School of Health Sciences, City, University of London, Northampton Square, LondonEC1V 0HB, UK.
Menzies Health Institute Queensland, Gold Coast Campus, Griffith University, Queensland4222, Australia.
Prim Health Care Res Dev. 2021 May 27;22:e20. doi: 10.1017/S1463423621000256.
We aimed to understand practice nurses' perceptions about how they engage with parents during consultations concerning the measles, mumps and rubella (MMR) vaccine.
The incidence of measles is increasing globally. Immunisation is recognised as the most significant intervention to influence global health in modern times, although many factors are known to adversely affect immunisation uptake. Practice nurses are a key member of the primary care team responsible for delivering immunisation. However, little is known how practice nurses perceive this role.
Semi-structured interviews were undertaken with 15 practice nurses in England using a qualitative descriptive approach. Diversity in terms of years of experience and range of geographical practice settings were sought. These interviews were recorded, transcribed verbatim and open-coded using qualitative content analysis to manage, analyse and identify themes.
Three themes were derived from the data: engaging with parents, the informed practice nurse and dealing with parental concerns: strategies to promote MMR uptake. During their consultations, practice nurses encountered parents who held strong opinions about the MMR vaccine and perceived this to be related to the parents' socio-demographic background. Practice nurses sought to provide parents with tailored and accurate sources of information to apprise their immunisation decision-making about the MMR vaccine.
我们旨在了解执业护士在与父母就麻疹、腮腺炎和风疹（MMR）疫苗进行咨询时如何与他们接触的看法。
麻疹的发病率在全球范围内呈上升趋势。免疫接种被认为是现代影响全球健康的最重大干预措施，尽管许多因素已知会对免疫接种率产生不利影响。执业护士是负责提供免疫接种的初级保健团队的重要成员。然而，对于执业护士如何看待这一角色，我们知之甚少。
采用定性描述性方法，在英格兰对 15 名执业护士进行了半结构化访谈。我们寻求在经验年限和地理实践环境范围方面的多样性。对这些访谈进行了录音、逐字转录，并使用定性内容分析进行了开放性编码，以管理、分析和确定主题。
从数据中得出了三个主题：与父母的互动、知情的执业护士和应对父母的担忧：促进 MMR 接种率的策略。在咨询过程中，执业护士遇到了对 MMR 疫苗持有强烈意见的父母，并认为这与父母的社会人口背景有关。执业护士试图为父母提供量身定制和准确的信息来源，以告知他们关于 MMR 疫苗的免疫决策。
