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           Vaccinations have very crucial on
the health of children and have a major role in reducing the number of childhood
vaccine-preventable diseases. However, lot of the parents are concerned about
the accuracy and the importance of vaccines. This concern of parents leads to take
vaccinations (American Academy of Pediatrics). As per the Periodic Survey of
Fellows (PS#66) in 2006 75% of parents declined the vaccine and in 2013 it is
increased by 87%. The reason behind the refusal of a vaccine is that parents
are believed that vaccines have no significance on child health and cause
autism. Each vaccination is a nightmare for parents. However, studies shows
continue engagement and personal relationship with parents helps them to
receive vaccine after initially refusing them. Nurses willingness to listen their
concern play a major role to choose vaccination.

            A lot of studies have conducted in various
places to find out the reason why parents are refusing vaccines? In study
parents concerned about the number of vaccines at a time, pain and fever,
autism development,  the new development
of other learning disabilities, and finally the safety and hygiene of vaccines
before use. In this question, the parents are concerned about 18months vaccine of
their child. First, child health should be the primary concern of nurse, who is
not involved in the parental decision. When the child is due to receive vaccine
spend more time with that family. Reassure the mother about there is no evidence
of vaccines and autism. Explain to parent sometimes the onset of autism and
vaccinations are happening at same time, but it  is not caused by vaccines. Arrange a meeting
with other parents whose children already vaccinated it will increase their
confidence to take vaccine. In my experience, I felt that Healthcare providers
(HCP’s) can influence positively on parent’s decision about vaccination through
their honest and respectful relationship with parents. Especially readiness to
hear their various concerns about vaccination as listed above. After
acknowledging the various concerns, take time and communicate with parents
about the safety and importance of vaccines, and seriousness of unimmunized.
The frequency, intensity, and depth of knowledge regarding vaccination are
different for each person.   Patient-centered care is another effective way
to treat them. Encourage parents to ask questions this will help HCP’s to
provide more information. Nurses have an obligation to promote a safe clinical
environment for vaccine resistant through compassion, patience, and respect. After
so many appointments with parents regarding immunization and still, they are
decline vaccine without nonmedical reason as a nurse you can refer them to
another HCP. Make sure parents of unvaccinated children fully aware of
contagious diseases and symptoms. Advise them to seek medical attention if
necessary.

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            In conclusion, it is important that
all parents want what is best for their children. Effective communication helps
you to reach your goals. Advise them to use reliable website and other
educational materials for reference that would be helpful for parents allays
their concerns

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