J Nurs Educ. 2020 Apr 1;59(4):222-226. doi: 10.3928/01484834-20200323-09.
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.
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.
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.
Nurse educators should consider incorporating ethics simulation experiences into existing ethics instruction and clinical training. [J Nurs Educ. 2020;59(4):222-226.].
家长拒绝为儿童接种疫苗，这对儿童护理的提供提出了挑战。护士应该为与拒绝接种疫苗的家庭进行艰难对话做好准备，并为与同事讨论是否继续为这些家庭提供护理做出贡献。
在护理学士课程的儿科学课程中开发并实施了一种新颖的高保真度伦理模拟体验。该模拟体验涉及一个临床场景，护士在该场景中遇到并解决了父母对疫苗的拒绝，并与他们的医生同事讨论了处理拒绝的选择。
对学生对模拟体验的评估进行分析后，出现了三个主题。学生报告说，他们在解决疫苗犹豫问题方面准备得更好，对自己对拒绝接种疫苗家庭的偏见有了更多的认识，并开始了解他们在执行拒绝接种疫苗家庭的惯例解雇政策方面的潜在作用。
护理教育者应考虑将伦理模拟体验纳入现有的伦理教学和临床培训中。[J Nurs Educ. 2020;59(4):222-226.]。
