Decision-Making about COVID-19 Vaccines among Health Care Workers and Their Adolescent Children-Reference-Cited by-同舟云学术

Decision-Making about COVID-19 Vaccines among Health Care Workers and Their Adolescent Children

Published:2023-04-24 Issue:7 Volume:45 Page:665-673
ISSN:0193-9459
Container-title:Western Journal of Nursing Research
language:en
Short-container-title:West J Nurs Res

Author:

Mansfield Lisa N.¹²^ORCID,Choi Kristen³⁴⁵^ORCID,Delgado Jeanne R.¹⁶,Macias Mayra³,Munoz-Plaza Corrine³,Lewin Bruno⁷,Bronstein David⁷,Chang John³,Bruxvoort Katia³⁸

Affiliation:

1. National Clinician Scholars Program, Division of General Medicine & Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, CA, USA

2. School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

3. Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA

4. School of Nursing, University of California, Los Angeles, CA, USA

5. Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, CA, USA

6. Division of General Pediatrics, Department of Pediatrics, Children’s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA, USA

7. Southern California Permanente Medical Group, Kaiser Permanente Southern California, Pasadena, CA, USA

8. Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA

Abstract

Health care workers promote COVID-19 vaccination for adolescent patients, and as parents, may influence their own children to get vaccinated. We conducted virtual, semi-structured qualitative interviews with vaccinated health care workers and their adolescent children to explore their decision-making process for COVID-19 vaccination. In total, 21 health care workers (physicians, nurses, and medical staff) and their adolescent children ( N = 17) participated in interviews. The following three themes described parent-adolescent decision-making for COVID-19 vaccination: (1) family anticipation and hesitation about COVID-19 vaccine approval; (2) parents’ or adolescents’ choice: the decision maker for adolescent COVID-19 vaccination; and (3) leveraging one’s vaccination status to encourage others to get vaccinated. Nurses encouraged adolescent autonomy in decisions for COVID-19 vaccination while physicians viewed vaccination as the parent’s decision. Health care workers and their adolescent children used role-modeling to motivate unvaccinated peers and may model their decision-making process for adolescent COVID-19 vaccination with their own children to support their patients’ and parents’ vaccine decisions.

Funder

Care Improvement Research Team at Kaiser Permanente Southern California

Publisher

SAGE Publications

Subject

General Nursing

Link

http://journals.sagepub.com/doi/pdf/10.1177/01939459231170981

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