{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:08:00Z","timestamp":1787018880919,"version":"build-2736575974"},"reference-count":39,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T00:00:00Z","timestamp":1556582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Nurs Res"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Immunization in Canada is recommended not mandated, granting parents discretionary decision-making power regarding their child\u2019s immunization status. Uptake of childhood immunization at present falls below national targets. Nurses who interact with parents in the clinical setting may witness parents\u2019 decision-making experiences, attitudes, and opinions inclusive of vaccine hesitancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim of this study is to understand parents\u2019 and nurses\u2019 experiences of decision-making about childhood immunization, specifically measles-mumps-rubella and\/or diphtheria-tetanus-acellular pertussis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thorne\u2019s interpretative description approach was used to understand parents\u2019 and nurses\u2019 experiences and perspectives about immunization. The sample was 6 nurses and 16 parents residing in northeastern Ontario.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Common to all participants was the goal of protection. Motivated by child protection, parents carried out three broad actions, searching for information, deliberating the information and sources to determine the relative benefits and risks of immunization, and bearing responsibility for their decision to accept, delay, or decline immunization. Nurses were motivated by child protection and population health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Implications for nursing included integration of immunization competencies in nursing curricula, ongoing professional development, validation of parental actions for child protection, nurse-led education sessions, and engaging parents through social media to support access to reputable information.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0844562119847343","type":"journal-article","created":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T02:38:48Z","timestamp":1556678328000},"page":"255-267","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Parents\u2019 Experiences and Nurses\u2019 Perceptions of Decision-Making About Childhood Immunization"],"prefix":"10.1177","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2285-4950","authenticated-orcid":false,"given":"Sharolyn","family":"Mossey","sequence":"first","affiliation":[{"name":"School of Nursing, Laurentian University, Sudbury, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelly","family":"Hosman","sequence":"additional","affiliation":[{"name":"Health Sciences and Emergency Services, Northern College of Applied Arts and Technology, Timmins, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phyllis","family":"Montgomery","sequence":"additional","affiliation":[{"name":"School of Nursing, Laurentian University, Sudbury, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"McCauley","sequence":"additional","affiliation":[{"name":"School of Social Work, Laurentian University, Sudbury, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,4,30]]},"reference":[{"key":"bibr1-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1097\/JPN.0b013e3182611b7b"},{"key":"bibr2-0844562119847343","volume-title":"In need of a booster: How to improve childhood vaccination coverage in Canada","author":"Busby C.","year":"2017"},{"key":"bibr3-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2013.08.104"},{"key":"bibr4-0844562119847343","unstructured":"Canadian Nurses Association. (2006).\n                      Public health nursing practice and ethical challenges\n                      . Ethics in Practice for Registered Nurses. Retrieved from https:\/\/cna-aiic.ca\/\u223c\/media\/cna\/page-content\/pdf-en\/ethics_in_practice_jan_06_e.pdf"},{"key":"bibr5-0844562119847343","volume-title":"Practice standard: Ethics","author":"College of Nurses of Ontario.","year":"2009"},{"key":"bibr6-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2016.1221553"},{"key":"bibr7-0844562119847343","doi-asserted-by":"publisher","DOI":"10.5430\/jnep.v8n8p128"},{"key":"bibr8-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1111\/j.0737-1209.2004.021305.x"},{"key":"bibr9-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0156118"},{"key":"bibr10-0844562119847343","doi-asserted-by":"publisher","DOI":"10.4161\/hv.24657"},{"key":"bibr11-0844562119847343","first-page":"911","volume":"52","author":"Fine P.","year":"2011","journal-title":"Vaccines"},{"key":"bibr12-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a121310"},{"key":"bibr13-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-1117"},{"key":"bibr14-0844562119847343","unstructured":"Government of Canada. (2019a).