Childhood Vaccine Risk/Benefit Communication Among Public Health Clinics: A Time-Motion Study
United States law requires that immunization providers use Centers for Disease Control Vaccine Information Statements (VISs) and inform parents about vaccine risks and benefits prior to every childhood immunization. A recent national survey found that public health clinics (PHCs) reported high compl...
Gespeichert in:
| Veröffentlicht in: | Public health Nursing 2004-05, Vol.21 (3), p.228-236 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 236 |
|---|---|
| container_issue | 3 |
| container_start_page | 228 |
| container_title | Public health Nursing |
| container_volume | 21 |
| creator | Davis, Terry C. Fredrickson, Doren D. M. Kennen, Estela Arnold, Connie Shoup, Eileen Sugar, Mackey Humiston, Sharon G. Bocchini Jr, Joseph A. |
| description | United States law requires that immunization providers use Centers for Disease Control Vaccine Information Statements (VISs) and inform parents about vaccine risks and benefits prior to every childhood immunization. A recent national survey found that public health clinics (PHCs) reported high compliance with this law. To further investigate these findings, we conducted an immunization time‐motion study in two PHCs in Kansas and Louisiana. Research assistants observed a convenience sample of 246 child immunization visits to record distribution of the VISs and content and time of vaccine communication. Thirty percent of parents read below a ninth grade level, 53% had Medicaid insurance, and 56% were Black. VISs were given with every dose of vaccine administered in 89% of visits. Public health nurses (PHNs) frequently discussed potential vaccine side effects (91%), treatment of side effects (91%), and the vaccine schedule (93%). Contraindications were screened in 71% of visits. Benefits were discussed in 48% of visits and severe risks in 29%. The national Vaccine Injury Compensation Program (VICP) was never discussed. The immunization visits lasted for a mean of 20 min. Vaccine communication of side effects, risks, benefits, screening for contraindications, and the next visit lasted for an average of 16 s for all vaccines. PHC compliance with mandated VIS distribution and practical vaccine communication was high. Room for improvement exists in discussion of benefits, serious risks, and the VICP. |
| doi_str_mv | 10.1111/j.0737-1209.2004.021305.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_764223499</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>19728327</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5325-a6f8fc0690a2e44fc0745456d98a244a1805db95586dc23cc17f7f342d2c69203</originalsourceid><addsrcrecordid>eNqNkUtv1DAURi0EokPhL6CwAFZJ_XbMphqi0gFKGUF5bJDlcRzG0yRu40TM_HucZlRYQb3xlXzud698AHiGYIbiOdpkUBCRIgxlhiGkGcSIQJZt74EZYpiliFJ-H8xuqQPwKIQNhJAwzB-CA8QiQbiYgR_F2tXl2vsy-aqNca1NPrlwefTatrZyfVL4phlaZ3TvfJvMG9_-TJbDqnYmWVhd9-ukqF18D6-SeXLhGpt-8Dfo534od4_Bg0rXwT7Z34fgy5uTi2KRnn08fVvMz1LDSFxX8yqvDOQSamwpjaWgjDJeylxjSjXKIStXkrGclwYTY5CoREUoLrHhEkNyCF5OuVedvx5s6FXjgrF1rVvrh6AEpxgTKuVdSSEi-eLfJJKY55L-F0RS4JzgMVFOoOl8CJ2t1FXnGt3tFIJqFKs2alSmRmVqFKsmsWobe5_uhwyrxpZ_OvcmI_B8D-hgdF11ujUu_MXlVBA0ftXxxP1ytd3dfQO1XJzflDEhnRJc6O32NkF3lyruIZj6dn6qxPJdIb-_L5QgvwFuYcsm</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>19728327</pqid></control><display><type>article</type><title>Childhood Vaccine Risk/Benefit Communication Among Public Health Clinics: A Time-Motion Study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Davis, Terry C. ; Fredrickson, Doren D. ; M. Kennen, Estela ; Arnold, Connie ; Shoup, Eileen ; Sugar, Mackey ; Humiston, Sharon G. ; Bocchini Jr, Joseph A.</creator><creatorcontrib>Davis, Terry C. ; Fredrickson, Doren D. ; M. Kennen, Estela ; Arnold, Connie ; Shoup, Eileen ; Sugar, Mackey ; Humiston, Sharon G. ; Bocchini Jr, Joseph A.