Pub Date : 2017-02-17DOI: 10.4172/2471-9846.1000158
R. Castilla, C. A. Díaz
At present, we are facing a conflictive incoherence between the importance of nursing as a profession, and the social-institutional-political-organisational-economic recognition the nurses actually receive, in spite of the academic improvement. This dilemma seems to be caused by the absence of health as a whole in the political agenda, the health’s system fragmentation, low salaries, lack of collective bargaining, and other sociocultural factors. The future of nursing will be based in management. Professional spaces will need to be amplified; new skills and competencies will need to be developed. Leadership, communication, efficiency, should be key factors. Finally, there will not be any future without professional growth and long-term careers, and an improvement of work conditions and economic remuneration.
{"title":"The Future of Nursing: Assumption of New Roles and Responsibilities","authors":"R. Castilla, C. A. Díaz","doi":"10.4172/2471-9846.1000158","DOIUrl":"https://doi.org/10.4172/2471-9846.1000158","url":null,"abstract":"At present, we are facing a conflictive incoherence between the importance of nursing as a profession, and the social-institutional-political-organisational-economic recognition the nurses actually receive, in spite of the academic improvement. This dilemma seems to be caused by the absence of health as a whole in the political agenda, the health’s system fragmentation, low salaries, lack of collective bargaining, and other sociocultural factors. The future of nursing will be based in management. Professional spaces will need to be amplified; new skills and competencies will need to be developed. Leadership, communication, efficiency, should be key factors. Finally, there will not be any future without professional growth and long-term careers, and an improvement of work conditions and economic remuneration.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44751857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-17DOI: 10.4172/2471-9846.1000159
Issa Kadija Abdikarim, Wagoro Miriam Carole Atieno, Michael Habtu
Background: In Kenya, cervical cancer is ranked as the most frequent cancer among women with about 4,802 new cases being diagnosed and approximately 2,451 lives lost to it. Screening by Pap smear facilitates early detection, prompt treatment and consequently reduces mortality from cervical cancer. Though cervical screening services exist in Kenya, there is still high mortality rate due to cervical cancer. Objective: To determine prevalence and associated factors of cervical cancer screening among Somali women in Eastleigh, Nairobi, Kenya. Materials and methods: A cross-sectional study was conducted among 104 women selected by multi-stage sampling approach. The data was collected using pre-tested semi-structured questionnaire. Chi-square test (p<0.05) and odds ratio with corresponding 95% confidence interval were used to determine the association between screening and independent variables. Multivariate analysis was performed to determine predictors of cervical cancer screening. Conclusion: Based on our findings special emphasis should be directed at increasing awareness and perception about cervical screening as well as susceptibility of cervical cancer at all primary health care points through a welldesigned health education programme.
{"title":"Prevalence and Associated Factors of Cervical Cancer Screening among Somali Women in an Urban Settlement in Kenya","authors":"Issa Kadija Abdikarim, Wagoro Miriam Carole Atieno, Michael Habtu","doi":"10.4172/2471-9846.1000159","DOIUrl":"https://doi.org/10.4172/2471-9846.1000159","url":null,"abstract":"Background: In Kenya, cervical cancer is ranked as the most frequent cancer among women with about 4,802 new cases being diagnosed and approximately 2,451 lives lost to it. Screening by Pap smear facilitates early detection, prompt treatment and consequently reduces mortality from cervical cancer. Though cervical screening services exist in Kenya, there is still high mortality rate due to cervical cancer. \u0000Objective: To determine prevalence and associated factors of cervical cancer screening among Somali women in Eastleigh, Nairobi, Kenya. \u0000Materials and methods: A cross-sectional study was conducted among 104 women selected by multi-stage sampling approach. The data was collected using pre-tested semi-structured questionnaire. Chi-square test (p<0.05) and odds ratio with corresponding 95% confidence interval were used to determine the association between screening and independent variables. Multivariate analysis was performed to determine predictors of cervical cancer screening. \u0000Conclusion: Based on our findings special emphasis should be directed at increasing awareness and perception about cervical screening as well as susceptibility of cervical cancer at all primary health care points through a welldesigned health education programme.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46084218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-03DOI: 10.4172/2471-9846.1000157
Naqibullah Hamdard, A. Haneef
