青少年学校免疫计划中的伦理挑战：一项定性研究
Ethical Challenges in School-Based Immunization Programs for Adolescents: A Qualitative Study.
作者信息
Braunack-Mayer Annette, Skinner S Rachel, Collins Joanne, Tooher Rebecca, Proeve Claudia, O'Keefe Maree, Burgess Teresa, Watson Maureen, Marshall Helen
机构信息
Annette Braunack-Mayer, Joanne Collins, Rebecca Tooher, Claudia Proeve, and Teresa Burgess are with the School of Population Health, University of Adelaide, South Australia, Australia. Helen Marshall is with the School of Paediatric and Reproductive Health, University of Adelaide, South Australia. S. Rachel Skinner is with the Discipline of Paediatrics and Child Health, University of Sydney, New South Wales, Australia. Maree O'Keefe is with the Faculty of Health Sciences, University of Adelaide, South Australia. Maureen Watson is with the Communicable Disease Control Branch, South Australia Health, South Australia.
出版信息
Am J Public Health. 2015 Jul;105(7):1399-403. doi: 10.2105/AJPH.2014.302280. Epub 2015 Jan 20.
OBJECTIVES
We investigated ethical issues in school-based immunization programs for adolescents and how they are addressed.
METHODS
We used qualitative methods and an ethnographic approach to observe 9 secondary schools on immunization days in South Australia in 2011; concurrently, we conducted 9 focus groups with female secondary school students, 6 semistructured interviews with parents, and 10 interviews with nurses and teachers. We explored ethical challenges from the perspective of these groups.
RESULTS
We identified ethical challenges for the delivery of adolescent immunization in a school-based setting in 3 main areas: informed consent, restrictions on privacy, and harm to students in the form of fear and anxiety.
CONCLUSIONS
We found areas in which the design and delivery of school-based immunization programs can be improved. Information about immunization should be provided in ways that are appropriate to young people and their parents, and privacy protections should be enhanced when possible. Involving young people in the design and delivery of programs would assist with making these improvements.
目的
我们调查了针对青少年的校内免疫计划中的伦理问题以及这些问题是如何解决的。
方法
我们采用定性方法和人种志方法，于2011年在南澳大利亚免疫日观察了9所中学；同时，我们与女中学生进行了9次焦点小组讨论，与家长进行了6次半结构化访谈，并与护士和教师进行了10次访谈。我们从这些群体的角度探讨了伦理挑战。
结果
我们确定了在学校环境中提供青少年免疫服务时在3个主要领域存在的伦理挑战：知情同意、隐私限制以及以恐惧和焦虑形式对学生造成的伤害。
结论
我们发现了可以改进校内免疫计划设计和实施的领域。免疫信息应以适合年轻人及其父母的方式提供，并且应尽可能加强隐私保护。让年轻人参与计划的设计和实施将有助于做出这些改进。
Zotero 插件