Midwives’ knowledge, attitudes and learning needs regarding antenatal vaccination

Regan, Annette K.; Hauck, Yvonne; Nicolaou, L.; Engelbrecht, D.; Butt, Janice; Mak, Donna B; Priest, Rikki; Cukierman, Ronit; Effler, Paul V.

doi:10.1016/j.midw.2018.04.004

Cited by 13 publications

(13 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nearly all the participants were female (n = 357), in line with the gender profile of the profession. 16 The age group frequencies of participants were 18-24 years (2.8%), 25-34 years (10.6%), 35-44 years (15.6%), 45-54 years (29.2%), 55-64 years (37%), and 65 years and over (4.7%), in line with the age profile of the profession. 16 The majority of the participants had been in practice for over ten years (68.8%) and worked in public hospitals in urban centres (capital cities or other major cities) (64.3%).…”

Section: Demographicssupporting

confidence: 56%

“…There were 32,669 practicing midwives in Australia at the time of this study (27,618 dual qualified nurse midwives and 5,051 midwives) 15. The Nursing and Midwifery Board of Australia (NMBA)16 expects that nurses and midwives follow the recommendations in the Australian National Immunisation Handbook. 1 Furthermore, the NMBA (2016) threatens regulatory action against nurses and midwives who promote anti-vaccination sentiments.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Midwives’ knowledge, attitudes and confidence in discussing maternal and childhood immunisation with parents: A national study

Frawley

McKenzie

Sinclair

et al. 2020

Vaccine

View full text Add to dashboard Cite

IntroductionDespite the enormous benefits of childhood and maternal immunisation to individual and population health, the uptake of maternal vaccines during pregnancy remains suboptimal. Midwives are a trusted information source for parents and play an important role in the provision of immunisation information. Understanding midwives' attitudes and vaccine knowledge, along with their confidence to discuss maternal and childhood immunisation with parents, is key to reducing parental decisional conflict and achieving immunisation goals. MethodsAn online study was conducted to investigate midwives' knowledge and attitudes towards maternal and childhood vaccination along with their confidence to answer parents' vaccine-related questions.Midwives were recruited by email via the midwifery peek body, the Australian College of Midwives. ResultsA total of 359 midwives completed the online survey. The majority of midwives supported maternal (influenza 83%, pertussis 90.5%) and childhood immunisation (85.8%); however, 69.4% of respondents wanted further training about immunisation. Midwives who felt their midwifery education adequately covered immunisation were more confident advising parents about maternal (p=0.007) and childhood immunisation (p<0.001). Similarly, Midwives were significantly more likely to confidently advise parents about maternal (p<0.001) and childhood immunisations (p<0.001) if they had completed a specific immunisation training course outside of their midwifery course. ConclusionMost midwives working in Australia support vaccination. However, access to contemporary, culturally appropriate education that enables midwives to engage confidently with parents about immunisation is lacking. Education based on a women-centred approach within the pre-registration curriculum along with continuing professional development programs could enable midwives to reduce the evidence to practice gap by increasing vaccine uptake.

show abstract

Section: Demographicssupporting

confidence: 56%

mentioning

confidence: 99%

Midwives’ knowledge, attitudes and confidence in discussing maternal and childhood immunisation with parents: A national study

Frawley

McKenzie

Sinclair

et al. 2020

Vaccine

View full text Add to dashboard Cite

show abstract

“…20,21 It is therefore unclear if the presumptive style or even the guiding approach of MI can align with midwives' values, or whether a hybrid approach may be more acceptable. While recent research suggests that the majority of public antenatal midwives are supportive of vaccination, 1,11 any vaccine promotion intervention must acknowledge and navigate the tensions between advocating for vaccination and respecting a woman's agency. 10 There are a number of factors that drive uptake of maternal and childhood vaccines, and multicomponent interventions are well suited to addressing multiple barriers simultaneously.…”

Section: Communication Approachesmentioning

confidence: 99%

“…1 While expectant parents in the public antenatal system report that midwives are their most highly accessed and trusted source of vaccine information, 1 there are gaps in our understanding of how midwives think about, discuss, or advocate for both maternal and childhood vaccination. In particular, several recent studies have highlighted deficiencies in midwifery education and training related to vaccination and vaccine communication, [9][10][11] but there have been no studies exploring the types or features of vaccine communication training that would be most acceptable to them.…”

