Abstract：
OBJECTIVE: Childhood immunizations have proven to be one of the most beneficial interventions to promote public health and prevent childhood deaths due to disease. However, global coverage of childhood immunization has decreased throughout the world due to guardians\' growing hesitancy towards immunizations. This study aims to describe how specialist nurses promote legal guardians to adhere to national childhood immunization programmes.
METHODS: This study had a qualitative design. Semistructured interviews with 11 specialist nurses, who were paediatric primary care nurses or nurse practitioners, were conducted. Data were analysed using qualitative content analysis.
RESULTS: The findings, with four main categories including four subcategories, showed nurses using both local guidelines and national guidelines to promote guardians to adhere to the childhood immunization programme. The main intervention the nurses did to promote childhood immunization coverage was giving legal guardians general information about the programme. With hesitant guardians, adopting a person-centred approach towards the legal guardian improved adherence.
CONCLUSIONS: Further research should focus on how specialist nurses can respond to guardians who decline immunization for their children, as this study identified difficulties in this area. Furthermore, research on guardians\' perspectives towards childhood immunization may also help generate further effective guidance on how to promote immunization coverage among children.
METHODS: This study had a qualitative design. Semistructured interviews with 11 specialist nurses, who were paediatric primary care nurses or nurse practitioners, were conducted. Data were analysed using qualitative content analysis.
RESULTS: The findings, with four main categories including four subcategories, showed nurses using both local guidelines and national guidelines to promote guardians to adhere to the childhood immunization programme. The main intervention the nurses did to promote childhood immunization coverage was giving legal guardians general information about the programme. With hesitant guardians, adopting a person-centred approach towards the legal guardian improved adherence.
CONCLUSIONS: Further research should focus on how specialist nurses can respond to guardians who decline immunization for their children, as this study identified difficulties in this area. Furthermore, research on guardians\' perspectives towards childhood immunization may also help generate further effective guidance on how to promote immunization coverage among children.
摘要：
目的：儿童免疫接种已被证明是促进公共卫生和防止儿童因疾病死亡的最有益的干预措施之一。然而,由于监护人对免疫接种越来越犹豫，全球儿童免疫接种的覆盖率在全世界范围内下降。这项研究旨在描述专科护士如何促进法定监护人遵守国家儿童免疫计划。
方法：本研究采用定性设计。对11名专科护士进行半结构化访谈，他们是儿科初级保健护士或执业护士，进行了。使用定性内容分析对数据进行分析。
结果：调查结果，有四个主要类别，包括四个子类别，显示护士使用地方指南和国家指南来促进监护人遵守儿童免疫计划。护士为促进儿童免疫覆盖率所做的主要干预措施是向法定监护人提供有关该计划的一般信息。有犹豫不决的监护人，对法定监护人采取以人为本的方法可以提高依从性。
结论：进一步的研究应集中在专科护士如何应对监护人拒绝为其子女免疫接种的问题上，因为这项研究发现了这方面的困难。此外，关于监护人对儿童免疫接种的观点的研究也可能有助于就如何促进儿童免疫接种提供进一步有效的指导。
方法：本研究采用定性设计。对11名专科护士进行半结构化访谈，他们是儿科初级保健护士或执业护士，进行了。使用定性内容分析对数据进行分析。
结果：调查结果，有四个主要类别，包括四个子类别，显示护士使用地方指南和国家指南来促进监护人遵守儿童免疫计划。护士为促进儿童免疫覆盖率所做的主要干预措施是向法定监护人提供有关该计划的一般信息。有犹豫不决的监护人，对法定监护人采取以人为本的方法可以提高依从性。
结论：进一步的研究应集中在专科护士如何应对监护人拒绝为其子女免疫接种的问题上，因为这项研究发现了这方面的困难。此外，关于监护人对儿童免疫接种的观点的研究也可能有助于就如何促进儿童免疫接种提供进一步有效的指导。
