Immunizations have a significant
impact on the health of children and significant role in decrease the rates of
vaccine-preventable diseases. Even though, some parents are concerned about the
safety and the necessity of vaccines. This concern of parents ranges from
hesitancy to refusal of 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 are unnecessary and cause
autism. Each child visits are so stressful 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 behind the vaccine refusal. In study parents concerned about
mainly too many vaccines at a time, pain after receiving vaccines, development
of autism, other learning disabilities or lead to chronic illness after
receiving vaccines and finally the safety of vaccines before use. In this
question, the parents are concerned about MMR vaccine because their kid is 18
months old. First, give importance to the child, who is not responsible for the
parental decision. When the child is due to receive vaccine nothing is more
important than making time for 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. Encourage them to talk with other parents whose children already vaccinated.
In my experience, I felt that parent’s decision about vaccination primarily
influenced by health care provider. Health care providers (HCP) can make a
positive influence on parents 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.

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            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.


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