{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:40:19Z","timestamp":1789000819898,"version":"build-2803163510"},"reference-count":49,"publisher":"Wiley","issue":"11-12","license":[{"start":{"date-parts":[[2021,8,22]],"date-time":"2021-08-22T00:00:00Z","timestamp":1629590400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and Objectives<\/jats:title><jats:p>To identify how pregnant women perceive pertussis and influenza and the factors that influence their decision to be vaccinated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Suffering from influenza during pregnancy increases complications in the pregnant woman, foetus and newborn. Pertussis in children under six months of age causes severe complications. Maternal vaccination against influenza and pertussis is effective and safe. However, vaccination rates are insufficient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>We conducted a qualitative descriptive study, using semi\u2010structured interviews. This research adheres to the COREQ guidelines and checklist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We carried out 18\u00a0semi\u2010structured face\u2010to\u2010face interviews with pregnant women, using intentional sampling and thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified an overarching theme, \u2018factors that influenced participants\u2019 decision to be vaccinated or not\u2019, which was composed of four subthemes that were in turn made up of 12 categories. The factors that influenced participants\u2019 decision to be vaccinated against influenza and pertussis were related to their knowledge of and their perception of risk for these diseases. Participants perceived the risk of pertussis to be greater, and they focused their concern on the newborn. The recommendations and convictions of nurse\u2010midwives were the most important factors encouraging vaccination. Participants trusted their nurse\u2010midwives and most reported that they would have been vaccinated if their midwife had recommended it. Other factors were linked to lack of information, fear and concerns about economic interests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The convictions and actions of the nurse\u2010midwife in recommending vaccination to pregnant women are decisive. Strategies to improve vaccination rates should be directed to helping health professionals understand how their practice affects the final decision of pregnant women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Understanding the factors that limit vaccination rates among pregnant women provides valuable information to nurse\u2010midwives that can help to improve vaccination strategies and practices. Increased maternal vaccination rates would reduce morbidity and mortality among pregnant women and newborns.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16006","type":"journal-article","created":{"date-parts":[[2021,8,23]],"date-time":"2021-08-23T04:41:36Z","timestamp":1629693696000},"page":"1531-1546","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Understanding factors that influence the decision to be vaccinated against influenza and pertussis in pregnancy: A\u00a0qualitative study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3360-1430","authenticated-orcid":false,"given":"Antonia","family":"Arreciado Mara\u00f1\u00f3n","sequence":"first","affiliation":[{"name":"Department of Nursing Faculty of Medicine Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"},{"name":"Multidisciplinary Research Group in Health and Society (GREMSAS)  Barcelona 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Atenci\u00f3 Prim\u00e0ria Jordi Gol (IDIAP Jordi Gol)  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7010-373X","authenticated-orcid":false,"given":"Maria","family":"Feijoo\u2010Cid","sequence":"additional","affiliation":[{"name":"Department of Nursing Faculty of Medicine Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"},{"name":"Multidisciplinary Research Group in Health and Society (GREMSAS)  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azahara","family":"Reyes\u2010Lacalle","sequence":"additional","affiliation":[{"name":"Research Group Atenci\u00f3 a la Salut Sexual i Reproductiva (GRASSIR) Institut Universitari d'Investigaci\u00f3 en Atenci\u00f3 Prim\u00e0ria Jordi Gol (IDIAP Jordi Gol)  Barcelona Spain"},{"name":"Atenci\u00f3 a la Salut Sexual i Reproductiva de Sabadell Direcci\u00f3 d\u2019Atenci\u00f3 Prim\u00e0ria Metropolitana Nord Institut Catal\u00e0 de la Salut  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