One child, one appointment: how institutional discourses organize the work of parents and nurses in the provision of childhood vaccination for First Nations children
To effectively support childhood vaccine programs for First Nations Peoples, Canada’s largest population of Indigenous Peoples, it is essential to understand the context, processes, and structures organizing vaccine access and uptake. Rather than assuming that solutions lie in compliance with curren...
Published in: | Human Vaccines & Immunotherapeutics |
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2022
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Online Access: | https://doi.org/10.1080/21645515.2022.2048558 https://doaj.org/article/b81c3be5ac634774b74002e0d9279320 |
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ftdoajarticles:oai:doaj.org/article:b81c3be5ac634774b74002e0d9279320 2023-10-29T02:36:19+01:00 One child, one appointment: how institutional discourses organize the work of parents and nurses in the provision of childhood vaccination for First Nations children Shannon E MacDonald Bonny Graham Jillian Paragg Caroline Foster-Boucher Nicola Waters Melissa Shea-Budgell Deborah McNeil Diane Kunyk Nancy Bedingfield Eve Dubé Lisa Kenzie Lawrence W. Svenson Randy Littlechild Gregg Nelson 2022-11-01T00:00:00Z https://doi.org/10.1080/21645515.2022.2048558 https://doaj.org/article/b81c3be5ac634774b74002e0d9279320 EN eng Taylor & Francis Group http://dx.doi.org/10.1080/21645515.2022.2048558 https://doaj.org/toc/2164-5515 https://doaj.org/toc/2164-554X 2164-5515 2164-554X doi:10.1080/21645515.2022.2048558 https://doaj.org/article/b81c3be5ac634774b74002e0d9279320 Human Vaccines & Immunotherapeutics, Vol 18, Iss 5 (2022) vaccination immunization vaccine first nations institutional ethnography indigenous Immunologic diseases. Allergy RC581-607 Therapeutics. Pharmacology RM1-950 article 2022 ftdoajarticles https://doi.org/10.1080/21645515.2022.2048558 2023-10-01T00:40:04Z To effectively support childhood vaccine programs for First Nations Peoples, Canada’s largest population of Indigenous Peoples, it is essential to understand the context, processes, and structures organizing vaccine access and uptake. Rather than assuming that solutions lie in compliance with current regulations, our aim was to identify opportunities for innovation by exploring the work that nurses and parents must do to have children vaccinated. In partnership with a large First Nations community, we used an institutional ethnography approach that included observing vaccination clinic appointments, interviewing individuals involved in childhood vaccinations, and reviewing documented vaccination processes and regulations (texts). We found that the ‘work’ nurses engage in to deliver childhood vaccines is highly regulated by standardized texts that prioritize discourses of safety and efficiency. Within the setting of nursing practice in a First Nations community, these regulations do not always support the best interests of families. Nurses and parents are caught between the desire to vaccinate multiple children and the requirement to follow institutionally authorized processes. The success of the vaccination program, when measured solely by the number of children who follow the vaccine schedule, does not take into consideration the challenges nurses encounter in the clinic or the work parents do to get their children vaccinated. Exploring new ways of approaching the processes could lead to increased vaccination uptake and satisfaction for parents and nurses. Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Human Vaccines & Immunotherapeutics 18 5 |
institution |
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collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
vaccination immunization vaccine first nations institutional ethnography indigenous Immunologic diseases. Allergy RC581-607 Therapeutics. Pharmacology RM1-950 |
spellingShingle |
vaccination immunization vaccine first nations institutional ethnography indigenous Immunologic diseases. Allergy RC581-607 Therapeutics. Pharmacology RM1-950 Shannon E MacDonald Bonny Graham Jillian Paragg Caroline Foster-Boucher Nicola Waters Melissa Shea-Budgell Deborah McNeil Diane Kunyk Nancy Bedingfield Eve Dubé Lisa Kenzie Lawrence W. Svenson Randy Littlechild Gregg Nelson One child, one appointment: how institutional discourses organize the work of parents and nurses in the provision of childhood vaccination for First Nations children |
topic_facet |
vaccination immunization vaccine first nations institutional ethnography indigenous Immunologic diseases. Allergy RC581-607 Therapeutics. Pharmacology RM1-950 |
description |
To effectively support childhood vaccine programs for First Nations Peoples, Canada’s largest population of Indigenous Peoples, it is essential to understand the context, processes, and structures organizing vaccine access and uptake. Rather than assuming that solutions lie in compliance with current regulations, our aim was to identify opportunities for innovation by exploring the work that nurses and parents must do to have children vaccinated. In partnership with a large First Nations community, we used an institutional ethnography approach that included observing vaccination clinic appointments, interviewing individuals involved in childhood vaccinations, and reviewing documented vaccination processes and regulations (texts). We found that the ‘work’ nurses engage in to deliver childhood vaccines is highly regulated by standardized texts that prioritize discourses of safety and efficiency. Within the setting of nursing practice in a First Nations community, these regulations do not always support the best interests of families. Nurses and parents are caught between the desire to vaccinate multiple children and the requirement to follow institutionally authorized processes. The success of the vaccination program, when measured solely by the number of children who follow the vaccine schedule, does not take into consideration the challenges nurses encounter in the clinic or the work parents do to get their children vaccinated. Exploring new ways of approaching the processes could lead to increased vaccination uptake and satisfaction for parents and nurses. |
format |
Article in Journal/Newspaper |
author |
Shannon E MacDonald Bonny Graham Jillian Paragg Caroline Foster-Boucher Nicola Waters Melissa Shea-Budgell Deborah McNeil Diane Kunyk Nancy Bedingfield Eve Dubé Lisa Kenzie Lawrence W. Svenson Randy Littlechild Gregg Nelson |
author_facet |
Shannon E MacDonald Bonny Graham Jillian Paragg Caroline Foster-Boucher Nicola Waters Melissa Shea-Budgell Deborah McNeil Diane Kunyk Nancy Bedingfield Eve Dubé Lisa Kenzie Lawrence W. Svenson Randy Littlechild Gregg Nelson |
author_sort |
Shannon E MacDonald |
title |
One child, one appointment: how institutional discourses organize the work of parents and nurses in the provision of childhood vaccination for First Nations children |
title_short |
One child, one appointment: how institutional discourses organize the work of parents and nurses in the provision of childhood vaccination for First Nations children |
title_full |
One child, one appointment: how institutional discourses organize the work of parents and nurses in the provision of childhood vaccination for First Nations children |
title_fullStr |
One child, one appointment: how institutional discourses organize the work of parents and nurses in the provision of childhood vaccination for First Nations children |
title_full_unstemmed |
One child, one appointment: how institutional discourses organize the work of parents and nurses in the provision of childhood vaccination for First Nations children |
title_sort |
one child, one appointment: how institutional discourses organize the work of parents and nurses in the provision of childhood vaccination for first nations children |
publisher |
Taylor & Francis Group |
publishDate |
2022 |
url |
https://doi.org/10.1080/21645515.2022.2048558 https://doaj.org/article/b81c3be5ac634774b74002e0d9279320 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Human Vaccines & Immunotherapeutics, Vol 18, Iss 5 (2022) |
op_relation |
http://dx.doi.org/10.1080/21645515.2022.2048558 https://doaj.org/toc/2164-5515 https://doaj.org/toc/2164-554X 2164-5515 2164-554X doi:10.1080/21645515.2022.2048558 https://doaj.org/article/b81c3be5ac634774b74002e0d9279320 |
op_doi |
https://doi.org/10.1080/21645515.2022.2048558 |
container_title |
Human Vaccines & Immunotherapeutics |
container_volume |
18 |
container_issue |
5 |
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1781060105057337344 |