dc.contributor.author | Sivertsen, Nina | |
dc.contributor.author | Smith, Susan E. | |
dc.contributor.author | Lines, Lauren Elizabeth | |
dc.contributor.author | De Bellis, Anita | |
dc.date.accessioned | 2024-03-26T08:47:37Z | |
dc.date.available | 2024-03-26T08:47:37Z | |
dc.date.issued | 2022-01-15 | |
dc.description.abstract | Objectives: : Vaccine refusal is increasing in Australia and is a major concern in high- and middle income countries. There is evidence to suggest that some parents, even those who elect to
immunise, may be vaccine hesitant with some manipulating the schedule by excluding or
delaying some vaccines. The aim of this review was to gain an understanding of factors that
influence vaccine decision-making in pregnant women and parents of children. <p>
<p>Design: : An integrative review approach was used to produce an analysis of existing literature on
vaccine decision-making in pregnancy and parents. As the broadest of review methods, an inte grative review can include a range of experimental and non-experimental research, thereby
ensuring the inclusion of data from multiple perspectives.
<p>Data Sources: : Online databases were searched for research related to vaccine decision-making in
pregnant women and parents. Original and review articles were sought that were published in
English between 2015 and 2021. Reviewed articles included qualitative and quantitative studies
and systematic reviews. No mixed methods papers were located or excluded from this review.
<p>Review methods: : The review method was an integrative review informed by Coughlan.
<p>Results: : Papers from thirteen predominantly high- and middle-income countries were selected
for this review. A total of 31 articles fit the inclusion/exclusion criteria, including qualitative,
quantitative and review articles. Three main themes were identified including the role of
healthcare professionals, vaccine safety concerns and alternative influences. Alternative in fluences included: social media, friends and family, religion, conspiracy theories and salutogenic
parenting. Findings suggest that high levels of anxiety are involved in vaccine decision-making
with parents seeking information from multiple sources including healthcare professionals,
friends and family and social media.
<p>Conclusions: : Pregnancy is an ideal time to provide education on both pregnancy and childhood
vaccinations. However, some parents reported dissatisfaction in their therapeutic relationships
with healthcare professionals. As a result, parents can resort to their own information seeking, in
the main via social media which has been linked to vaccine refusal. Additionally, some healthcare
professionals report feeling inadequately prepared for the role of immunisation promotion and
provision. Parental information seeking from non-traditional sources has been shown to result in
the acquisition of misinformation, exposure to conspiracy theories, the inevitable loss of vaccine
confidence and subsequent vaccine refusal. | en_US |
dc.identifier.citation | Sivertsen N, Smith SE, Lines LE, De Bellis A. Decision making in vaccine hesitant parents and pregnant women – An integrative review. International Journal of Nursing Studies Advances (IJNS Advances). 2022 | en_US |
dc.identifier.cristinID | FRIDAID 2254941 | |
dc.identifier.doi | https://doi.org/10.1016/j.ijnsa.2022.100062 | |
dc.identifier.issn | 2666-142X | |
dc.identifier.uri | https://hdl.handle.net/10037/33271 | |
dc.language.iso | eng | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.journal | International Journal of Nursing Studies Advances (IJNS Advances) | |
dc.relation.uri | https://www.sciencedirect.com/science/article/pii/S2666142X22000029?via%3Dihub | |
dc.rights.accessRights | openAccess | en_US |
dc.rights.holder | Copyright 2022 The Author(s) | en_US |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0 | en_US |
dc.rights | Attribution 4.0 International (CC BY 4.0) | en_US |
dc.title | Decision making in vaccine hesitant parents and pregnant women – An integrative review | en_US |
dc.type.version | publishedVersion | en_US |
dc.type | Journal article | en_US |
dc.type | Tidsskriftartikkel | en_US |
dc.type | Peer reviewed | en_US |