The level of men’s awareness on Maternal and Child Health (MCH) is largely not researched in Afghanistan. The interventions to increase men knowledge and awareness on maternal and children health have not systematically been studied. This is a cross sectional study which compares men and women’s awareness on maternal and children health dimensions in an urban setting in Afghanistan. Care International’s health program has implemented community based women and child health project in 2nd district of Kabul city. The project’s interventions included: 1) Undertaking community based surveillance of mothers of reproductive age. 2) Organizing health education sessions on safe motherhood, child care, and birth planning for mothers enrolled in surveillance through house to house visits. 3) Establishing community support groups to facilitate peer to peer education on pregnancy danger signs, pregnancy complications, and accessing quality care 4. Establishing Community Health Centers (CHC), where community midwives receive basic uncomplicated cases. The project is planning to involve men to support women’s health care seeking behavior. The respondents covered 119 men and 341 women living in the same district. The data collection team utilized random sample selection approach to interview the respondents. Overall men’s awareness on MCH except on the age of mother at first birth was negligible. Men preferred a higher age for a woman to give birth to their first baby comparing to women themselves. Men also rated highly whether underage marriage poses risks to women and their children. Women and men both awareness on long term birth spacing methods, was minimal or non-existent. They also confirmed that husbands are the prime decision makers to select the location for the delivery. Women Men didn’t respect women’s birth spacing choices and they didn’t have sufficient knowledge about pregnancy complications. Women weighed higher the importance of completing Ante Nata 1 Care (ANC) than men.
{"title":"Comparison of Awareness of Men and Women on Maternal, Neonatal and Child Health in Urban Afghanistan","authors":"Naqibullah Hamdard, A. Haneef","doi":"10.4172/2471-9846.1000157","DOIUrl":"https://doi.org/10.4172/2471-9846.1000157","url":null,"abstract":"The level of men’s awareness on Maternal and Child Health (MCH) is largely not researched in Afghanistan. The interventions to increase men knowledge and awareness on maternal and children health have not systematically been studied. This is a cross sectional study which compares men and women’s awareness on maternal and children health dimensions in an urban setting in Afghanistan. Care International’s health program has implemented community based women and child health project in 2nd district of Kabul city. The project’s interventions included: 1) Undertaking community based surveillance of mothers of reproductive age. 2) Organizing health education sessions on safe motherhood, child care, and birth planning for mothers enrolled in surveillance through house to house visits. 3) Establishing community support groups to facilitate peer to peer education on pregnancy danger signs, pregnancy complications, and accessing quality care 4. Establishing Community Health Centers (CHC), where community midwives receive basic uncomplicated cases. The project is planning to involve men to support women’s health care seeking behavior. The respondents covered 119 men and 341 women living in the same district. The data collection team utilized random sample selection approach to interview the respondents. \u0000Overall men’s awareness on MCH except on the age of mother at first birth was negligible. Men preferred a higher age for a woman to give birth to their first baby comparing to women themselves. Men also rated highly whether underage marriage poses risks to women and their children. Women and men both awareness on long term birth spacing methods, was minimal or non-existent. They also confirmed that husbands are the prime decision makers to select the location for the delivery. Women Men didn’t respect women’s birth spacing choices and they didn’t have sufficient knowledge about pregnancy complications. Women weighed higher the importance of completing Ante Nata 1 Care (ANC) than men.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000157","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41898678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-28DOI: 10.4172/2471-9846.1000156
R. Bjork
{"title":"The Emergence of Neurotherapeutics","authors":"R. Bjork","doi":"10.4172/2471-9846.1000156","DOIUrl":"https://doi.org/10.4172/2471-9846.1000156","url":null,"abstract":"","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000156","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47067594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-27DOI: 10.4172/2471-9846.1000155
G. Minde
This article is about older Sami women living in the Arctic region in Norway. The Sami are indigenous people of northern Scandinavia and northern Russia; Norway, Sweden, Finland and Russia. The Sami people have a background that breaks with western traditions. In order to understand their cultural values, beliefs and worldviews anchored in “the living body”, elder care should consider their cultural, ethnic and linguistic distinctiveness. The three older Sami women presented in this text, Maret, Beret and Betty, have lived in close contact with of lige of older Sami women nature throughout their lives. They are particularly sensitive to restrictions that have reduced their freedom and quality of life.
