{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T12:02:38Z","timestamp":1791201758822,"version":"4.2.0"},"reference-count":70,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","jognn.awhonn.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Obstetric, Gynecologic, &amp; Neonatal Nursing"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.jogn.2026.07.004","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T03:57:59Z","timestamp":1787198279000},"page":"471-484","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fractured Guidance in Recent U.S. Vaccine Policy and Implications for Nurses"],"prefix":"10.1016","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5085-984X","authenticated-orcid":false,"given":"Sasha N.","family":"Poole","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6376-1817","authenticated-orcid":false,"given":"Gina C.","family":"Rowe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8326-9635","authenticated-orcid":false,"given":"Lauri A.","family":"Andress","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6106-8066","authenticated-orcid":false,"given":"Roberta","family":"Lavin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7545-1135","authenticated-orcid":false,"given":"Nicholas","family":"Edwardson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jogn.2026.07.004_bib1","article-title":"US CDC chief fired after weeks in role, challenges ouster as four top officials resign","author":"Aboulenein","year":"2025","journal-title":"U.S. News & World Report"},{"key":"10.1016\/j.jogn.2026.07.004_bib2","article-title":"AMA statement on changes to childhood vaccine schedule","author":"Adamson Fryhofer","year":"2026","journal-title":"American Medical Association"},{"key":"10.1016\/j.jogn.2026.07.004_bib5","doi-asserted-by":"crossref","DOI":"10.31478\/201409f","article-title":"Shared decision-making strategies for best care: Patient decision aids","author":"Alston","year":"2014","journal-title":"NAM Perspectives"},{"key":"10.1016\/j.jogn.2026.07.004_bib9","unstructured":"American College of Obstetricians and Gynecologists. (n.d.). Maternal Immunization Task Force. https:\/\/www.acog.org\/programs\/immunization-infectious-disease-public-health\/maternal-immunization-task-force."},{"issue":"6","key":"10.1016\/j.jogn.2026.07.004_bib12","doi-asserted-by":"crossref","first-page":"e55","DOI":"10.1016\/j.japh.2020.05.010","article-title":"Shared decision-making for vaccines","volume":"60","author":"Angelo","year":"2020","journal-title":"Journal of the American Pharmacists Association"},{"issue":"4","key":"10.1016\/j.jogn.2026.07.004_bib14","doi-asserted-by":"crossref","first-page":"108","DOI":"10.5501\/wjv.v1.i4.108","article-title":"History of polio vaccination","volume":"1","author":"Baicus","year":"2012","journal-title":"World Journal of Virology"},{"issue":"2","key":"10.1016\/j.jogn.2026.07.004_bib15","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1080\/14760584.2019.1562344","article-title":"Current landscape of nonmedical vaccination exemptions in the United States: Impact of policy changes","volume":"18","author":"Bednarczyk","year":"2019","journal-title":"Expert Review of Vaccines"},{"issue":"1","key":"10.1016\/j.jogn.2026.07.004_bib16","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1080\/23744235.2022.2125065","article-title":"Increasing prevalence of chronic hepatitis B virus infection and low linkage to care in Denmark on 31 December 2016\u2014An update based on nationwide registers","volume":"55","author":"Bollerup","year":"2023","journal-title":"Infectious Diseases"},{"key":"10.1016\/j.jogn.2026.07.004_bib17","article-title":"Dropping hepatitis B shots for newborns would ignore history and endanger children, scientists warn","author":"Boodman","year":"2025","journal-title":"STAT"},{"key":"10.1016\/j.jogn.2026.07.004_bib18","article-title":"When it comes to vaccine schedules, the U.S. is now the outlier","author":"Branswell","year":"2026","journal-title":"STAT"},{"key":"10.1016\/j.jogn.2026.07.004_bib19","series-title":"Making