their various concerns about vaccinationas listed above. After acknowledging the various concerns, take time andcommunicate with parents about the safety and importance of vaccines, andseriousness of unimmunized. The frequency, intensity, and depth of knowledgeregarding vaccination are different for each person.
Parent-centered motivational interviewing isanother effective way to communicate. Encourage parents to ask questions thiswill help HCP’s to provide more information. Nurses have an obligation topromote a safe clinical environment for vaccine resistant through compassion,patience, and respect. After so many appointments with parents regardingimmunization and still, they are decline vaccine without nonmedical reason as anurse you can refer them to another HCP. Make sure parents of unvaccinatedchildren fully aware of contagious diseases and symptoms.
Advise them to seekmedical attention if necessary. In conclusion, it is important thatall parents want what is best for their children. Effective communication helpsyou to reach your goals. Reference to reliable resources helpful for parentsallays their concerns.