</creatorcontrib><description>United States law requires that immunization providers use Centers for Disease Control Vaccine Information Statements (VISs) and inform parents about vaccine risks and benefits prior to every childhood immunization. A recent national survey found that public health clinics (PHCs) reported high compliance with this law. To further investigate these findings, we conducted an immunization time‐motion study in two PHCs in Kansas and Louisiana. Research assistants observed a convenience sample of 246 child immunization visits to record distribution of the VISs and content and time of vaccine communication. Thirty percent of parents read below a ninth grade level, 53% had Medicaid insurance, and 56% were Black. VISs were given with every dose of vaccine administered in 89% of visits. Public health nurses (PHNs) frequently discussed potential vaccine side effects (91%), treatment of side effects (91%), and the vaccine schedule (93%). Contraindications were screened in 71% of visits. Benefits were discussed in 48% of visits and severe risks in 29%. The national Vaccine Injury Compensation Program (VICP) was never discussed. The immunization visits lasted for a mean of 20 min. Vaccine communication of side effects, risks, benefits, screening for contraindications, and the next visit lasted for an average of 16 s for all vaccines. PHC compliance with mandated VIS distribution and practical vaccine communication was high. Room for improvement exists in discussion of benefits, serious risks, and the VICP.</description><identifier>ISSN: 0737-1209</identifier><identifier>EISSN: 1525-1446</identifier><identifier>DOI: 10.1111/j.0737-1209.2004.021305.x</identifier><identifier>PMID: 15144367</identifier><language>eng</language><publisher>Oxford, UK; Malden, USA: Blackwell Science Inc</publisher><subject>Adult ; Ambulatory Care Facilities - statistics & numerical data ; Biological and medical sciences ; Child, Preschool ; childhood vaccines ; Educational Status ; Female ; Health Education - legislation & jurisprudence ; Health Education - statistics & numerical data ; Humans ; immunization ; Infant ; Kansas ; Louisiana ; Male ; Mass Vaccination - nursing ; Mass Vaccination - statistics & numerical data ; Medical sciences ; Miscellaneous ; Nursing ; parent education ; patient ; Patient Participation ; Patient Satisfaction ; Prevention and actions ; Professional-Family Relations ; public health ; Public Health Nursing - methods ; Public Health Nursing - statistics & numerical data ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Assessment ; risks and benefits ; Time and Motion Studies ; vaccine communication</subject><ispartof>Public health Nursing, 2004-05, Vol.21 (3), p.228-236</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5325-a6f8fc0690a2e44fc0745456d98a244a1805db95586dc23cc17f7f342d2c69203</citedby><cites>FETCH-LOGICAL-c5325-a6f8fc0690a2e44fc0745456d98a244a1805db95586dc23cc17f7f342d2c69203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.0737-1209.2004.021305.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.0737-1209.2004.021305.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15847310$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15144367$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davis, Terry C.</creatorcontrib><creatorcontrib>Fredrickson, Doren D.</creatorcontrib><creatorcontrib>M. Kennen, Estela</creatorcontrib><creatorcontrib>Arnold, Connie</creatorcontrib><creatorcontrib>Shoup, Eileen</creatorcontrib><creatorcontrib>Sugar, Mackey</creatorcontrib><creatorcontrib>Humiston, Sharon G.</creatorcontrib><creatorcontrib>Bocchini Jr, Joseph A.</creatorcontrib><title>Childhood Vaccine Risk/Benefit Communication Among Public Health Clinics: A Time-Motion Study</title><title>Public health Nursing</title><addtitle>Public Health Nurs</addtitle><description>United States law requires that immunization providers use Centers for Disease Control Vaccine Information Statements (VISs) and inform parents about vaccine risks and benefits prior to every childhood immunization. A recent national survey found that public health clinics (PHCs) reported high compliance with this law. To further investigate these findings, we conducted an immunization time‐motion study in two PHCs in Kansas and Louisiana. Research assistants observed a convenience sample of 246 child immunization visits to record distribution of the VISs and content and time of vaccine communication. Thirty percent of parents read below a ninth grade level, 53% had Medicaid insurance, and 56% were Black. VISs were given with every dose of vaccine administered in 89% of visits. Public health nurses (PHNs) frequently discussed potential vaccine side effects (91%), treatment of side effects (91%), and the vaccine schedule (93%). Contraindications were screened in 71% of visits. Benefits were discussed in 48% of visits and severe risks in 29%. The national Vaccine Injury Compensation Program (VICP) was never discussed. The immunization visits lasted for a mean of 20 min. Vaccine communication of side effects, risks, benefits, screening for contraindications, and the next visit lasted for an average of 16 s for all vaccines. PHC compliance with mandated VIS distribution and practical vaccine communication was high. Room for improvement exists in discussion of benefits, serious risks, and the VICP.