sense of the new U.S. childhood vaccine recommendations","author":"Brownstein","year":"2026"},{"issue":"2","key":"10.1016\/j.jogn.2026.07.004_bib20","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1377\/hlthaff.2015.1599","article-title":"The United States\u2019 piecemeal approach to vaccine policy","volume":"35","author":"Bylander","year":"2016","journal-title":"Health Affairs"},{"key":"10.1016\/j.jogn.2026.07.004_bib93","unstructured":"Center for Unbiased Science & Health. (n.d.). What\u2019s the risk? https:\/\/www.unbiasedscience.org\/risk-comparison"},{"issue":"RR-5","key":"10.1016\/j.jogn.2026.07.004_bib21","first-page":"1","article-title":"Recommended childhood immunization schedule\u2014United States, 1995","volume":"44","year":"1995","journal-title":"Morbidity and Mortality Weekly Report"},{"issue":"29","key":"10.1016\/j.jogn.2026.07.004_bib22","first-page":"621","article-title":"Achievements in public health, 1900\u20131999: Control of infectious diseases","volume":"48","year":"1999","journal-title":"Morbidity and Mortality Weekly Report"},{"issue":"12","key":"10.1016\/j.jogn.2026.07.004_bib23","first-page":"243","article-title":"Impact of vaccines universally recommended for children\u2014United States, 1990\u20131998","volume":"48","year":"1999","journal-title":"Morbidity and Mortality Weekly Report"},{"issue":"43","key":"10.1016\/j.jogn.2026.07.004_bib24","first-page":"1007","article-title":"Withdrawal of rotavirus vaccine recommendation","volume":"48","year":"1999","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"10.1016\/j.jogn.2026.07.004_bib29","series-title":"CDC acts on presidential memorandum to update childhood immunization schedule","year":"2026"},{"issue":"1","key":"10.1016\/j.jogn.2026.07.004_bib33","first-page":"10","article-title":"Rotavirus vaccine withdrawal in the United states; The role of postmarketing surveillance","volume":"11","author":"Delage","year":"2000","journal-title":"Canadian Journal of Infectious Diseases"},{"key":"10.1016\/j.jogn.2026.07.004_bib34","article-title":"States have mandated vaccinations since long before COVID-19","author":"Desilver","year":"2021","journal-title":"Pew Research Center"},{"key":"10.1016\/j.jogn.2026.07.004_bib35","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1146\/annurev-virology-092818-015515","article-title":"The MMR vaccine and autism","volume":"6","author":"DeStefano","year":"2019","journal-title":"Annual Review of Virology"},{"key":"10.1016\/j.jogn.2026.07.004_bib36","article-title":"FDA\u2019s top vaccine official forced out","author":"Essley Whyte","year":"2025","journal-title":"The Wall Street Journal"},{"key":"10.1016\/j.jogn.2026.07.004_bib38","article-title":"Former CDC director: RFK Jr. is dangerously wrong about vaccines","author":"Frieden","year":"2025","journal-title":"TIME"},{"issue":"2","key":"10.1016\/j.jogn.2026.07.004_bib39","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1001\/jama.2025.22473","article-title":"CDC's failure to recommend COVID-19 vaccination\u2014\u201cShared clinical decision-making\u201d is abdication of responsibility","volume":"335","author":"Frieden","year":"2026","journal-title":"JAMA"},{"issue":"1","key":"10.1016\/j.jogn.2026.07.004_bib40","doi-asserted-by":"crossref","DOI":"10.1080\/21645515.2024.2391625","article-title":"From vaccine hesitancy to vaccine motivation: A motivational interviewing based approach to vaccine counselling","volume":"20","author":"Gagneur","year":"2024","journal-title":"Human Vaccines & Immunotherapeutics"},{"key":"10.1016\/j.jogn.2026.07.004_bib41","article-title":"Wakefield\u2019s article linking MMR vaccines and autism was fraudulent","volume":"342","author":"Godlee","year":"2011","journal-title":"BMJ"},{"issue":"38","key":"10.1016\/j.jogn.2026.07.004_bib42","doi-asserted-by":"crossref","first-page":"844","DOI":"10.15585\/mmwr.mm7338a3","article-title":"Decline in vaccination coverage by age 24 months and vaccination inequities among children born in 2020 and 2021\u2014National Immunization Survey\u2013Child, United States, 2021\u20132023","volume":"73","author":"Hill","year":"2024","journal-title":"Morbidity and Mortality Weekly Report"},{"issue":"6","key":"10.1016\/j.jogn.2026.07.004_bib43","doi-asserted-by":"crossref","first-page":"e91","DOI":"10.1016\/j.japh.2020.06.027","article-title":"Shared clinical decision making on vaccines: Nothing has really changed for pharmacists","volume":"60","author":"Hogue","year":"2020","journal-title":"Journal of the American Pharmacists Association"},{"issue":"9411","key":"10.1016\/j.jogn.2026.07.004_bib44","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1016\/S0140-6736(04)15699-7","article-title":"A statement by the editors of The Lancet","volume":"363","author":"Horton","year":"2004","journal-title":"The Lancet"},{"issue":"4","key":"10.1016\/j.jogn.2026.07.004_bib45","doi-asserted-by":"crossref","first-page":"247","DOI":"10.20408\/jti.2022.0044","article-title":"Development of variolation and its introduction to Joseon-era Korea","volume":"37","author":"Hwang","year":"2022","journal-title":"Journal of Trauma and Injury"},{"issue":"11","key":"10.1016\/j.jogn.2026.07.004_bib46","doi-asserted-by":"crossref","first-page":"1562","DOI":"10.1016\/j.mayocp.2015.09.006","article-title":"Vaccine hesitancy","volume":"90","author":"Jacobson","year":"2015","journal-title":"Mayo Clinic Proceedings"},{"key":"10.1016\/j.jogn.2026.07.004_bib47","article-title":"AAP: Changes to hepatitis B recommendations \u201cirresponsible and purposely misleading.\u201d","author":"Jenco","year":"2025","journal-title":"AAP News"},{"issue":"1","key":"10.1016\/j.jogn.2026.07.004_bib48","doi-asserted-by":"crossref","first-page":"2110","DOI":"10.1097\/JS9.0000000000003499","article-title":"Measles resurgence in the United States: Epidemiological and clinical observations from 2025","volume":"112","author":"Johnson","year":"2026","journal-title":"International Journal of Surgery"},{"key":"10.1016\/j.jogn.2026.07.004_bib49","article-title":"State recommendations for routine childhood vaccines: Increasing departure from federal guidelines","author":"Kates","year":"2026","journal-title":"KFF"},{"key":"10.1016\/j.jogn.2026.07.004_bib50","article-title":"How HHS, FDA, and CDC can influence U.S. vaccine policy","author":"Kates","year":"2024","journal-title":"KFF"},{"key":"10.1016\/j.jogn.2026.07.004_bib51","article-title":"The new federal vaccine schedule for children: What changed and what are the implications?","author":"Kates","year":"2026","journal-title":"KFF"},{"issue":"8","key":"10.1016\/j.jogn.2026.07.004_bib52","doi-asserted-by":"crossref","first-page":"2283","DOI":"10.1007\/s11606-020-06456-z","article-title":"Shared clinical decision-making recommendations for adult immunization: What do physicians think?","volume":"36","author":"Kempe","year":"2021","journal-title":"Journal of General Internal Medicine"},{"key":"10.1016\/j.jogn.2026.07.004_bib53","article-title":"HHS moves to restore public trust in vaccines","author":"Kennedy","year":"2025","journal-title":"The Wall Street Journal"},{"issue":"24","key":"10.1016\/j.jogn.2026.07.004_bib55","doi-asserted-by":"crossref","first-page":"2176","DOI":"10.1001\/jama.2025.6495","article-title":"Modeling reemergence of vaccine-eliminated infectious diseases under declining vaccination in the US","volume":"333","author":"Kiang","year":"2025","journal-title":"JAMA"},{"issue":"6","key":"10.1016\/j.jogn.2026.07.004_bib56","doi-asserted-by":"crossref","first-page":"741","DOI":"10.2105\/AJPH.2018.304348","article-title":"Mistrust in medicine: The rise and fall of America's first vaccine institute","volume":"108","author":"Lanzarotta","year":"2018","journal-title":"American Journal of Public Health"},{"issue":"RR-05","key":"10.1016\/j.jogn.2026.07.004_bib57","first-page":"1","article-title":"Human papillomavirus vaccination: Recommendations of the Advisory Committee on Immunization Practices (ACIP)","volume":"63","author":"Markowitz","year":"2014","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"10.1016\/j.jogn.2026.07.004_bib58","author":"Marks"},{"key":"10.1016\/j.jogn.2026.07.004_bib59","article-title":"Federal vaccine advisory committees: Roles and current issues","author":"Michaud","year":"2025","journal-title":"KFF"},{"issue":"11","key":"10.1016\/j.jogn.2026.07.004_bib60","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2025.43668","article-title":"Hepatitis B elimination in the US\u2014Which gaps need to be closed?","volume":"8","author":"Mohareb","year":"2025","journal-title":"JAMA Network Open"},{"key":"10.1016\/j.jogn.2026.07.004_bib61","article-title":"What has RFK Jr. said about vaccines","author":"Mosbergen","year":"2025","journal-title":"The Wall Street Journal"},{"issue":"8","key":"10.1016\/j.jogn.2026.07.004_bib62","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0256395","article-title":"Quantifying the effect of Wakefield et al. (1998) on skepticism about MMR vaccine safety in the U.S","volume":"16","author":"Motta","year":"2021","journal-title":"PLoS One"},{"issue":"9411","key":"10.1016\/j.jogn.2026.07.004_bib63","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1016\/S0140-6736(04)15715-2","article-title":"Retraction of an interpretation","volume":"363","author":"Murch","year":"2004","journal-title":"The Lancet"},{"key":"10.1016\/j.jogn.2026.07.004_bib64","article-title":"IDSA statement on childhood vaccine schedule","author":"Nahass","year":"2026","journal-title":"Infectious Disease Society of America"},{"issue":"10","key":"10.1016\/j.jogn.2026.07.004_bib67","doi-asserted-by":"crossref","DOI":"10.3390\/vaccines10101595","article-title":"Vaccine hesitancy: Contemporary issues and historical background","volume":"10","author":"Nuwarda","year":"2022","journal-title":"Vaccines"},{"issue":"10528","key":"10.1016\/j.jogn.2026.07.004_bib68","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/S0140-6736(26)00090-5","article-title":"A risk to child health: Confusion and concern over changes to US vaccine policy","volume":"407","author":"Pollard","year":"2026","journal-title":"The Lancet"},{"key":"10.1016\/j.jogn.2026.07.004_bib69","article-title":"Anti-vaccine patients vent anger on healthcare workers like me: It takes a toll on care","author":"Ramnath","year":"2022","journal-title":"Los Angeles Times"},{"issue":"7","key":"10.1016\/j.jogn.2026.07.004_bib70","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1002\/jcop.23133","article-title":"Psychosocial dimensions of vaccine hesitancy: A systematic review","volume":"52","author":"Rizzo","year":"2024","journal-title":"Journal of Community Psychology"},{"issue":"18","key":"10.1016\/j.jogn.2026.07.004_bib71","doi-asserted-by":"crossref","first-page":"2155","DOI":"10.1001\/jama.298.18.2155","article-title":"Historical comparisons of morbidity and mortality for vaccine-preventable diseases in the United States","volume":"298","author":"Roush","year":"2007","journal-title":"JAMA"},{"key":"10.1016\/j.jogn.2026.07.004_bib72","article-title":"HHS bars liaison members from ACIP work groups","author":"Schnirring","year":"2025","journal-title":"CIDRAP News"},{"key":"10.1016\/j.jogn.2026.07.004_bib73","article-title":"\u201cAstounding\u201d vaccine change puts US behind peer countries, experts warn","author":"Schreiber","year":"2026","journal-title":"The Guardian"},{"key":"10.1016\/j.jogn.2026.07.004_bib74","article-title":"CIDRAP Op-Ed: Quiet dismantling: How \u201cshared decision-making\u201d weakens vaccine policy and harms kids","author":"Scott","year":"2026","journal-title":"CIDRAP News"},{"issue":"10441","key":"10.1016\/j.jogn.2026.07.004_bib75","doi-asserted-by":"crossref","first-page":"2307","DOI":"10.1016\/S0140-6736(24)00850-X","article-title":"Contribution of vaccination to improved survival and health: Modelling 50 years of the expanded programme on immunization","volume":"403","author":"Shattock","year":"2024","journal-title":"The Lancet"},{"key":"10.1016\/j.jogn.2026.07.004_bib76","doi-asserted-by":"crossref","DOI":"10.3389\/fimmu.2011.00021","article-title":"Edward Jenner and