School of Health Sciences, City, University of London, London, UK.
Menzies Health Institute Queensland, Griffith University, Southport, Australia.
J Adv Nurs. 2021 Feb;77(2):948-956. doi: 10.1111/jan.14652. Epub 2020 Nov 22.
The aim of this study was to explore which aspects of their role practice nurses perceive to be most influential and the strategies they employ to promote the MMR vaccine.
Qualitative study employing in depth interviews.
Fifteen London based practice nurses, nine in 2014 and six in 2018, took part in semi-structured interviews that were audio recorded and transcribed verbatim. Qualitative content analysis was used to systematically manage, analyse, and identify themes.
Analysis of data identified aspects of their role practice nurses perceived to be most influential (the themes) including: promoting vaccination, assisting parents' to make informed decisions, and provided insight into how they used specific strategies to achieve these in practice. These themes were consistent over both phases of the study.
The findings provide an understanding of: (i) the practice nurses perceptions of the most important aspects of their role when promoting the measles, mumps, and rubella vaccine; and (ii) the strategies they implemented in practice to achieve these. The latter included assisting parents in their immunization decisions and was facilitated by practice nurses engaging with parents to provide relevant evidence to address parent queries, dispel misconceptions and tailor strategies to promote the measles, mumps, and rubella vaccine.
This study addresses the paucity of literature available that specifically explores practice nurses' perceptions of their role concerning the measles, mumps, and rubella vaccine. The findings reveal how practice nurses promote the measles, mumps, and rubella vaccine by identifying strategies to enable parents to make informed decisions. At a time of an increasing incidence of measles, practice nurses have an important public health role in achieving herd immunity levels for measles, mumps, and rubella.
本研究旨在探讨执业护士认为在其工作实践中最具影响力的方面，以及他们采用的促进麻疹、腮腺炎和风疹（MMR）疫苗接种的策略。
采用深度访谈的定性研究。
2014 年和 2018 年，15 名伦敦执业护士参与了半结构式访谈，访谈内容被录音并逐字转录。采用定性内容分析法对数据进行系统管理、分析和主题识别。
数据分析确定了执业护士认为在其工作实践中最具影响力的方面（主题），包括：促进疫苗接种、协助家长做出知情决策，并深入了解他们在实践中如何使用特定策略来实现这些目标。这些主题在两个研究阶段都是一致的。
这些发现提供了对以下方面的理解：（i）执业护士在推广麻疹、腮腺炎和风疹疫苗时对其工作最重要方面的看法；（ii）他们在实践中实施的策略。后者包括协助家长做出免疫决策，这得益于执业护士与家长接触，提供相关证据来解决家长的疑问、消除误解，并制定策略来推广麻疹、腮腺炎和风疹疫苗。
本研究解决了现有文献中对执业护士对麻疹、腮腺炎和风疹疫苗接种工作角色看法的研究相对较少的问题。研究结果揭示了执业护士如何通过确定使家长做出知情决策的策略来推广麻疹、腮腺炎和风疹疫苗。在麻疹发病率不断上升的时期，执业护士在实现麻疹、腮腺炎和风疹的群体免疫水平方面具有重要的公共卫生作用。