</description><subject>Adult</subject><subject>Ambulatory Care Facilities - statistics & numerical data</subject><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>childhood vaccines</subject><subject>Educational Status</subject><subject>Female</subject><subject>Health Education - legislation & jurisprudence</subject><subject>Health Education - statistics & numerical data</subject><subject>Humans</subject><subject>immunization</subject><subject>Infant</subject><subject>Kansas</subject><subject>Louisiana</subject><subject>Male</subject><subject>Mass Vaccination - nursing</subject><subject>Mass Vaccination - statistics & numerical data</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Nursing</subject><subject>parent education</subject><subject>patient</subject><subject>Patient Participation</subject><subject>Patient Satisfaction</subject><subject>Prevention and actions</subject><subject>Professional-Family Relations</subject><subject>public health</subject><subject>Public Health Nursing - methods</subject><subject>Public Health Nursing - statistics & numerical data</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk Assessment</subject><subject>risks and benefits</subject><subject>Time and Motion Studies</subject><subject>vaccine communication</subject><issn>0737-1209</issn><issn>1525-1446</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtv1DAURi0EokPhL6CwAFZJ_XbMphqi0gFKGUF5bJDlcRzG0yRu40TM_HucZlRYQb3xlXzud698AHiGYIbiOdpkUBCRIgxlhiGkGcSIQJZt74EZYpiliFJ-H8xuqQPwKIQNhJAwzB-CA8QiQbiYgR_F2tXl2vsy-aqNca1NPrlwefTatrZyfVL4phlaZ3TvfJvMG9_-TJbDqnYmWVhd9-ukqF18D6-SeXLhGpt-8Dfo534od4_Bg0rXwT7Z34fgy5uTi2KRnn08fVvMz1LDSFxX8yqvDOQSamwpjaWgjDJeylxjSjXKIStXkrGclwYTY5CoREUoLrHhEkNyCF5OuVedvx5s6FXjgrF1rVvrh6AEpxgTKuVdSSEi-eLfJJKY55L-F0RS4JzgMVFOoOl8CJ2t1FXnGt3tFIJqFKs2alSmRmVqFKsmsWobe5_uhwyrxpZ_OvcmI_B8D-hgdF11ujUu_MXlVBA0ftXxxP1ytd3dfQO1XJzflDEhnRJc6O32NkF3lyruIZj6dn6qxPJdIb-_L5QgvwFuYcsm</recordid><startdate>200405</startdate><enddate>200405</enddate><creator>Davis, Terry C.</creator><creator>Fredrickson, Doren D.</creator><creator>M. Kennen, Estela</creator><creator>Arnold, Connie</creator><creator>Shoup, Eileen</creator><creator>Sugar, Mackey</creator><creator>Humiston, Sharon G.</creator><creator>Bocchini Jr, Joseph A.</creator><general>Blackwell Science Inc</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200405</creationdate><title>Childhood Vaccine Risk/Benefit Communication Among Public Health Clinics: A Time-Motion Study</title><author>Davis, Terry C. ; Fredrickson, Doren D. ; M. Kennen, Estela ; Arnold, Connie ; Shoup, Eileen ; Sugar, Mackey ; Humiston, Sharon G. ; Bocchini Jr, Joseph A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5325-a6f8fc0690a2e44fc0745456d98a244a1805db95586dc23cc17f7f342d2c69203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Ambulatory Care Facilities - statistics & numerical data</topic><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>childhood vaccines</topic><topic>Educational Status</topic><topic>Female</topic><topic>Health Education - legislation & jurisprudence</topic><topic>Health Education - statistics & numerical data</topic><topic>Humans</topic><topic>immunization</topic><topic>Infant</topic><topic>Kansas</topic><topic>Louisiana</topic><topic>Male</topic><topic>Mass Vaccination - nursing</topic><topic>Mass Vaccination - statistics & numerical data</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Nursing</topic><topic>parent education</topic><topic>patient</topic><topic>Patient Participation</topic><topic>Patient Satisfaction</topic><topic>Prevention and actions</topic><topic>Professional-Family Relations</topic><topic>public health</topic><topic>Public Health Nursing - methods</topic><topic>Public Health Nursing - statistics & numerical data</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk Assessment</topic><topic>risks and benefits</topic><topic>Time and Motion Studies</topic><topic>vaccine communication</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davis, Terry C.</creatorcontrib><creatorcontrib>Fredrickson, Doren D.