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Understanding non-vaccinating parents' views to inform and improve clinical encounters: a qualitative study in an Australian community.
Helps, Catherine; Leask, Julie; Barclay, Lesley; Carter, Stacy.
Afiliación
  • Helps C; University Centre for Rural Health, University of Sydney, Lismore, New South Wales, Australia.
  • Leask J; Susan Wakil School of Nursing and Midwifery, University of Sydney, Camperdown, New South Wales, Australia.
  • Barclay L; University Centre for Rural Health, University of Sydney, Lismore, New South Wales, Australia.
  • Carter S; Australian Centre for Health Engagement, Evidence and Values (ACHEEV), School of Health and Society, University of Wollongong, Wollongong, New South Wales, Australia.
BMJ Open ; 9(5): e026299, 2019 05 28.
Article en En | MEDLINE | ID: mdl-31142523
OBJECTIVES: To explain vaccination refusal in a sample of Australian parents. DESIGN: Qualitative design, purposive sampling in a defined population. SETTING: A geographically bounded community of approximately 30 000 people in regional Australia with high prevalence of vaccination refusal. PARTICIPANTS: Semi structured interviews with 32 non-vaccinating parents: 9 fathers, 22 mothers and 1 pregnant woman. Purposive sampling of parents who had decided to discontinue or decline all vaccinations for their children. Recruitment via local advertising then snowballing. RESULTS: Thematic analysis focused on explaining decision-making pathways of parents who refuse vaccination. Common patterns in parents' accounts included: perceived deterioration in health in Western societies; a personal experience introducing doubt about vaccine safety; concerns regarding consent; varied encounters with health professionals (dismissive, hindering and helpful); a quest for 'the real truth'; reactance to system inflexibilities and ongoing risk assessment. CONCLUSIONS: We suggest responses tailored to the perspectives of non-vaccinating parents to assist professionals in understanding and maintaining empathic clinical relationships with this important patient group.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Padres / Conocimientos, Actitudes y Práctica en Salud / Negativa a la Vacunación Tipo de estudio: Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Female / Humans / Male / Pregnancy País/Región como asunto: Oceania Idioma: En Revista: BMJ Open Año: 2019 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Padres / Conocimientos, Actitudes y Práctica en Salud / Negativa a la Vacunación Tipo de estudio: Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Female / Humans / Male / Pregnancy País/Región como asunto: Oceania Idioma: En Revista: BMJ Open Año: 2019 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido