Ives Mary, Melrose Sherri
Chilliwack Health Unit, Chilliwack, British Columbia, Canada.
Nurs Forum. 2010 Jan-Mar;45(1):29-39. doi: 10.1111/j.1744-6198.2009.00161.x.
Despite increasing evidence that immunization procedures can be stressful for children, little is known about what the experience of immunizing frightened and needle-resistant children can be like for nurses.
This article presents findings from a qualitative research project designed to explore public health nurses' feelings toward immunizing needle-resistant children. A constructivist theoretical perspective and an action research approach framed the study. Data sources included two survey questions and audio-recorded transcribed data from three focus groups. Participants included 35 public health nurses from five different health units in one Canadian province. The data were analyzed for themes and were confirmed with participants through ongoing member checking.
The following four overarching themes were identified and are used to explain and describe significant features of the immunization experience that were stressful and problematic for nurses: (a) nurses experience stress when immunizing children who fear and resist needle injection; (b) the strength of child resistance and some adult behavior creates an ethical dilemma for nurses; (c) some adult responses make immunizing difficult and unsafe; and (d) resources to help nurses cope with these situations are inconsistent.
尽管越来越多的证据表明免疫接种程序可能会给儿童带来压力，但对于护士而言，为恐惧打针和抗拒打针的儿童进行免疫接种会是怎样的体验，却知之甚少。
本文介绍了一项定性研究项目的结果，该项目旨在探究公共卫生护士对为抗拒打针的儿童进行免疫接种的感受。研究采用建构主义理论视角和行动研究方法。数据来源包括两个调查问题以及来自三个焦点小组的录音转录数据。参与者包括来自加拿大一个省份五个不同卫生单位的35名公共卫生护士。对数据进行主题分析，并通过持续的成员核对与参与者进行确认。
确定了以下四个总体主题，用于解释和描述免疫接种体验中对护士来说压力大且成问题的显著特征：(a) 护士在为害怕和抗拒打针的儿童进行免疫接种时会感到压力；(b) 儿童抗拒的程度以及一些成人的行为给护士带来了伦理困境；(c) 一些成人的反应使免疫接种变得困难且不安全；(d) 帮助护士应对这些情况的资源并不一致。