{"title":"Older Sami Women Living in the Arctic: A Cultural Background that Breaks with Western Conventions","authors":"G. Minde","doi":"10.4172/2471-9846.1000155","DOIUrl":"https://doi.org/10.4172/2471-9846.1000155","url":null,"abstract":"This article is about older Sami women living in the Arctic region in Norway. The Sami are indigenous people of northern Scandinavia and northern Russia; Norway, Sweden, Finland and Russia. The Sami people have a background that breaks with western traditions. In order to understand their cultural values, beliefs and worldviews anchored in “the living body”, elder care should consider their cultural, ethnic and linguistic distinctiveness. The three older Sami women presented in this text, Maret, Beret and Betty, have lived in close contact with of lige of older Sami women nature throughout their lives. They are particularly sensitive to restrictions that have reduced their freedom and quality of life.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49371366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-20DOI: 10.4172/2471-9846.1000E118
Denise M Pralle
{"title":"Reducing Social Injustice in our Communities: Building Awareness and Understanding through Simulation","authors":"Denise M Pralle","doi":"10.4172/2471-9846.1000E118","DOIUrl":"https://doi.org/10.4172/2471-9846.1000E118","url":null,"abstract":"","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000E118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46745991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-17DOI: 10.4172/2471-9846.1000154
Shirlee Cohen
Population health looks at health outcomes for specific populations. Researchers, clinicians and policy makers analyse issues/concerns and data regarding health outcomes to determine best practices and programs to improve community health. Programs should focus on social determinants of health (SDH). Programs, which are interprofessional, collaborative ventures between organizations within a community, have improved outcomes. Executive Functions (EF) is a set of skills required to perform high-level cognitive functions and regulate behaviors. Weakened EF is commonly found in children with developmental disabilities, and in those without disabilities. Failure to assist children with weak EF may result in academic failure and disruptive behaviors, resulting in poor outcomes as they mature. Parents Reaching Out (PRO) is a non-profit organization devoted to improving the outcomes of families with children who have developmental disabilities. In collaboration with the University of New Mexico College of Nursing (NMCON), PRO has partnered to create an inter-professional evidence-based educational project to improve the outcomes of children with weak EF throughout New Mexico. Commencement of the project began in April 2016 and continues today. The program has dual processes and goals: (a) Upgrading and training of PRO staff in Executive Functions, (b) development of workshops, trainings and supportive materials for PRO staff to teach EF issues in the community and (c) enhance management of current health concerns (EF weakness) throughout the state of New Mexico. This project received wide acceptance by the PRO staff and the several community members who participated in the various forms of education provided. The project is on-going and the areas of outreach and education continue to grow.
