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Midwives’ attitudes, beliefs and concerns about childhood vaccination: A review of the global literature

机译：关于儿童接种的助攻，信仰和担忧：对全球文献的审查

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Vaccine hesitancy in industrialised countries is an area of concern. Health professionals play a significant role in parental vaccination decisions, however, to date the role of midwives has not been widely explored. This review sought to describe the attitudes and communication practices of midwives in developed countries towards childhood vaccines.Medline, Cinahl, PsychInfo, Embase and the grey literature were searched. Inclusion criteria were qualitative and quantitative studies reporting midwives’ beliefs, attitudes and communication practices toward childhood vaccination.The search returned 366 articles, of which 359 were excluded by abstract. Two additional articles were identified from the grey literature and references, resulting in nine studies from five countries included in the review.Across the studies, the majority of midwives supported vaccination, although a spectrum of beliefs and concerns emerged. A minority expressed reservations about the scientific justification for vaccination, which focussed on what is not yet known rather than mistrust of current evidence. Most midwives felt that vaccines were safe; a minority were unsure, or believed they were unsafe. The majority of midwives agreed that childhood vaccines are necessary. Among those who expressed doubt, a commonly held opinion was that vaccine preventable diseases such as measles are relatively benign and didn’t warrant vaccination against them. Finally, the midwifery model of care was shown to focus on providing individualised care, with parental choice being placed at a premium.The midwifery model care appears to differ in approach from others, possibly due to a difference in the underpinning philosophies. Research is needed to understand how midwives see vaccination, and why there appears to be a spectrum of views on the subject. This information will inform the development of resources tailored to the midwifery model of care, supporting midwives in advocating for childhood vaccination.
机译：工业化国家的疫苗犹豫不决是一个关注的领域。卫生专业人员在父母疫苗接种决策中发挥着重要作用，但到目前为止，助产士的作用尚未得到广泛探索。该审查旨在描述发达国家助产士对童年疫苗的态度和通信实践。搜索了Medline，Cinahl，PsychinInfo，Embase和灰色文学。纳入标准是定性和定量研究报告助产士的信念，态度和沟通措施对儿童疫苗接种。搜索返回366条文章，其中359条被抽象排除在外。从灰色文献和参考文献中确定了另外两篇文章，导致了来自审查中的五个国家的九项研究。纪录的研究，大多数助产士都支持疫苗接种，尽管出现了一种信仰和担忧。少数群体表达了关于疫苗接种的科学理由的保留，这主要涉及尚未知道的，而不是对当前证据不信任。大多数助产士都觉得疫苗是安全的;少数人不确定，或者相信他们不安全。大多数助产士都同意儿童疫苗是必要的。在那些表示怀疑的人中，常见的意见是疫苗可预防的疾病，如麻疹是相对良性的，并没有保证对他们的疫苗接种。最后，显示助产照顾模型专注于提供个性化的护理，父母选择被放置在溢价中。助产式模型护理似乎不同于其他方法，可能是由于基础哲学的差异。需要研究来了解助产士如何看待疫苗接种，以及为什么似乎是对该主题的一系列意见。这些信息将以向助产照顾模型量身定制的资源开发，支持助产士倡导儿童疫苗。

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