Communicating with parents about vaccination: a framework for health professionals.
Communicating with parents about vaccination: a framework for health professionals.
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DOI：
10.1186/1471-2431-12-154
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发表时间：
2012-09-21
期刊：
影响因子：
2.4
通讯作者：
Rowles G
中科院分区：
文献类型：
--
作者：
Leask J;Kinnersley P;Jackson C;Cheater F;Bedford H;Rowles G
影响父母对疫苗接种态度的一个关键因素是父母与卫生专业人员的互动。有效的互动可以解决支持疫苗的父母的担忧，并激励犹豫不决的父母接受疫苗。沟通不畅可能导致拒绝接种疫苗或对护理不满。我们试图为卫生专业人员提供一个框架，以便与父母就疫苗接种进行沟通。文献综述，以确定父母对儿童疫苗接种的态度或“立场”，并根据人群研究估计各组的比例。制定一个与每一个父母的立场有关的框架，确定基于传播科学、动机性访谈和有效同意原则的关键指标、目标和战略。确定了五个不同的父母群体：“无疑问的接受者”（30-40%），“谨慎的接受者”（25-35%），“犹豫不决”（20-30%），“迟或选择性接种者”（2-27%）和“拒绝所有疫苗”（<2%）。与每个群体接触的目标会有所不同，这取决于父母是否准备接种疫苗。在所有接触中，卫生专业人员应建立融洽关系，接受问题和关切，并促进有效的同意。对于犹豫不决、延迟或选择性接种者或拒绝者，策略应包括使用指导风格和激发父母自己接种疫苗的动机，同时避免过度说服和对抗性辩论。可能需要预约另一个预约或在专门的不良事件诊所提供就诊。还应利用好信息资源。卫生专业人员在维护公众对疫苗接种的信任方面发挥着核心作用，包括解决父母的关切。这些建议是针对特定的父母接种疫苗的立场，并提供了一个结构化的方法，以协助专业人员。他们提倡相互尊重的互动，旨在引导父母做出高质量的决定。
A critical factor shaping parental attitudes to vaccination is the parent’s interactions with health professionals. An effective interaction can address the concerns of vaccine supportive parents and motivate a hesitant parent towards vaccine acceptance. Poor communication can contribute to rejection of vaccinations or dissatisfaction with care. We sought to provide a framework for health professionals when communicating with parents about vaccination. Literature review to identify a spectrum of parent attitudes or ‘positions’ on childhood vaccination with estimates of the proportion of each group based on population studies. Development of a framework related to each parental position with determination of key indicators, goals and strategies based on communication science, motivational interviewing and valid consent principles. Five distinct parental groups were identified: the ‘unquestioning acceptor’ (30–40%), the ‘cautious acceptor’ (25–35%); the ‘hesitant’ (20–30%); the ‘late or selective vaccinator’ (2–27%); and the ‘refuser’ of all vaccines (<2%). The goals of the encounter with each group will vary, depending on the parents’ readiness to vaccinate. In all encounters, health professionals should build rapport, accept questions and concerns, and facilitate valid consent. For the hesitant, late or selective vaccinators, or refusers, strategies should include use of a guiding style and eliciting the parent’s own motivations to vaccinate while, avoiding excessive persuasion and adversarial debates. It may be necessary to book another appointment or offer attendance at a specialised adverse events clinic. Good information resources should also be used. Health professionals have a central role in maintaining public trust in vaccination, including addressing parents’ concerns. These recommendations are tailored to specific parental positions on vaccination and provide a structured approach to assist professionals. They advocate respectful interactions that aim to guide parents towards quality decisions.
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DOI：
10.1177/0038038505050536
发表时间：
2005-04-01
影响因子：
2.9
作者：
Brownlie, J;Howson, A
通讯作者：
Howson, A
影响因子：
2.9
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
5.5
作者：
Bryant, Kristina A.;Wesley, Gina C.;Marshall, Gary S.
通讯作者：
Marshall, Gary S.
影响因子：
8
作者：
Cooper, Louis Z.;Larson, Heidi J.;Katz, Samuel L.
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