Section: Introductionmentioning

confidence: 99%

Vaccine discussions in pregnancy: interviews with midwives to inform design of an intervention to promote uptake of maternal and childhood vaccines

Kaufman

Attwell

Hauck

et al. 2019

Human Vaccines & Immunotherapeutics

Self Cite

View full text Add to dashboard Cite

Presumptive and Motivational Interviewing communication styles have successfully promoted childhood and adolescent vaccination to parents, but less is known about effective communication approaches during pregnancy to promote maternal vaccination and childhood vaccines. In Australian public antenatal settings, midwives provide a substantial proportion of care and are highly accessed and trusted sources of vaccine information for expectant parents. However, there are no evidence-based interventions incorporating communication strategies and resources for midwives to optimize discussions and promote acceptance of maternal and childhood vaccines. This study aimed to gather qualitative data from midwives to inform the design of a feasible and acceptable vaccine communication intervention package building on an evidence-based model utilized with US obstetricians. We explored midwives' attitudes and values regarding maternal and childhood vaccination, their perceived role in vaccine advocacy and delivery, and barriers and enablers to implementation of a potential communication intervention. We recruited 12 midwives for semi-structured interviews at two Australian tertiary public hospitals (one with antenatal vaccines onsite, one without). Interviews were analyzed using thematic template analysis. Midwives supported vaccination but expressed varied views regarding its centrality to their role. Most reported receiving minimal or no training on vaccine communication. Their communication practices focused primarily on vaccine information provision rather than persuasion, although some midwives shared personal views and actively encouraged vaccination. More vaccine and communication training and resources were requested. Findings highlight the need for communication tools that align with midwifery standards for practice to support midwives to address parents' questions and concerns about maternal and childhood vaccines.

show abstract

“…While those who are hesitant are still deliberating about the vaccination decision, these maternity care providers may constitute the best opportunity for them to elicit the advice of a trusted health care professional (30). Further research is needed to explore the extent to which Canadian maternity care providers feel that discussions about infant immunizations are within their scope of practice, in line with studies from other countries (53)(54)(55)(56)(57).…”

Section: Discussionmentioning

confidence: 98%

Is the pre-natal period a missed opportunity for communicating with parents about immunizations? Evidence from a longitudinal qualitative study in Victoria, British Columbia

Rubincam

Greyson

Haselden

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Growing evidence shows that many parents begin the decision-making process about infant vaccination during pregnancy and these decisions – once established – may be resistant to change. Despite this, many interventions targeting vaccination are focused on communicating with parents after their baby is born. This suggests that the prenatal period may constitute a missed opportunity for communicating with expectant parents about infant vaccination.Methods Using a longitudinal qualitative design, we conducted two interviews (prepartum and postpartum) with women (n = 19) to explore the optimal timing of vaccination information. The data were analyzed thematically, and examined across all sets of pre- and post-partum interviews as well as within each individual participant to draw out salient themes.Results Most participants formed their intentions to vaccinate before the baby was born and indicated that they would welcome information about vaccination from their maternity care providers. However, few individuals recalled their maternity care providers initiating vaccination-related conversations with them.Conclusion The prenatal period is an important time to begin conversations with expectant parents about vaccinating their infants, particularly if these conversations are initiated by trusted maternity care providers. More information is needed on how maternity care providers can be better supported to have these conversations with their patients.

show abstract

Midwives’ knowledge, attitudes and learning needs regarding antenatal vaccination

Abstract: There is an unmet need and demand among midwives for professional development that would enable them to recommend and administer vaccines to pregnant women in accordance with national immunisation guidelines and integrate vaccination into routine antenatal care.

Cited by 13 publications

References 23 publications

Midwives’ knowledge, attitudes and confidence in discussing maternal and childhood immunisation with parents: A national study

Midwives’ knowledge, attitudes and confidence in discussing maternal and childhood immunisation with parents: A national study

Vaccine discussions in pregnancy: interviews with midwives to inform design of an intervention to promote uptake of maternal and childhood vaccines

Is the pre-natal period a missed opportunity for communicating with parents about immunizations? Evidence from a longitudinal qualitative study in Victoria, British Columbia

Contact Info

Product

Resources

About