</creatorcontrib><creatorcontrib>M. Kennen, Estela</creatorcontrib><creatorcontrib>Arnold, Connie</creatorcontrib><creatorcontrib>Shoup, Eileen</creatorcontrib><creatorcontrib>Sugar, Mackey</creatorcontrib><creatorcontrib>Humiston, Sharon G.</creatorcontrib><creatorcontrib>Bocchini Jr, Joseph A.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Public health Nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davis, Terry C.</au><au>Fredrickson, Doren D.</au><au>M. Kennen, Estela</au><au>Arnold, Connie</au><au>Shoup, Eileen</au><au>Sugar, Mackey</au><au>Humiston, Sharon G.</au><au>Bocchini Jr, Joseph A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Childhood Vaccine Risk/Benefit Communication Among Public Health Clinics: A Time-Motion Study</atitle><jtitle>Public health Nursing</jtitle><addtitle>Public Health Nurs</addtitle><date>2004-05</date><risdate>2004</risdate><volume>21</volume><issue>3</issue><spage>228</spage><epage>236</epage><pages>228-236</pages><issn>0737-1209</issn><eissn>1525-1446</eissn><abstract>United States law requires that immunization providers use Centers for Disease Control Vaccine Information Statements (VISs) and inform parents about vaccine risks and benefits prior to every childhood immunization. A recent national survey found that public health clinics (PHCs) reported high compliance with this law. To further investigate these findings, we conducted an immunization time‐motion study in two PHCs in Kansas and Louisiana. Research assistants observed a convenience sample of 246 child immunization visits to record distribution of the VISs and content and time of vaccine communication. Thirty percent of parents read below a ninth grade level, 53% had Medicaid insurance, and 56% were Black. VISs were given with every dose of vaccine administered in 89% of visits. Public health nurses (PHNs) frequently discussed potential vaccine side effects (91%), treatment of side effects (91%), and the vaccine schedule (93%). Contraindications were screened in 71% of visits. Benefits were discussed in 48% of visits and severe risks in 29%. The national Vaccine Injury Compensation Program (VICP) was never discussed. The immunization visits lasted for a mean of 20 min. Vaccine communication of side effects, risks, benefits, screening for contraindications, and the next visit lasted for an average of 16 s for all vaccines. PHC compliance with mandated VIS distribution and practical vaccine communication was high. Room for improvement exists in discussion of benefits, serious risks, and the VICP.</abstract><cop>Oxford, UK; Malden, USA</cop><pub>Blackwell Science Inc</pub><pmid>15144367</pmid><doi>10.1111/j.0737-1209.2004.021305.x</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0737-1209 |
| ispartof | Public health Nursing, 2004-05, Vol.21 (3), p.228-236 |
| issn | 0737-1209 1525-1446 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_764223499 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Ambulatory Care Facilities - statistics & numerical data Biological and medical sciences Child, Preschool childhood vaccines Educational Status Female Health Education - legislation & jurisprudence Health Education - statistics & numerical data Humans immunization Infant Kansas Louisiana Male Mass Vaccination - nursing Mass Vaccination - statistics & numerical data Medical sciences Miscellaneous Nursing parent education patient Patient Participation Patient Satisfaction Prevention and actions Professional-Family Relations public health Public Health Nursing - methods Public Health Nursing - statistics & numerical data Public health. Hygiene Public health. Hygiene-occupational medicine Risk Assessment risks and benefits Time and Motion Studies vaccine communication |
| title | Childhood Vaccine Risk/Benefit Communication Among Public Health Clinics: A Time-Motion Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T13%3A19%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Childhood%20Vaccine%20Risk/Benefit%20Communication%20Among%20Public%20Health%20Clinics:%20A%20Time-Motion%20Study&rft.jtitle=Public%20health%20Nursing&rft.au=Davis,%20Terry%20C.&rft.date=2004-05&rft.volume=21&rft.issue=3&rft.spage=228&rft.epage=236&rft.pages=228-236&rft.issn=0737-1209&rft.eissn=1525-1446&rft_id=info:doi/10.1111/j.0737-1209.2004.021305.x&rft_dat=%3Cproquest_cross%3E19728327%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=19728327&rft_id=info:pmid/15144367&rfr_iscdi=true |