{"title":"Population Health: Enhancing Community Outcomes through an Inter-Professional Collaborative Education Project on Executive Functions","authors":"Shirlee Cohen","doi":"10.4172/2471-9846.1000154","DOIUrl":"https://doi.org/10.4172/2471-9846.1000154","url":null,"abstract":"Population health looks at health outcomes for specific populations. Researchers, clinicians and policy makers analyse issues/concerns and data regarding health outcomes to determine best practices and programs to improve community health. Programs should focus on social determinants of health (SDH). Programs, which are interprofessional, collaborative ventures between organizations within a community, have improved outcomes. Executive Functions (EF) is a set of skills required to perform high-level cognitive functions and regulate behaviors. Weakened EF is commonly found in children with developmental disabilities, and in those without disabilities. Failure to assist children with weak EF may result in academic failure and disruptive behaviors, resulting in poor outcomes as they mature. \u0000Parents Reaching Out (PRO) is a non-profit organization devoted to improving the outcomes of families with children who have developmental disabilities. In collaboration with the University of New Mexico College of Nursing (NMCON), PRO has partnered to create an inter-professional evidence-based educational project to improve the outcomes of children with weak EF throughout New Mexico. Commencement of the project began in April 2016 and continues today. The program has dual processes and goals: (a) Upgrading and training of PRO staff in Executive Functions, (b) development of workshops, trainings and supportive materials for PRO staff to teach EF issues in the community and (c) enhance management of current health concerns (EF weakness) throughout the state of New Mexico. \u0000This project received wide acceptance by the PRO staff and the several community members who participated in the various forms of education provided. The project is on-going and the areas of outreach and education continue to grow.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000154","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42367417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-14DOI: 10.4172/2471-9846.1000153
J. Sitvast
We invited long stay patients in mental health care to share with us their journey into domains of their lives where they can experience a connection with ‘a valued life’ beyond illness and hospitalization. One of these journeys was literally travelling back to places where memories of the past can be remembered. How did we do this? The patient’s mentor nurse together with a photographer accompanied the patient on an excursion to particular places the patient said he/she would like to visit: A football game, his hometown of his childhood years, a beauty specialist, a concert. These excursions have become an exploration of patients’ roots, but also of dreams and ambitions: Who do you want to be as a person; how do you want others to see you and more basically how do you want to look like. These aspects that are closely related to resilience [1-4] and which have a great potential to be utilized for therapeutic ends, can be visualized by making photographs at crucial moments during the trajectory. A professional photographer, known with the principles of empowerment photography [4], photographed the patients. His photographs and meaningful text expressed by the patients themselves form together photo stories that in the end were returned to the patients. Also a photo exhibition is organized. The photo stories enabled patients to be recognized and accepted in positive and valuable aspects of their identity and history [5]. This reinforced their self-esteem and made them sensitive to their potential for change, growth and recovery (Figure 1) [5].
{"title":"Addressing Powers of Resilience by Photographs","authors":"J. Sitvast","doi":"10.4172/2471-9846.1000153","DOIUrl":"https://doi.org/10.4172/2471-9846.1000153","url":null,"abstract":"We invited long stay patients in mental health care to share with us their journey into domains of their lives where they can experience a connection with ‘a valued life’ beyond illness and hospitalization. One of these journeys was literally travelling back to places where memories of the past can be remembered. How did we do this? The patient’s mentor nurse together with a photographer accompanied the patient on an excursion to particular places the patient said he/she would like to visit: A football game, his hometown of his childhood years, a beauty specialist, a concert. These excursions have become an exploration of patients’ roots, but also of dreams and ambitions: Who do you want to be as a person; how do you want others to see you and more basically how do you want to look like. These aspects that are closely related to resilience [1-4] and which have a great potential to be utilized for therapeutic ends, can be visualized by making photographs at crucial moments during the trajectory. A professional photographer, known with the principles of empowerment photography [4], photographed the patients. His photographs and meaningful text expressed by the patients themselves form together photo stories that in the end were returned to the patients. Also a photo exhibition is organized. The photo stories enabled patients to be recognized and accepted in positive and valuable aspects of their identity and history [5]. This reinforced their self-esteem and made them sensitive to their potential for change, growth and recovery (Figure 1) [5].","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47551065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-05DOI: 10.4172/2471-9846.1000151
Abiy Semungus, Zelalem Tafese, Tesfaye Semella
High school students are more likely to be at risk of HIV/AIDS. Knowledge gaps and misconceptions in areas of HIV transmission, unfavorable attitudes and risky sexual behavior are the major hindrances to prevent the spread of HIV. To assess the determinants of the risk behavior towards HIV/AIDS among high school students in Hawassa city, a cross sectional study was conducted. Percentage was used to determine the level of knowledge, attitude, perceived behavioral control and subjective norm of students. Logistic regression analysis; P-value, odds ratio and confidence interval was computed. Out of 367 study participants, 245 (66.8%) have good knowledge towards HIV/AIDS. Student’s behavior is found significantly affected by their gender, a type of school, perceived behavioral control and attitude towards HIV at (p<0.05). Multivariable Logistic regression analysis revealed the student’s behavior is significantly affected only by their attitude at (p<0.001). The study highlighted misconceptions about preventive methods of HIV transmission and risky sexual behaviour which need to be addressed. Specified, focused, continued and strengthened education on HIV/AIDS to bring change in behavior, through modifying their attitude is recommended.
