What informs parents' decision-making about childhood vaccinations?
What informs parents' decision-making about childhood vaccinations?
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DOI：
10.1111/j.1365-2648.2010.05403.x
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发表时间：
2010-11-01
影响因子：
3.8
通讯作者：
Helseth, Solvi
中科院分区：
文献类型：
--
作者：
Austvoll-Dahlgren, Astrid;Helseth, Solvi
目的。本文是一项研究报告，旨在确定父母与儿童疫苗接种相关的决策过程，包括搜索信息的障碍和促进因素。背景。有关儿童疫苗接种的决策很复杂。获得最佳可用证据以及获取和理解此类信息的能力对于有效参与决策是必要的。方法。 2008 年，采用扎根理论方法，对家长 (n = 10) 和公共卫生护士 (n = 16) 进行了半结构化访谈和焦点小组。数据通过事件到事件和轴向编码得出。研究发现，对疫苗接种持积极态度并做出决定是参与和获取信息的主要障碍；其他因素是对自己能力和能力的看法。公共卫生护士是父母最重要的信息来源，但往往提供信息以促进疫苗接种。与此相关的问题以及信息不充分的问题是，一些家长对自己做出的决定缺乏信心，对自己在决策中的权利和责任表示不确定。结论。公共卫生护士提供的信息不应促进特定选择，而应平衡，解释好处和危害，并附有合格的建议。改进实践的有用工具可能包括共同决策清单和有关值得信赖网站的指南。
Aim. This paper is a report of a study conducted to identify parents' decision-making processes in relation to childhood vaccinations, including barriers and facilitators to searching for information.Background. Decision-making about childhood vaccinations is complex. Access to the best available evidence and the ability to obtain and understand such information are necessary for effective participation in decision-making.Methods. A grounded theory approach was used, with semi-structured interviews and focus groups with parents (n = 10) and public health nurses (n = 16) conducted in 2008. Data were derived through incident-to-incident and axial coding.Findings. Being positive towards vaccination and being decided were found to be main barriers to participation and obtaining information; other factors were perceptions about own abilities and capacity. Public health nurses were the parents' most important source of information, but tended to inform to facilitate vaccinations. Issues related to this and being inadequately informed were that some parents expressed low confidence about the decision they had made and uncertainty about their rights and responsibilities in decision-making.Conclusion. Information delivered by public health nurses should not facilitate a specific choice but rather be balanced, explaining the benefits and harms, and accompanied by a qualified recommendation. Useful tools to improve practice may include checklists for shared decision-making and guidelines about trustworthy websites.