title: Too many shots? Parent, nurse, and physician attitudes toward multiple simultaneous childhood vaccinations.
abstract: OBJECTIVE
  To learn about parent, nurse, and family physician attitudes toward multiple simultaneous childhood vaccinations.
  
  
  METHODS
  Survey.
  
  
  METHODS
  Thirty-two family practice clinics in Minnesota.
  
  
  METHODS
  Forty-six volunteer Minnesota Academy of Family Physicians Research Network members, 42 of their nurses, and 342 parents of their patients aged less than 6 years who have had at least one injection.
  
  
  METHODS
  Number of injections believed to be too many for a child to receive simultaneously and comfort level associated with children's receiving three simultaneous injectable vaccinations.
  
  
  RESULTS
  Most parents, nurses, and physicians (71%, 76%, and 59%, respectively) think that three injections are too many for a child to receive at one visit. Similar percentages of parents, nurses, and physicians are uncomfortable with a child's receiving three injections at one visit. Sixty-seven percent of the physicians who do not offer universal newborn hepatitis B vaccinations cite the number of required simultaneous injections as a factor in that decision. Only 15% of physicians order all three recommended injections for most of their 15-month-old patients.
  
  
  CONCLUSIONS
  Most parents, nurses, and physicians are uncomfortable with three simultaneous injections for children. This discomfort may be a significant barrier to the adoption of the new immunization recommendations. The development of effective combination vaccines should be a research priority.
authors.affiliation: Department of Family and Community Medicine, St Paul, Minn-Ramsey Medical Center.
authors.forename: D J
authors.initials: DJ
authors.lastname: Madlon-Kay
authors.forename: P G
authors.initials: PG
authors.lastname: Harper
mesh_terms: D000328:Adult; D001290:Attitude; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D016009:Chi-Square Distribution; D002675:Child, Preschool; D003625:Data Collection; D005194:Family Practice; D005260:Female; D006801:Humans; D007223:Infant; D007267:Injections / Q000523:psychology*; D008297:Male; D009726:Nurses; D010290:Parents; D014611:Vaccination / Q000523:psychology*