George Sub-District, Garden Route District, Western Cape Department of Health, George.
S Afr Fam Pract (2004). 2022 Jan 31;64(1):e1-e4. doi: 10.4102/safp.v64i1.5419.
South Africa recently experienced the third wave of the coronavirus disease 2019 (COVID-19)pandemic. Social media is flooded with polarised conversations, with opinions for and against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines. Many people are hesitant, and some are strongly opposed to vaccination. Vaccine hesitancy must be understood in historical, political and socio-cultural contexts. The aim of this study was to offer a values-driven approach to vaccine hesitancy conversations. It focusses on ethical dilemmas forthcoming from values violations, interrogating the personal and institutional scripts and rationalisations that prevent resolution, and offering ways of re-scripting these. Values-driven conversations provide safe spaces for vaccine-hesitant individuals to voice their reservations. The manner in which conversations are conducted is as important as the contents being discussed. Healthcare professionals are trusted by the public and should use ways of conversing that do not erode this trust. Creating respectful, compassionate platforms of engagement and incentivising vaccination are important measures for change in vaccine perspectives.
南非最近经历了 2019 年冠状病毒病（COVID-19）大流行的第三波。社交媒体上充斥着两极分化的对话，有人支持，也有人反对严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）疫苗。许多人犹豫不决，有些人强烈反对接种疫苗。必须从历史、政治和社会文化背景来理解疫苗犹豫。本研究旨在为疫苗犹豫对话提供一种以价值观为导向的方法。它侧重于因违反价值观而产生的伦理困境，探究阻碍解决问题的个人和机构脚本和合理化，并提供重新编写这些脚本的方法。以价值观为导向的对话为疫苗犹豫者提供了一个安全的空间，让他们表达自己的保留意见。对话的进行方式与讨论的内容同样重要。医疗保健专业人员受到公众的信任，他们应该使用不会破坏这种信任的对话方式。创造尊重和富有同情心的参与平台，并激励接种疫苗，是改变疫苗观念的重要措施。
