Page 31 - Preventing pertussis in early infancy - Visser

added an extra dimension to this argument: they would also regret losing income from their private practices if they became ill themselves. Some participants would also regret accepting the vaccination if they suffered physical problems at some point in the future that they thought the vaccination caused.
Of course it’s terrible when a child falls ill, especially a very small child, but if you knew you could have prevented it, you'd never forgive yourself.
–Parent
Decisional uncertainty
The amount of doubt participants showed in their deliberation about accepting the vaccination seemed to influence the decision. Some participants had confidence in their own opinion because of their education or their trust in the governmental organisations that provided the guidelines. Others believed they should be able to make an educated decision, but felt inadequately equipped to do so. When the participants tried to explain their uncertainty, they said it seemed to have become more difficult to handle the information for their decision because more and more information – often with contradictory messages – had become available. They then tried to verify the information and take into account the objectivity and reliability of the source and the evidence base, as well as the consistency of the message coming from different sources. Referring to the Pandemic 2009H1N1 influenza in 2009, the participants said that the more unrest they perceived in society and the more often messages appeared in the media, the less trust they had and the more difficult their decision would be. Both parents and healthcare workers recognised their decisional uncertainty.
What bothers me most was that both websites boast scientific underpinning. What I would like is one objective website because now one of them is for and the other is against, and how are you supposed to compare the two? Flip a coin?
–Parent
Perceived organisational barriers
Although the location, time, and vaccine provider of the future pertussis vaccination programme seemed to influence all the groups, they thought other issues were the most important ones. Some parents believed it would be best if mothers were re-vaccinated before pregnancy, but at the same time they questioned the practical implications of this advice. The concept of vaccinating the mother right after birth caused some specific concerns about the vaccination location. They said that having to go to a specific health clinic for vaccination would reduce their willingness to accept. For them, the vaccine provider was a lesser issue; combining the vaccination with an already standard appointment seemed more important.
For neonatal care nurses and maternity assistants, the vaccine would be most logically provided via the occupational health service. However, community midwives who 30
Qualitative Study
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