2.50
Hdl Handle:
http://hdl.handle.net/10755/335086
Category:
Full-text
Type:
Presentation
Title:
Obtaining Required Childhood Vaccinations: The Latino Immigrant Experience
Other Titles:
Researching Issues Early in Patient's Life
Author(s):
deRose, Barbara
Lead Author STTI Affiliation:
Alpha
Author Details:
Barbara deRose, PhD, MSN, NP-C, bderose@iupui.edu
Abstract:
Session presented on Monday, July 28, 2014: Vaccinations are an important step in preventing childhood illnesses and disease outbreaks in the community. Complete immunizations before school assure eligibility for enrollment and protect children against severe illness. The fact that foreign-born children of Latino immigrants face health disparities in receiving vaccinations is well documented. However, there is little information in the literature about the actual experience of immigrants facing the complexities of the health system, and through their eyes, which factors ultimately affect vaccination rates of immigrant Latino children. Purpose: The purpose of this study was to give voice to Latino immigrant families who recently immigrated to the United States, in terms of the issues they encountered when engaging the health care system for vaccinations. Methods: A convenience sample consisting of eleven Latino immigrant parents was obtained from information-rich participants of the immigrant Latino population, identified through clinics and churches. Each participant experienced seeking immunizations for their foreign born children during their first five years residing in the United States. Interpretative phenomenology guided the framing of the broad interview questions, probes, and data collection methods. Heideggerian hermeneutics guided the interpretation of the Latino parents' world with regard to seeking immunizations for their children from the picture they provided. By sharing their experiences, the immigrant parents provided a glimpse of their world with regard to childhood immunizations and the effects of individual, community and policy factors. Results: The importance of trust in patient-provider relationships was the overarching finding of this study. Trust also emerged as a major factor in vaccinations practices i.e., causing revaccinations in situations where the medical provider mistrusted foreign documentation. Subthemes that emerged under the umbrella of trust were health literacy, health disparities, finding a medical home, and preserving the family unit. The subthemes provided a framework to examine the immigrant journey from arrival to the United States, settling into a community, and projection into the family's future. Conclusion: Implications for nursing practice stemming from these findings are the further exploration of vaccination practices, improvements in health provider cultural competency, and nursing advocacy in the arena of health policy. The broader goal of this study is to inform providers who review the study, and to improve outcomes for this vulnerable population.
Keywords:
Disparities; Vaccinations; Immigrant
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14M10
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleObtaining Required Childhood Vaccinations: The Latino Immigrant Experienceen
dc.title.alternativeResearching Issues Early in Patient's Lifeen
dc.contributor.authordeRose, Barbaraen
dc.contributor.departmentAlphaen
dc.author.detailsBarbara deRose, PhD, MSN, NP-C, bderose@iupui.eduen
dc.identifier.urihttp://hdl.handle.net/10755/335086-
dc.description.abstractSession presented on Monday, July 28, 2014: Vaccinations are an important step in preventing childhood illnesses and disease outbreaks in the community. Complete immunizations before school assure eligibility for enrollment and protect children against severe illness. The fact that foreign-born children of Latino immigrants face health disparities in receiving vaccinations is well documented. However, there is little information in the literature about the actual experience of immigrants facing the complexities of the health system, and through their eyes, which factors ultimately affect vaccination rates of immigrant Latino children. Purpose: The purpose of this study was to give voice to Latino immigrant families who recently immigrated to the United States, in terms of the issues they encountered when engaging the health care system for vaccinations. Methods: A convenience sample consisting of eleven Latino immigrant parents was obtained from information-rich participants of the immigrant Latino population, identified through clinics and churches. Each participant experienced seeking immunizations for their foreign born children during their first five years residing in the United States. Interpretative phenomenology guided the framing of the broad interview questions, probes, and data collection methods. Heideggerian hermeneutics guided the interpretation of the Latino parents' world with regard to seeking immunizations for their children from the picture they provided. By sharing their experiences, the immigrant parents provided a glimpse of their world with regard to childhood immunizations and the effects of individual, community and policy factors. Results: The importance of trust in patient-provider relationships was the overarching finding of this study. Trust also emerged as a major factor in vaccinations practices i.e., causing revaccinations in situations where the medical provider mistrusted foreign documentation. Subthemes that emerged under the umbrella of trust were health literacy, health disparities, finding a medical home, and preserving the family unit. The subthemes provided a framework to examine the immigrant journey from arrival to the United States, settling into a community, and projection into the family's future. Conclusion: Implications for nursing practice stemming from these findings are the further exploration of vaccination practices, improvements in health provider cultural competency, and nursing advocacy in the arena of health policy. The broader goal of this study is to inform providers who review the study, and to improve outcomes for this vulnerable population.en
dc.subjectDisparitiesen
dc.subjectVaccinationsen
dc.subjectImmigranten
dc.date.available2014-11-17T13:43:52Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:43:52Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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