title: Vaccine risk/benefit communication: effect of an educational package for public health nurses.
abstract: The purpose of this study was to determine whether an in-service for public health nurses (PHNs) and accompanying educational materials could improve vaccine risk/benefit communication. The content and timing of vaccine communication were recorded during 246 pre-and 217 postintervention visits in two public health immunization clinics. Pre-/postintervention comparisons showed PHN communication of severe side effects (13% vs. 44%, p < .0001) and their management (29% vs. 60%, p < .0001) increased. There was no significant change in discussion of vaccine benefits (48% vs. 51%) or common side effects (91% vs. 92%),screening for contraindications (71% vs. 77%), or distribution of written information (89% vs. 92%). More parents initiated vaccine questions postintervention (27% vs. 39%,p < .01) and were more satisfied with vaccine-risk communication (8.1 vs. 8.9 on a 10-point scale, p < .01). Average vaccine communication time increased from 16 to 22 seconds (p < .01).
authors.affiliation: Louisiana State University Health Sciences Center - Shreveport, Department of Pediatrics, Shreveport, LA 71130, USA. tdavis1@lsuhsc.edu
authors.forename: Terry C
authors.initials: TC
authors.lastname: Davis
authors.forename: Doren D
authors.initials: DD
authors.lastname: Fredrickson
authors.forename: Estela M
authors.initials: EM
authors.lastname: Kennen
authors.forename: Sharon G
authors.initials: SG
authors.lastname: Humiston
authors.forename: Connie L
authors.initials: CL
authors.lastname: Arnold
authors.forename: Mackey S
authors.initials: MS
authors.lastname: Quinlin
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Bocchini
mesh_terms: D002675:Child, Preschool; D003142:Communication; D000075202:Contraindications; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D017589:Immunization Programs; D007223:Infant; D007615:Kansas; D008145:Louisiana; D008297:Male; D008403:Mass Screening; D024802:Nurse's Role; D010174:Pamphlets; D010290:Parents / Q000193:education*; D011368:Professional-Family Relations; D011637:Public Health Nursing; D018570:Risk Assessment; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014612:Vaccines / Q000008:administration & dosage / Q000009:adverse effects* / Q000276:immunology
chemical_list: D014612:Vaccines