Research Group GRINCAR, Department of Health Sciences, Faculty of Nursing and Podiatry, University of A Coruña, Naturalista López Seoane s/n, 15471 Ferrol, Spain.
Galician Health Service (SERGAS), University Hospital Complex of Ferrol, Av. da Residencia, S/N, 15405 Ferrol, Spain.
Int J Environ Res Public Health. 2021 Jul 16;18(14):7584. doi: 10.3390/ijerph18147584.
(1) Background: Health professionals play an important role in addressing parents who are hesitant or reluctant to immunise their children. Despite the importance of this topic, gaps remain in the literature about these experiences. This meta-ethnography aimed to synthesise the available body of qualitative work about the care experiences of community and hospital health professionals in encounters with parents hesitant or reluctant to vaccinate their children. The aim is to provide key information for the creation of strategies that address vaccine hesitancy or refusal and ensure public trust in vaccination programs, which are required in a pandemic context such as the current one. (2) Methods: Noblit and Hare's interpretive meta-ethnography of 12 studies was followed. A line of argument synthesis based on a metaphor was developed. (3) Results: The metaphor "The stone that refuses to be sculpted", accompanied by three themes, symbolises the care experiences of health professionals in their encounters with parents that hesitate or refuse to vaccinate their children. (4) Conclusions: The creation of clearer communication strategies, the establishment of a therapeutic alliance, health literacy and the empowerment of parents are recommended. The incorporation of health professionals in decision making and the strengthening of multidisciplinary teams interacting with such parents are also included.
(1) 背景：卫生专业人员在解决对儿童疫苗接种犹豫不决或不情愿的父母方面发挥着重要作用。尽管这个主题很重要，但文献中仍然存在关于这些经验的空白。这项元分析旨在综合关于社区和医院卫生专业人员在与对儿童疫苗接种犹豫不决或不情愿的父母接触时的护理经验的现有定性工作，为制定应对疫苗犹豫或拒绝的策略提供关键信息，并确保公众对疫苗接种计划的信任，这在当前大流行的背景下是必要的。
(2) 方法：遵循了 Noblit 和 Hare 的 12 项研究的解释性元分析。发展了一种基于隐喻的论点综合。
(3) 结果：隐喻“拒绝被雕刻的石头”，伴随着三个主题，象征着卫生专业人员在与对儿童疫苗接种犹豫不决或拒绝的父母接触时的护理经验。
(4) 结论：建议制定更清晰的沟通策略、建立治疗联盟、提高健康素养和增强父母的权能。还包括让卫生专业人员参与决策以及加强与这些父母互动的多学科团队。
