Vaccination is an effective, cost-effective, and accepted method for reducing mortality and morbidity of various diseases. It is also considered one of the most important achievements of public health. The World Health Organization's March 2018 report states that global immunization prevents 2-3 million deaths annually, proving how important vaccination is important to public health. Although the proven benefits of vaccination are well known, there has been a global decline in immunization rates in childhood in recent years. According to 2017 data in Europe, the number of measles cases increased approximately threefold compared to the previous year and 87% of the diagnosed cases refused to be vaccinated. The immunization rate with pertussis, tetanus and diphtheria vaccines has decreased to 92% in Europe and 91% in the US. In Turkey, it was determined that the overall vaccination rates declined. Immunization rates of measles, rubella, mumps, diphtheria, acellular pertussis, tetanus, conjugated pneumococcal and hepatitis B vaccines decreased from 98% in 2016 to 96% in the following year. The World Health Organization has included vaccine rejection among the 10 global problems identified for 2019. A multidisciplinary effort is needed to reduce vaccine hesitation and increase vaccination rates in the community. In this context, preventing anti-vaccination is a social responsibility and it imposes important duties for health personnel, media workers and even politicians. Although there are studies on the causes of vaccine rejection in the literature, no studies have been found to prevent it.The purpose of this review is to suggest interventions to prevent antivaccine in line with the reasons for vaccine rejection and hesitation.Vaccine rejection and hesitations are thought to be prevented by interventional studies in line with the recommendations given in the review.

Aims The aim of this study was to investigate the effect of music intervention on breast milk production in breastfeeding mothers. Design A systematic review and meta‐analysis of randomized controlled trials following Cochrane methods were conducted. Data Sources We performed a literature search in Web of Science, Science Direct, PubMed, MEDLINE, Cochrane Library, CINAHL, the Networked Digital Library of Theses & Dissertations, Ovid and ProQuest without year limitation. The review period covered January 1978–March 2020. Review Methods Two independent researchers screened the literature using specific keywords and selected randomized controlled trials based on the inclusion and exclusion criteria according to the PICOS criteria. Result Of 2,081 randomized controlled trials, 5 were included in this systematic review and meta‐analysis. The total sample of the five trials was 554 participants. Active and passive music lasting 11–60 min was played in 1–14 sessions. No publication bias was noted. Cochran's Q test results pointed to a low level of heterogeneity among the randomized controlled trials. Overall, the results showed that music intervention had a low and positive effect on breast milk production in breastfeeding mothers. Conclusion A systematic review and meta‐analysis conducted on five trials showed that music can be an effective way to increase breast milk production. Impact This systematic review and meta‐analysis investigated the effect of music on breast milk production in breastfeeding mothers and found sound evidence supporting its positive effects. Nurses, academics, mothers, and their children and society can benefit from these results. Nurses who give counselling to breastfeeding mothers can use music intervention to help them increase breast milk production.

Vaccination is an effective way to prevent infectious diseases. However, parental resistance to childhood immunizations has recently been a growing trend due to various factors. This systematic review and meta-analysis study focused on randomized controlled trials to investigate interventions for preventing parental vaccine refusal/hesitancy. This study was conducted according to the preferred reporting items for systematic review and Meta-analysis Protocols. PubMed, Science Direct, Web of Science, MEDLINE, Cochrane Library, Ovid, CINAHL, and ProQuest databases were screened with no year restriction. Two researchers each used the Cochrane risk-of-bias tool to determine the quality of the trials. Data were synthesized using a meta-analysis package. The study population consisted of 3,302 articles. The sample consisted of 22 randomized controlled trials, which implemented the interventions of text message reminders, digital training in vaccination, training in physician communication, training in parental decisionmaking, web-based activities, perinatal training in vaccination, immunization reminder and follow-up bracelets, and mother-daughter training. The results showed that slightly more parents agreed to get their children vaccinated after the interventions. The trials were moderately heterogeneous due to differences in sample size, country, and year. This paper investigated the effect of interventions on parental vaccine refusal/hesitancy and provided level-A evidence to suggest such interventions can be used to change parents' vaccination comprehension and decisions. ÖzAşılama bulaşıcı hastalıkları önlemenin etkili bir yoludur. Bununla birlikte, çocukluk çağı bağışıklamalarına karşı ebeveyn direnci son zamanlarda çeşitli faktörler nedeniyle büyüyen bir eğilim olmuştur. Bu sistematik derleme ve meta-analiz çalışması, ebeveyn aşısı reddini ve tereddütünü önlemeye yönelik müdahaleleri araştırmak için randomize kontrollü çalışmalara odaklandı. Bu çalışma, sistematik derleme ve meta-analiz protokolleri için tercih edilen raporlama maddelerine göre yapıldı. PubMed, Science Direct, Web of Science, MEDLINE, Cochrane Library, Ovid, CINAHL ve ProQuest veritabanları yıl kısıtlaması olmadan tarandı. İki araştırmacı da denemelerin kalitesini belirlemek için Cochrane ön yargı riski aracını kullandı. Veriler bir meta-analiz paketi kullanılarak sentezlendi. Çalışmada 3.302 makale tarandı. Örneklem, kısa mesaj hatırlatmaları, aşılamada dijital eğitim, hekim iletişimi eğitimi, ebeveyn karar verme eğitimi, web tabanlı faaliyetler, aşılamada perinatal eğitim, bağışıklama hatırlatıcısı ve takip bilezikleri ile anne-kız eğitiminin uygulandığı 22 randomize Keywords Vaccine hesitancy, vaccine refusal, child, systematic review, meta-analysis Anah tar ke li me ler Aşı tereddütü, aşı reddi, çocuk, sistematik derleme, meta-analiz

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