A Broken Trust: Lessons from the Vaccine–Autism Wars

PLoS Biology, Public Library of Science, San Francisco, California, United States of America.
PLoS Biology (Impact Factor: 11.77). 06/2009; 7(5):e1000114. DOI: 10.1371/journal.pbio.1000114
Source: PubMed

ABSTRACT Researchers long ago rejected the theory that vaccines cause autism, yet many parents don't believe them. Can scientists bridge the gap between evidence and doubt?

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    ABSTRACT: Abstract Aim: The aim of this study was to describe how nurses in child health centres deal with parents who are hesitant to child vaccinations. Method: A study with a qualitative approach that was based on 12 semi-structured interviews. The informants were nurses working in child health centres in the Västra Götaland region. The interviews were analysed using qualitative content analysis. Results: The results identified six strategies for dealing with vaccine-hesitant parents: 1) using the family’s resources and knowledge to create a trusting relationship; 2) meetings with the same nurse; 3) open dialogue and active listening; 4) regular meetings between nurse and paediatrician; 5) nurse training on new vaccines and vaccination programme; and 6) nurse training on parents’ use of publicly available information. Conclusion: Nurses should get to know the vaccine-hesitant parents, by listening to them and understanding their point of view. Thereby, nurses establish a good relationship, inspire trust and actively involve the parents in the decision-making concerning the vaccination of their child. Nurses should not make vaccine-hesitant parents feel guilty about not wanting to vaccinate their child.
    08/2014; 2(4):47-59. DOI:10.5430/cns.v2n4p47

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May 29, 2014