A Simulation Experience for Preparing Nurses to Address Refusal of Childhood Vaccines

Journal of Nursing Education - Tập 59 Số 4 - Trang 222-226 - 2020
Laura Nold, Michael J. Deem

Tóm tắt

Background: Parents' refusal of childhood immunizations presents a challenge to the provision of care to children. Nurses should be prepared for having difficult conversations with vaccine-refusing families and for contributing to discussions with their colleagues regarding whether to continue to provide care to these families. Method: A novel high-fidelity ethics simulation experience was developed and implemented in the pediatrics course of a baccalaureate nursing program. The simulation experience involved a clinical scenario in which nurses encountered and addressed parental vaccine refusal and discussed options for addressing refusal with their physician colleagues. Results: Three themes emerged from analysis of the students' evaluations of the simulation experience. Students reported feeling better prepared for addressing vaccine hesitancy, having greater awareness of their own biases toward vaccine-refusing families, and becoming newly acquainted with their potential role in enforcing practices' dismissal policies for vaccine-refusing families. Conclusion: Nurse educators should consider incorporating ethics simulation experiences into existing ethics instruction and clinical training. [ J Nurs Educ. 2020;59(4):222–226.]

Từ khóa


Tài liệu tham khảo

American Nurses Association. (2015). Code of ethics for nurses with interpretative statements. Silver Spring, MD: Nursesbooks.org.

10.1016/j.vaccine.2010.04.052

Centers for Disease Control and Prevention. (2018). Recommended vaccines by age . Retrieved from https://www.cdc.gov/vaccines/vpd/vaccines-age.html.

Corbin J., Strauss A. (2014). Basics of qualitative research: Techniques and procedures for developing grounded theory (4th ed.). Thousand Oaks, CA: Sage.

10.1097/01.NURSE.0000526899.00004.b9

10.1097/01.NAJ.0000544142.09253.e0

10.1177/0890117120906971

10.1001/jamapediatrics.2018.0259

10.1111/jlme.12307

10.1177/0844562117731975

10.1542/peds.2016-2146

10.1097/INF.0b013e3181faaaa3

10.1542/peds.2016-2127

10.3928/01484834-20161219-11

10.1093/pch/pxy116

10.1016/j.outlook.2019.06.014

10.1016/j.amepre.2018.10.024

10.1542/peds.2015-2086

10.1177/0969733011423559