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[{"key": "dc.contributor.advisor", "value": "Kettunen, Tarja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Ryyn\u00e4nen, Johanna", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2015-04-06T18:00:47Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2015-04-06T18:00:47Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2015", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1471995", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/45597", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Lasten vanhempien on huomattu suhtautuvan lasten rokotuksiin entist\u00e4 varovaisemmin ja valikoivammin. Rokotusten tarpeen kyseenalaistaminen ja huoli niiden haittavaikutuksista on lis\u00e4\u00e4ntynyt. Koska rokotuksin ehk\u00e4ist\u00e4v\u00e4t taudit ovat k\u00e4yneet harvinaisiksi ja tuntemattomiksi, rokottaminen niit\u00e4 vastaan saatetaan kokea tarpeettomaksi. T\u00e4m\u00e4n tutkimuksen tarkoituksena on kuvata niit\u00e4 tekij\u00f6it\u00e4, jotka vaikuttavat vanhempien rokotusp\u00e4\u00e4t\u00f6kseen. Tavoitteena on lis\u00e4t\u00e4 tiet\u00e4myst\u00e4 niist\u00e4 tekij\u00f6ist\u00e4, jotka vaikuttavat vanhempien rokotusmy\u00f6nteisyyteen tai rokotuskielteisyyteen. \r\nAineiston keruu tapahtui huhtikuussa 2014 haastattelemalla alle kouluik\u00e4isten lasten vanhempia (n=8), jotka edustivat kuutta eri perhett\u00e4. Haastatteluista kuusi tehtiin yksil\u00f6haastatteluina ja yksi parihaastatteluna. Analyysimenetelm\u00e4n\u00e4 tutkimuksessa k\u00e4ytettiin tulkitsevaa fenomenologista analyysia. \r\nT\u00e4m\u00e4n tutkimuksen tulosten mukaan vanhemmat kokivat kansallisen rokotusohjelman rokotukset t\u00e4rkein\u00e4 ja tarpeellisina lastensa terveyden edist\u00e4misess\u00e4. Keskeisi\u00e4 vanhempien rokotusp\u00e4\u00e4t\u00f6kseen vaikuttavia tekij\u00f6it\u00e4 olivat luottamus terveydenhuoltohenkil\u00f6st\u00f6\u00f6n sek\u00e4 vanhempien tiet\u00e4mys lasten rokotteista ja niill\u00e4 ehk\u00e4ist\u00e4vist\u00e4 taudeista. Osa vanhemmista oli huolestunut influenssarokotteiden ja rokotusohjelman ulkopuolisten rokotteiden turvallisuudesta. A(H1N1) -pandemiainfektiota vastaan k\u00e4ytetyn rokotteen ja narkolepsia-tapausten todettu yhteys toi vanhemmille ep\u00e4varmuutta lasten rokotuttamiseen. Tutkittavat kokivat narkolepsiakohun my\u00f6t\u00e4 alkaneen keskustelun rokotteista ja rokottamisen tarpeellisuudesta aiheuttaneen aikaisempaa kriittisemp\u00e4\u00e4 suhtautumista etenkin influenssarokotteisiin ja rokotusohjelman ulkopuolisiin rokotteisiin. Vanhemmat pitiv\u00e4t t\u00e4rke\u00e4n\u00e4, ett\u00e4 yhteiskunnassa pidet\u00e4\u00e4n yll\u00e4 korkeaa rokotuskattavuutta lasten kansallisen perusrokotusohjelman osalta, mink\u00e4 suhteen rokottamattomuutta pidettiin ep\u00e4reiluna. \r\nTutkimuksen johtop\u00e4\u00e4t\u00f6ksen\u00e4 voidaan todeta, ett\u00e4 vanhemmat eiv\u00e4t kyseenalaista rokottamista kansallisen rokotusohjelman rokotteilla, mutta rokottamista influenssarokotteilla ja rokotusohjelman ulkopuolisilla rokotteilla ei koeta v\u00e4ltt\u00e4m\u00e4tt\u00f6m\u00e4ksi. Muualta maailmalta levi\u00e4vien, Suomesta jo rokottein h\u00e4vitettyjen, tautien paluu koetaan t\u00e4m\u00e4n p\u00e4iv\u00e4n realistiseksi uhkaksi. Luottamus terveydenhuoltoviranomaisten suosituksiin ja yleiseen terveydenhuoltoon on ensisijaisen t\u00e4rke\u00e4\u00e4 kansalaisten terveyden edist\u00e4misess\u00e4. Jotta mahdollisiin rokotuskattavuuden laskuun liittyviin haasteisiin pystytt\u00e4isiin vastaamaan mahdollisimman tehokkaasti, viranomaisten on hyv\u00e4 tiedostaa, millaisia tekij\u00f6it\u00e4 rokottamattomuuden taustalla on ja mit\u00e4 vanhemmat haluavat tiet\u00e4\u00e4 rokotteista ja rokottein ehk\u00e4ist\u00e4vist\u00e4 taudeista.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "It has been noted that children's parents are taking a more cautious and selective approach towards vaccinations than previously. Questioning the need for vaccinations and growing more concerned about the injurious effects have increased. As the diseases for which vaccinations are given have become all the more rare and obscure, many may feel that vaccinating against them is unnecessary. This study aims to depict the factors that affect parents' decision-making in acquiring vaccinations. We endeavour to gain more knowledge of the aspects that influence the parents' positive or negative stance towards vaccination. \r\nResearch data was collected in April 2014 by interviewing the parents (n=8) of children under school age. The interviewees came from six separate families. Six of the interviews were conducted as individual interviews, and one as a pair interview. The analysis method used in this study was Interpretative Phenomenological Analysis. \r\nAccording to the results of this study, parents felt that the vaccinations included in the national vaccination programme were important and necessary to their children's health promotion. Among the key factors affecting parents' decision-making were the trust they placed on health care personnel and the parents' knowledge about children's vaccinations and the diseases they prevent. Some parents were concerned about the safety of influenza vaccinations and other inoculations outside the vaccination programme. The verified connection between the vaccination used against the A(H1N1) pandemic infection and occurrence of narcolepsy increased parents' uncertainty concerning the inoculation of their young. Those involved in this study felt that the controversy brought about by the narcolepsy incidents and consequent uproar, as well as the debates about vaccination and its actual need, made them more critical regarding, in particular, influenza vaccinations and inoculations outside the national programme. Parents deemed important that society maintain a high vaccination coverage for children in line with the national vaccination programme, and felt that people who refuse these types of vaccinations are acting unfairly. \r\nAs a conclusion, we can say that parents do not question using the inoculations included in the national vaccination programme, but influenza and other extraneous vaccinations are not considered essential. What is seen as a realistic threat in this day and age are the diseases spreading from elsewhere into Finland - diseases that we have already eradicated via vaccination but are now making a comeback. In promoting our citizens' health, it is of utmost importance to trust the health officials' recommendations and the general health care system. In order to most effectively tackle the challenges we face with the potentially decreasing vaccination coverage, the officials need to be aware of the factors influencing decisions to refuse vaccination. Increased awareness of what the parents wish to know about the vaccinations and the diseases they can prevent is also important.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Johanna Ryyn\u00e4nen (lejoryyn) on 2015-04-06 18:00:47.377731. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). 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