Reference no: EM133675109

You are a primary care nurse working in a small (rural) community health centre. Many of the clients you see are families with school age children. One part of your role is to facilitate weekly wellness sessions that the centre hosts. This initiative was initially created to help the health centre staff build relationships with the community where historically relationships had been strained. The community began to trust the health centre staff, and you were then able to engage with community members more and offer targeted health teaching. Attendance at these weekly wellness sessions has been a huge success and has strengthened the once strained relationship. Influential members of the community frequently attend, and there has been an overall increase in the number of folks who access annual health screening services offered at the clinic (e.g., Pap smears, blood pressure checks, well-baby care, etc.).

Over the past year and a half, some of the wellness sessions were moved to an online format. This allowed people the option to attend sessions from home if they were feeling well or could not attend in person for any reason. Occasional issues with internet connection did impact the flow and continuity of the on-line sessions which the community found frustrating. The community has requested that these sessions continue especially during the winter season.

In their regular team discussions, the health centre staff recently identified a concern around low vaccination rates and increased incidence of Human Papilloma Virus (HPV) across the community. As a follow up, nurses met earlier with some parents to understand the reason for hesitancy in HPV vaccinations among this rural community. Parents, especially mothers who are most responsible for having their child vaccinated stated several reasons. Although some parents had knowledge of the vaccine, the majority of parents had little to no knowledge and were very concerned about side effects, especially the risk of sterilization. Some felt that the vaccine was unnecessary as their child was not sexually active. Among rural parents, religiosity and spirituality influenced vaccination decisions also.

Given that the wellness sessions are well attended and often include influential community members, these sessions were identified as an excellent place to offer information sessions but also a pop-up HPV vaccination clinics in the hopes of increasing overall vaccination rates, particularly in children eleven (11) to twelve (12) years of age. You arrive at today's wellness session and walk over to greet a group of parents talking off to the side. They turn to you and ask what you think about the vaccine clinics "taking over" the wellness sessions. Many parents seem upset and anxious. One parent steps forward and asks how the health centre can possibly advocate for the use of this vaccine in anyone. This same parent turns to you and asks, "How can YOU support this practice as a nurse, let alone believe it is appropriate for all our children?"

Question 

Describe the three categories of values which influence how you, as the RN, would relate to the parent? Identify and discuss one value from each category and describe the rationale for the choice in this situation.