\n                      Vaccination coverage goals and vaccine preventable disease reduction targets by 2025\n                      . Retrieved from https:\/\/www.canada.ca\/en\/public-health\/services\/immunization-vaccine-priorities\/national-immunization-strategy\/vaccination-coverage-goals-vaccine-preventable-diseases-reducation-targets-2025.html#1.1.2"},{"key":"bibr15-0844562119847343","unstructured":"Government of Canada. (2019b).\n                      Measles in Canada\n                      . Retrieved from https:\/\/ww.canada.ca\/en\/public-health\/services\/diseases\/measles\/measles-in-canada.html"},{"key":"bibr16-0844562119847343","unstructured":"Government of Canada. (2019c).\n                      Measles & rubella weekly monitoring report December 23 to December 29, 2019\n                      . Retrieved from https:\/\/www.canada.ca\/en\/public-health\/services\/publications\/diseases-conditions\/measles-rubella-surveillance\/2018\/week-52-december-23-december-29-2018.html"},{"key":"bibr17-0844562119847343","unstructured":"Government of Canada. (2019d).\n                      Reported cases from 1991 to 2016 in Canada - Notifiable diseases on-line.\n                      Retrieved from http:\/\/dsol-smed.phac-aspc.gc.ca\/dsol-smed\/ndis\/charts.php?c=ylt&wbdisable=true"},{"key":"bibr18-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.04.085"},{"key":"bibr19-0844562119847343","doi-asserted-by":"publisher","DOI":"10.17269\/cjph.106.4803"},{"key":"bibr20-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-12-154"},{"key":"bibr21-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1097\/01.HNP.0000269148.42861.62"},{"key":"bibr22-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2017.02.003"},{"issue":"86","key":"bibr23-0844562119847343","first-page":"1","volume":"10","author":"Pelly L. P.","year":"2010","journal-title":"BMC Medical Education"},{"key":"bibr24-0844562119847343","doi-asserted-by":"publisher","DOI":"10.4161\/hv.18444"},{"key":"bibr25-0844562119847343","unstructured":"Public Health Agency of Canada. (2008).\n                      Canadian immunization competencies for health professionals\n                      . Retrieved from http:\/\/www.phac-aspc.gc.ca\/im\/pdf\/ichp-cips-eng.pdf"},{"key":"bibr26-0844562119847343","unstructured":"Public Health Agency of Canada. (2016).\n                      Canada\u2019s provincial and territorial routine (and catch-up) vaccination programs for infants and children\n                      . Retrieved from http:\/\/healthycanadians.gc.ca\/healthy-living-vie-saine\/immunization- immunisation\/schedule-calendrier\/alt\/infants-children-vaccination-enfants-nourrissons-eng.pdf"},{"key":"bibr27-0844562119847343","unstructured":"Public Health Agency of Canada. (2017).\n                      Vaccine coverage in Canada children: Results from the 2013 childhood national immunization coverage survey\n                      . Retrieved from http:\/\/publications.gc.ca\/collections\/collection_2017\/aspc-phac\/HP40-156-2017-eng.pdf"},{"key":"bibr28-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/pxy052"},{"key":"bibr29-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2016.01.012"},{"key":"bibr30-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2013.07.013"},{"key":"bibr31-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1177\/1075547016637083"},{"key":"bibr32-0844562119847343","unstructured":"Statistics Canada. (2016).\n                      Census profile, 2016\n                      . Retrieved from https:\/\/www12.statcan.gc.ca\/census-recensement\/2016\/dp-pd\/prof\/details\/page.cfm?Lang=E&Geo1=CSD&Code1=3556027&Geo2=CD&Code2=3556&Data=Count&SearchText=Timmins&SearchType=Begins&SearchPR=01&B1=All&TABID=1"},{"key":"bibr33-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1177\/1059840516665216"},{"key":"bibr34-0844562119847343","first-page":"295","volume-title":"Routledge international handbook of qualitative nursing research","author":"Thorne S.","year":"2013"},{"key":"bibr35-0844562119847343","doi-asserted-by":"publisher","DOI":"10.4324\/9781315426259"},{"key":"bibr36-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1177\/160940690400300101"},{"key":"bibr37-0844562119847343","doi-asserted-by":"publisher","DOI":"10.1177\/084456211504700206"},{"key":"bibr38-0844562119847343","doi-asserted-by":"publisher","DOI":"10.17269\/CJPH.107.5679"},{"key":"bibr39-0844562119847343","volume-title":"Global Vaccine Action Plan: 2011\u20132020","author":"World Health Organization.","year":"2013"}],"container-title":["Canadian Journal of Nursing Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0844562119847343","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0844562119847343","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0844562119847343","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:22:20Z","timestamp":1777389740000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0844562119847343"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,30]]},"references-count":39,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1177\/0844562119847343"],"URL":"https:\/\/doi.org\/10.1177\/0844562119847343","relation":{},"ISSN":["0844-5621","1705-7051"],"issn-type":[{"value":"0844-5621","type":"print"},{"value":"1705-7051","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,30]]}}}