Resumen
Objective: Pain, fear, and fainting management during school-based vaccinations is suboptimal. The objective was to examine stakeholder perceptions of barriers and facilitators to better practices. Method: Six semi-structured focus groups were conducted in Niagara Region, Ontario: Two parent groups (n=7); one grade 7 to 8 student group (n=9); two nurse groups (n=12); and one school staff group (n=6). Participants shared perceptions about school vaccination clinics and the implementation of specific strategies and tools. Focus groups were audio recorded and transcribed. The Consolidated Framework for Implementation Research (CFIR) was used as the framework for analysis. Results: Feedback from stakeholders was categorized into four domains of CFIR: intervention characteristics, inner setting, outer setting, and characteristics of individuals. Intervention characteristics included: vaccine educational materials, vaccination accommodations, distraction techniques, topical anaesthetics, and food. Inner setting factors included: School vaccination procedures, relationships between school staff and nurses, assessment and documentation of student fear, and factors that contribute to a chaotic vaccination clinic. Outer setting factors were: The social environment and addressing parent and student needs. Stakeholder roles were discussed in characteristics of individuals. Conclusion: This study identified elements that can facilitate and challenge pain and fear mitigation tools and strategies; these elements should be considered in the development of a Knowledge Translation (KT) intervention to improve the school vaccination experience.
| Idioma original | English |
|---|---|
| Páginas (desde-hasta) | S19-S28 |
| Publicación | Paediatrics and Child Health |
| Volumen | 24 |
| DOI | |
| Estado | Published - mar. 29 2019 |
Nota bibliográfica
Funding Information:The authors thank the students and parents who participated in this project. We also thank the staff at Niagara Region Public Health and The Niagara Catholic District School Board for their commitment to improving the quality of care provided at their respective organizations. Fundinginformation: This project was funded by the Canadian Institutes of Health Research Knowledge to Action Grant (KAL-147564). Potential conflicts of interest: AT reports Section 9 Trademark No. 924835 for CARD. LMB reports that Immunize Canada received grants from Pfizer Canada, Merck Canada, GSK Canada, Seqirus Canada and Sanofi Pasteur outside the submitted work. There are no other disclosures. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.
Publisher Copyright:
© The Author(s) 2019.
ASJC Scopus Subject Areas
- Pediatrics, Perinatology, and Child Health
ODS de las Naciones Unidas
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