Research Paper: Why Failure to Vaccinate Could be Bad

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[. . .] There are parents who believe that giving the combined MMR vaccine might overwhelm the child's body and lead to sickness. However, there are also parents who think their children are healthy and vaccines would not benefit them: "These parents believe that if their healthy child does contract a disease naturally, it would be beneficial and lead to the development of long-lasting immunity" (Barrows et al., 2015).

The most common attitude that parents have toward vaccines is that they feel they are not provided with enough information about vaccines (Gust, Kennedy, Shui et al., 2005). Parents who are less educated do not know much about vaccines and find it difficult to ask questions to the providers. Parents who are not well educated about vaccines have shown concerns about vaccine safety and expressed distrust toward health care providers. According to Gust et al. (2005), providing information to parents is a factor that has been shown to influence a sense of trust in patients, and not providing enough information to a patient is one factor contributing to non-immunization among children (Gust et al., 2005).

Parents' behaviors and feelings about vaccinations and how they make the decision or whether or not to vaccinate their children are complex. Some parents might refuse to vaccinate because they feel it will harm their child. Or they might switch health care providers who are willing to vaccinate on an alternative schedule (Eritsyan, Antonova & Tsvetkova, 2017). One qualitative study on the influenza vaccine was performed in which the participants who were mothers felt that the decision to immunize their children was personal: "The idea of immunizing children to protect others, particularly older people, did not resonate with these participants" (Sheriff et al., 2012).

Definition

People who do not vaccinate their children are misinformed and tend to base their decisions on suspect sources of information; and, once having made up their mind, they are unwilling to learn about the risks and benefits of vaccination. Questions that remain to be answered are: Why do parents refuse to listen to more or alternate evidence? Is it a series of events or a personal experience that compels them to be so rigid?

Cases

Model Case: A model case demonstrates a real-life example of a concept and also covers all the defining attributes (Walker & Avant, 2005). The following is a model case for failure to vaccinate. Eleven year old Suzie came to a well visit with her mother and the pediatrician recommended she get the HPV vaccine, but the Mom became very upset at this recommendation. She said her daughter would not be sexually active. The mother refused to accept the vaccine, despite the assurance by the pediatrician that it was a cancer preventative vaccine and would be more effective if given at this age. The mother could not look past the fact that she could be more at risk for being sexually active.

This scenario is a good example of the concept of failure to vaccinate. It included the defining attributes mentioned previously. For the refusal to vaccinate, the mother believed the HPV would make her more at risk for being sexually active.

Borderline Case: Walker & Avant (2005) defines a borderline case as one that includes some of the defining attributes but not all of them or may contain most or all the attributes but differ significantly in length of time, intensity or occurrence. The following is a borderline case of failure to vaccinate. John came to see the pediatrician for a pre-college physical and the recommended Men B. vaccine because he would be living in a dormitory. Risks and benefits were discussed. John's mother thought it would be overkill because he already had a meningitis vaccine and thought he would be at risk while at college. After further discussion the mother decided not to vaccinate.

This is a good example of a borderline case because it contains the attributes of the failure to vaccinate concept but not all of them. John's mother may believe Men B. protects against meningitis and is safe. She was not, however, in favor of getting the Men B. vaccine. Her decision not to give the vaccine is not because she thought it wasn't safe but because she believed it would be too much for him.

Related Case: A related case is a case that is related to the concept but does not contain the defining attributes (Walker & Avant, 2005). The following is an example of a related case. In reading who does not want to vaccinate their children I was surprised by the militant attitude of persons who chose not to vaccinate. I was also able to review sites with information that I consider helpful in explaining the benefits and comparing the risks to what people feel are the risk to vaccinate. This shows that what people erroneously think about vaccinations is dangerous. This related case is a good example that touches on the knowledge concept that is related to the failure to vaccinate concept but does not contain all the defining attributes of failure to vaccinate.

Contrary Case: A contrary case is a case that is an example of an instance that is not the concept (Walker & Avant, 2005). The following is an example of a contrary case. Jill goes to her pediatrician's office for college physical; she's 18 and can make decisions about vaccines. The doctor asks Jill if she wants Men B. vaccine. Her response was, "I don't care I just want the forms filled out for college. Just give me the shot," without even asking what the shot is for. This case demonstrates what the failure to vaccinate concept is not. This case does not meet any criteria of failure to vaccinate attributes. Jill has not gained the set of beliefs to evaluate why she should have gotten the vaccine nor does she have a set of beliefs that keep her from vaccinating. She is wholly indifferent.

Illegitimate Case: An illegitimate case is a case that is used inappropriately in the concept (Walker & Avant, 2005). The following is an example of an illegitimate case. Mrs. Smith is having coffee with neighbors and having a chat about vaccines. She planned to vaccinate her new baby but when she found out her new neighbors were not vaccinating their children, she decided not to vaccinate. Mrs. Smith believed this would keep her baby healthier and would protect her from the side effects of the vaccines. This case is a good example how failure to vaccinate concept was used inappropriately in the research content.

Antecedents

Antecedents are defined as an event that occurs prior to the occurrence of the concept (Walker & Avant, 2005). There is comprehensive literature and antecedents for failure to vaccinate. It could be from personal experiences or reading bad literature.

Parents may chose not vaccinate due to a personal experience they had with the doctor. When the parents see the pediatrician they have many questions about vaccines and want answers. Parents who are usually concerned about the safety of vaccines want to be provided with as much information as possible, especially if a sibling had an adverse reaction. Here is an example: "Our child's pediatrician provided very little information on vaccines. She had a very biased and vague handout which seemed to be fueled by a public health perspective (pro-vaccine) . . . I still feel ill equipped to make this decision" (Doha & Roberts, 2006). According to Omer et al. (2009), health care providers have a positive effect on parents' decision on vaccinate their children. There was a study done that showed that parents were twice more likely to consider vaccines if decisions were influenced by healthcare provider. There were other parents who wanted information specific to their concerns to be discussed by the provider. This showed that healthcare providers play a role in explaining the risks and benefits of vaccines as well as addressing their concerns (Omer et al., 2009).

Also, parents may refuse to vaccinate by reading misleading information about vaccines. Some parents believe vaccines contain mercury, aluminum, and formaldehyde. Many parents worry about mercury and request thimerosal free vaccines. This is an example of a mother who thinks the mercury in the vaccine caused her child defects: "My son was born a healthy child. As time went on and the more he was vaccinated, the more he started to change. Not knowing that mercury was in vaccines until he was four years old, I had no idea what was truly wrong with him. I was outraged that I was not told that the most powerful neurotoxin was going to be injected in my new born child. It was devastated and it changed our lives forever. I am dedicated to advocating for safer and mercury free vaccines and helping to educate parents by raising awareness of the mercury and the other dangerous ingredients in our vaccines" (Doha & Roberts, 2006). Thimerosal has been removed… [END OF PREVIEW]

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Why Failure to Vaccinate Could be Bad.  (2017, June 18).  Retrieved April 24, 2019, from https://www.essaytown.com/subjects/paper/failure-vaccinate-bad/6531728

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"Why Failure to Vaccinate Could be Bad."  18 June 2017.  Web.  24 April 2019. <https://www.essaytown.com/subjects/paper/failure-vaccinate-bad/6531728>.

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"Why Failure to Vaccinate Could be Bad."  Essaytown.com.  June 18, 2017.  Accessed April 24, 2019.
https://www.essaytown.com/subjects/paper/failure-vaccinate-bad/6531728.