the small pox vaccine","volume":"2","author":"Smith","year":"2011","journal-title":"Frontiers in Immunology"},{"key":"10.1016\/j.jogn.2026.07.004_bib77","article-title":"RFK Jr. says COVID shots no longer recommended for kids, pregnant women","author":"Stein","year":"2025","journal-title":"National Public Radio"},{"key":"10.1016\/j.jogn.2026.07.004_bib78","article-title":"NIH cuts funding for vaccine-hesitancy research: mRNA research may be next","author":"Stein","year":"2025","journal-title":"National Public Radio"},{"issue":"4","key":"10.1016\/j.jogn.2026.07.004_bib79","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1027\/2151-2604\/a000222","article-title":"Understanding psychological reactance: New developments and findings","volume":"223","author":"Steindl","year":"2015","journal-title":"Zeitschrift f\u00fcr Psychologie"},{"key":"10.1016\/j.jogn.2026.07.004_bib80","article-title":"Kennedy announces eight new members of C.D.C. vaccine advisory panel","author":"Stolberg","year":"2025","journal-title":"The New York Times"},{"key":"10.1016\/j.jogn.2026.07.004_bib81","article-title":"Kennedy sought to fire C.D.C. director over vaccine policy","author":"Stolberg","year":"2025","journal-title":"The New York Times"},{"key":"10.1016\/j.jogn.2026.07.004_bib82","article-title":"Federal Advisory Committee Act (FACA): Committee establishment and termination (IF12102)","author":"Stuessy","year":"2023","journal-title":"Congressional Research Service"},{"key":"10.1016\/j.jogn.2026.07.004_bib83","article-title":"States, health organizations reject new CDC vaccine guidance","author":"Szabo","year":"2026","journal-title":"CIDRAP News"},{"key":"10.1016\/j.jogn.2026.07.004_bib84","article-title":"CDC website altered to reflect RFK Jr\u2019s belief in link between vaccines and autism","author":"Tait","year":"2025","journal-title":"The Guardian"},{"issue":"9713","key":"10.1016\/j.jogn.2026.07.004_bib85","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1016\/S0140-6736(10)60175-4","article-title":"Retraction\u2014Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children","volume":"375","year":"2010","journal-title":"The Lancet"},{"key":"10.1016\/j.jogn.2026.07.004_bib90","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.pec.2022.09.015","article-title":"For which decisions is shared decision making considered appropriate?\u2013A systematic review","volume":"106","author":"van der Horst","year":"2023","journal-title":"Patient Education and Counseling"},{"issue":"9103","key":"10.1016\/j.jogn.2026.07.004_bib91","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/S0140-6736(97)11096-0","article-title":"Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children [retracted article]","volume":"351","author":"Wakefield","year":"1998","journal-title":"The Lancet"},{"key":"10.1016\/j.jogn.2026.07.004_bib92","article-title":"2026 U.S. measles cases surpass 2025 level","author":"Willens","year":"2026","journal-title":"International Vaccine Access Center"}],"container-title":["Journal of Obstetric, Gynecologic, &amp; Neonatal Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0884217526001851?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0884217526001851?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T11:35:14Z","timestamp":1791200114000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0884217526001851"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":70,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S0884217526001851"],"URL":"https:\/\/doi.org\/10.1016\/j.jogn.2026.07.004","relation":{},"ISSN":["0884-2175"],"issn-type":[{"value":"0884-2175","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Fractured Guidance in Recent U.S. Vaccine Policy and Implications for Nurses","name":"articletitle","label":"Article Title"},{"value":"Journal of Obstetric, Gynecologic, & Neonatal Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jogn.2026.07.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 AWHONN. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}