Tarrant & Gregory (2003) in their article “Exploring childhood immunization uptake with First Nations mothers in north-western Ontario, Canada” discusses childhood immunizations and preventive care. Specifically the researchers aimed to explore beliefs First Nations parents hold regarding childhood immunizations, and what factors may influence immunization uptake. Studies suggest that Native American children generally receive lower immunization coverage than children in Canada according to the study.
Using a qualitative descriptive design the researchers interviewed twenty-eight mothers within Native Indian communities in Canada regarding vaccine preventable illnesses. The results of the study suggests that First Nations parental beliefs regarding immunizations may positively or negatively influence a child’s immunization uptake. The research also suggests that education may enable families to make better decisions regarding their child’s health care and immunization uptake.
The researchers do point out in their work that other studies support that immunization uptake may be negatively impacted by “parental misperceptions, vaccine side-effects and negative outcomes from vaccinations” among other related factors (Tarrant & Gregory, 63). The study confirms that despite increasing exposure to preventable illnesses First Nations mothers did not necessarily change their misperceptions or attitudes regarding vaccination. As a result more first nations children experienced higher rates of disease than children in other communities.
The data revealed that First Nations parents were more likely to have concerns regarding the efficacy of immunizations, the experience itself and consequences of immunization, interactions with health professionals and also experience more barriers to immunizations (Tarrant & Gregory, 2003). How This Article Affects Nursing Nurses face many challenges in the health care arena none the least of which is providing care for a diverse population. Individuals needing health care come from many different cultural, ethnic, socio-economic and religious environments.
All of these factors may impact their ability to access or partake in healthcare. As we can see from the article above, diversity plays a tremendous influence in First Nations parents’ beliefs about immunizations and subsequent immunization uptake. This theme is common in many healthcare settings. Hutchison ; Quartaro (1993) support recognizing diversity and point out in their article “Training imperatives for volunteers caring for high-risk, vulnerable populations” that it is important for caregivers to “anticipate the caring needs of high risk populations” including culturally diverse populations (88).
Nurses must be trained not only to recognize cultural or other influences that may impeded care, but also must work quickly to plan for appropriate care and provide an environment for patients where they feel supported and understood (Hutchison ; Quartero, 1993). The authors also emphasize the importance of caregiver’s role as an agent responsible for strengthening family ties where appropriate and intervening to provide for immediate survival needs, which may “vary according to locale, age, sex, sociocultural factors and availability of supportive resources” (89). Pulido et.
al (2001) also support the idea that immunization uptake may be a result of ethnic or cultural beliefs and socio-economic conditions. In their article “Vaccinating Asian Pacific Islander children against Hepatitis B” the researchers examine ethnic-specific barriers and social influences that prevent children from receiving adequate vaccinations. Their research suggests that factors influencing a child’s coverage against Hepatitis B prior to entering school include the child’s familial English speaking capability, living in different ethnic and different socio-economic groups.
The researcher suggest that health care providers including nurses must act quickly to develop cultural-specific outreach programs in order to address the diverse needs of communities like that in the study. Purden (2005) also emphasizes cultural competency in health care from a Canadian vantage in his work “Cultural considerations in interprofessional education and practice. ” In this article the researcher explores practice environments that encourage cultural awareness and support diversity in a health care setting.
The researcher points out that a participatory action approach in nursing and health care is more likely to foster “collaboration with patients, healers and the community” (224). The researcher also suggests that teams of nurses, doctors and other health professionals work together to create an approach to health care that emphasizes multiple concepts and principles, including “openness, mutual respect, inclusiveness, responsiveness and understanding” so that competent health care is delivered to all communities regardless of their cultural, ethnic, socio-economic or other background (Purden, 225).
Clearly this form of all inclusive care is necessary for populations including First Nations parents, who need greater understanding, communication and collaboration to change encourage a positive relationship between believes and immunization uptake. All of these articles support not only the nursing student but also other health care professionals because they bring to light the multiple issues that arise when treating culturally and ethnically diverse populations.
The same is true for individuals from varying socio-economic, religious backgrounds or lifestyles. People bring with them a set of grounded beliefs, ideas, fears and desires. The more a nursing student enter a relationship with patients with an open mind and collaborative approach, the more likely he or she is to learn how to delivery competent care to these patients regardless of their background. Conclusions This course teaches among other things that diversity is a fact of life.
Nursing students must recognize that they will need to provide health care to patients in an increasingly diverse environment. Diversity comes in many forms and may include a patient’s ethnic or cultural background, lifestyle factors, religious beliefs or even socio-economic factors. The research provided above suggests that these influences may affect a patient’s outcome both positively and negatively. It is important that nursing students recognize the need to work with patients collaboratively in order to develop practices that will ensure the best care for patients.
These include going into a care environment with the knowledge that patients need understanding and compassion and recognition that their beliefs are important. Nurses must also understand the patient’s quality of care prior to commencement of service based on multiple diverse factors. Bibliography : Hutchison, R. R. ; Quartaro, E. G. (1993). “Training imperatives for volunteers caring for high-risk, vulnerable populations. ” Journal of Community Health Nursing, 10(2): 88-92. Pulido, M. J. , Alvarado, E. A. , Berger, W. , Nelson, A.
, Todoroff, C. (2001 – Summer). “Vaccinating Asian Pacific Islander children against hepatitis B: ethnic-specific influences and barriers. ” Asian American Pacific Islander Journal Health, 9(2): 211-20. Purden, M. (2005 – May). “Cultural considerations in interprofessional education and practice. ” Journal of Interprofessional Care, 19(1): 224-34 Tarrant, M. ; Gregory, D. (2003). “Exploring childhood immunization uptake with First Nations mothers in north-western Ontario, Canada. ” Journal of Advanced Nursing, 41(1): 63-72.