Sue Randall1, Julie Leask2, Penelope Robinson3, Margie Danchin4, Paul Kinnersley5, Holly Witteman6, Lyndal Trevena7, Nina Berry8. 1. The University of Sydney Susan Wakil School of Nursing and Midwifery /Sydney Nursing School, Faculty of Medicine and Health, University of Sydney, NSW 2006, Australia. Electronic address: sue.randall@sydney.edu.au. 2. The University of Sydney Susan Wakil School of Nursing and Midwifery /Sydney Nursing School, Faculty of Medicine and Health, University of Sydney, NSW 2006, Australia; University of Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, NSW 2006, Australia. Electronic address: Julie.leask@sydney.edu.au. 3. University of Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, NSW 2006, Australia. Electronic address: penelope.robinson@sydney.edu.au. 4. Department of Paediatrics, University of Melbourne, Victoria 3010, Australia; Vaccine and Immunisation Research Group, Murdoch Children's Research Institute, The Royal Children's Hospital, Victoria 3052, Australia; Department of General Medicine, The Royal Children's Hospital, Victoria 3052, Australia. Electronic address: Margie.danchin@rch.org.au. 5. Institute of Medical Education, School of Medicine, Cardiff University, Wales CF10 3AT, United Kingdom. Electronic address: kinnersley@Cardiff.ac.uk. 6. Department of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada; Office of Education and Professional Development, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada. Electronic address: holly.witteman@fmed.ulaval.ca. 7. University of Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, NSW 2006, Australia. Electronic address: Lyndal.travena@sydney.edu.au. 8. University of Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, NSW 2006, Australia. Electronic address: nina.berry@sydney.edu.au.
Abstract
OBJECTIVE: To refine communication strategies to assist clinician conversations with vaccine hesitant and declining parents as part of the Sharing Knowledge About Immunisation (SKAI) package. METHODS: We recorded and analysed consultations held in two Specialist Immunisation Clinics in tertiary hospitals in Australia between consenting clinicians and parents. We undertook content analysis that was both iterative and informed by the Calgary Cambridge Model of health communication and motivational interviewing. RESULTS: We found common strengths and opportunities in clinician's communication styles. Strengths included: rapport building; communicating care for both the parent and child; exhibiting depth of vaccination-specific communication skill and content knowledge. Opportunities for strengthening communication practices included: eliciting parents' concerns to saturation early in the consultation; structuring the consultation to prioritise and address parents' concerns; recognising and responding to parents' motivation to vaccinate; effectively closing consultations. CONCLUSION: This study has synthesised clinical communication strategies from expert vaccination communicators using well-established communication frameworks to advance a unique approach to the challenging task of addressing vaccine hesitancy and refusal. PRACTICE IMPLICATIONS: The clinic observations helped us to create a structured consultation guide that can enhance and provide greater structure to a clinician's existing communication skills.
OBJECTIVE: To refine communication strategies to assist clinician conversations with vaccine hesitant and declining parents as part of the Sharing Knowledge About Immunisation (SKAI) package. METHODS: We recorded and analysed consultations held in two Specialist Immunisation Clinics in tertiary hospitals in Australia between consenting clinicians and parents. We undertook content analysis that was both iterative and informed by the Calgary Cambridge Model of health communication and motivational interviewing. RESULTS: We found common strengths and opportunities in clinician's communication styles. Strengths included: rapport building; communicating care for both the parent and child; exhibiting depth of vaccination-specific communication skill and content knowledge. Opportunities for strengthening communication practices included: eliciting parents' concerns to saturation early in the consultation; structuring the consultation to prioritise and address parents' concerns; recognising and responding to parents' motivation to vaccinate; effectively closing consultations. CONCLUSION: This study has synthesised clinical communication strategies from expert vaccination communicators using well-established communication frameworks to advance a unique approach to the challenging task of addressing vaccine hesitancy and refusal. PRACTICE IMPLICATIONS: The clinic observations helped us to create a structured consultation guide that can enhance and provide greater structure to a clinician's existing communication skills.
Authors: Anne C de Munter; Wilhelmina L M Ruijs; Robert A C Ruiter; Dagmar J J van Nimwegen; Anke J M Oerlemans; Rijk van Ginkel; Marlies E J L Hulscher; Jeannine L A Hautvast Journal: PLoS One Date: 2020-11-12 Impact factor: 3.240