{"title":"Application of the Theory of Planned Behavior to Assess the Determinants of HIV/AIDS Risk among High School Students in Hawassa City, Ethiopia","authors":"Abiy Semungus, Zelalem Tafese, Tesfaye Semella","doi":"10.4172/2471-9846.1000151","DOIUrl":"https://doi.org/10.4172/2471-9846.1000151","url":null,"abstract":"High school students are more likely to be at risk of HIV/AIDS. Knowledge gaps and misconceptions in areas of HIV transmission, unfavorable attitudes and risky sexual behavior are the major hindrances to prevent the spread of HIV. To assess the determinants of the risk behavior towards HIV/AIDS among high school students in Hawassa city, a cross sectional study was conducted. Percentage was used to determine the level of knowledge, attitude, perceived behavioral control and subjective norm of students. Logistic regression analysis; P-value, odds ratio and confidence interval was computed. Out of 367 study participants, 245 (66.8%) have good knowledge towards HIV/AIDS. Student’s behavior is found significantly affected by their gender, a type of school, perceived behavioral control and attitude towards HIV at (p<0.05). Multivariable Logistic regression analysis revealed the student’s behavior is significantly affected only by their attitude at (p<0.001). The study highlighted misconceptions about preventive methods of HIV transmission and risky sexual behaviour which need to be addressed. Specified, focused, continued and strengthened education on HIV/AIDS to bring change in behavior, through modifying their attitude is recommended.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44156291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-04DOI: 10.4172/2471-9846.1000152
A. Aharon, H. Nehama, S. Rishpon, Orna Bron-Epel
Objective: To identify the main reasons why parents decided not to vaccinate their children according to the official recommendations. Methods: A qualitative descriptive study approach was used, including 12 in-depth interviews with parents of two-year-old children who refused to vaccinate their children. Data were analyzed in three stages: open coding, mapping analysis and focused analysis. Results: Five main themes emerged: Parents demand the right to make decisions regarding their child's vaccinations autonomously; they wish to take responsibility and be in control of their child's health; they perceive their actions (refusal) as characteristic of "good parenting"; they are critical of and distrust the medical establishment; and they base their decision on a calculation of the risks of the vaccines vs. the risk of the disease. Any combination of these factors may reflect the reasons for not complying with recommended pediatric vaccinations. Conclusion: Parents' decisions whether, when and how to vaccinate cannot be ascribed to one single reason or cause; rather, it is a combination of interrelated factors. Understanding this complex phenomenon may help professionals plan interventions, to prevent a decline in vaccine coverage rates.
{"title":"Autonomy and Control among Parents Who do not Comply with Recommended Pediatric Vaccinations: A Qualitative Case Study","authors":"A. Aharon, H. Nehama, S. Rishpon, Orna Bron-Epel","doi":"10.4172/2471-9846.1000152","DOIUrl":"https://doi.org/10.4172/2471-9846.1000152","url":null,"abstract":"Objective: To identify the main reasons why parents decided not to vaccinate their children according to the official recommendations. Methods: A qualitative descriptive study approach was used, including 12 in-depth interviews with parents of two-year-old children who refused to vaccinate their children. Data were analyzed in three stages: open coding, mapping analysis and focused analysis. Results: Five main themes emerged: Parents demand the right to make decisions regarding their child's vaccinations autonomously; they wish to take responsibility and be in control of their child's health; they perceive their actions (refusal) as characteristic of \"good parenting\"; they are critical of and distrust the medical establishment; and they base their decision on a calculation of the risks of the vaccines vs. the risk of the disease. Any combination of these factors may reflect the reasons for not complying with recommended pediatric vaccinations. Conclusion: Parents' decisions whether, when and how to vaccinate cannot be ascribed to one single reason or cause; rather, it is a combination of interrelated factors. Understanding this complex phenomenon may help professionals plan interventions, to prevent a decline in vaccine coverage rates.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48085782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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