The Ethical Dilemmas Of The Pediatric Field Of Nursing

Between 1924 and 2013, vaccinations prevented 103 million cases of polio, measles, rubella, mumps, hepatitis A, diphtheria, and pertussis (Bailey). Vaccinating is “the process by which pathogenic cells are injected into a healthy person in an attempt to cause the body to develop antibodies to a particular virus or bacterium—successful creation of antibodies is referred to as immunity to the disease caused by the particular pathogen” (Introduction to Should Vaccinations be Mandatory). Popular conflicts regarding vaccination include the worry that this form of immunization isn’t natural, the idea that vaccination schedule for children in the U.S. takes away parents’ rights to make decisions for their children, and the concern that vaccinations aren’t safe for all children. Most doctors and scientists advocate for vaccinations in the name of herd immunity, protection against foreign diseases and prevention against pockets of disease outbreaks. Vaccinations should be mandatory for all children in the United States for who they are deemed safe and effective.

Vaccines are one of most successful and cost effective public health preventive tool in current century for preventing communicable diseases. According to UK Health Protection Agency (HPA), vaccination is the second most effective public health intervention worldwide. Immunization protects the individual as well the community from serious diseases. Since the implementation of immunization there has been a 95% reduction in the cases 4. According to WHO immunization prevented 2million deaths worldwide.

Nurses rely on personal knowledge and their professional skills to provide ethical care (Creasia & Friberg, 2011). In everyday practice, nurses must balance the needs of their patients against those of the organization, society and themselves. They strive to deliver the highest level of care for patients, but adjusting for limited organizational and personal resources often requires difficult decisions. This paper explores the following scenario suggested by Maville and Huerta: “You are a nurse providing home care to a mother, and you suspect child abuse after observing the mother’s reaction to her child” (as cited by Arizona State University, 2014). When faced with a moral dilemma, a competent nurse incorporates ethical, bioethical and legal considerations. In the proposed story, incorporating the nursing ethics of advocacy, beneficence, nonmaleficence and collaboration will guide the nurse towards an appropriate and legal course of action.

Despite significant progress in the fight against preventable disease, millions still die needlessly each year. According to UNICEF, originally known as the United Nations International Children’s Emergency Fund, a vaccine preventable disease is responsible for 2 million fatal infections worldwide each year. About 75% of these deaths occur in children under five years of age. (N) In more vivid terms, UNICEF notes that vaccine-preventable diseases kill a child every 20 seconds. (D) Due to high rates of childhood vaccination, the United States has experienced a dramatic reduction in such deaths. A comparison of the years 1950 and 2010 clearly illustrates the benefits of vaccinations. During this 60-year period, deaths from diphtheria reduced from 410 to 0, tetanus from 336 to 3, pertussis from 1,118 to 26, and polio from 1,904 to 0. Measles deaths dropped from 468 in 1950 to 0 in 2008, the last year a United States death rate was recorded. It’s not surprising that vaccinations have been touted as one of the top ten health achievements of the 20th century by the Centers for Disease Control and Prevention (CDC).

[Vaccinations have lowered the death rates of Americans over the years. According to McNeil “in November 2007, death rates for 13 diseases that can be prevented by childhood vaccinations were at all-time lows…nine of the diseases, rates of hospitalization or death had declined more than 90 percent. For three…death rates had dropped by 100 percent” (Paragraph 3). This study shows that vaccinations are beneficial to children. With these vaccinations, children will be less exposed to these diseases, which will prevent them from spending time in the hospital or in some cases dying.

Vaccines have had an undeniably positive impact on society, and are considered to be one of the most effective ways of protecting oneself and others from harmful diseases. Due to vaccinations, smallpox has been officially eradicated since 1980 and polio has been reduced to scarce singular incidents (Bt.cdc.gov, 2007; Immunise.health.gov.au, 2015). Similarly measles has been eliminated within Australia since 2014, however the

Vaccinations were once part of every childhood in America, helping to drastically reduce our risk of acquiring diseases like diphtheria, measles, polio and whooping cough, though organizations like the Vaccine Resistance Movement are working hard to change this reality.

For years, universal childhood vaccinations have been a deliberated and debated topic among much of the population. Those who are in support of vaccination, including healthcare providers, believe that vaccinations are not only in the best interest of each child’s health, but also in the best interest of the public’s health as a whole. Many vaccine supporters also believe that the benefit of vaccinations outweigh the risks associated with them (Song, 2014, p. 542). Those who are not in support of vaccinations, or display hesitancy regarding them, may not perceive the continuing need for them or may decline them for various other reasons. Anti-vaccinators are also typically concerned with the safety of vaccinations and believe that the risks associated with them may be greater than their benefit (Song, 2014, p. 542). This paper will focus on discussing some of the ethical issues arising from childhood vaccinations, it will apply ethical principles such as autonomy and beneficence to the issue, and it will explore the role of the nursing profession and ethical standards by which they abide.

The Centers for Disease Control and Prevention (CDC) claim that immunizations are one of the most successful interventions in public health history (2015). The CDC is qualified to make this statement as research shows the vaccinations have eradicated smallpox and nearly eliminated the polio virus, in addition to diminishing the occurrences of preventable infectious diseases such as measles, diphtheria and whooping cough (2015). However, despite the statistics and research, in 2015, only 71.6% of the children between 19 and 35 months received the combined 7 vaccine series (CDC, 2015). This decline in vaccination rate can have devastating effects not only on the individual child, but also on the community, as a whole. Consequently,

According to the Encyclopedia of Family Health, the U.S. Centers for Disease Control and Prevention declared vaccinations to be one of the top on the list of 10 great public health achievements of the 20th century. Vaccinations have been extremely successful in eliminating and containing many deadly diseases, such as smallpox and polio, by providing the public with immunizations to keep themselves healthy against these very scary and potentially fatal illnesses. Mandated vaccinations for children in the United States has remained a highly debated topic as many ague the freedoms of these children and their parents is being compromised by the notion of mandated immunizations and vaccinations to attend

“Opting out of vaccinations puts public health at risk and could lead to a resurgence of dangerous diseases” (USA Today 1). If parents decide to not vaccinate their children it may pose a risk to the public as well as their child. It is still debated that a parent should or should not have the right to decide whether their child is vaccinated. Parents should not have the decision to vaccinate their child or not because by not being vaccinated death is likely, the disease is easily transmitted to a child who is not of age to be vaccinated, and it is necessary to keep the public healthy.

Vaccinations are one of the most notable scientific break thoughts in primary health care history. It is one of the most effective ways of preventing the spread of disease in the community. The safety and outcomes of the immunisation programs can be seen in the scientific research, health of the community and in society as a whole. Vaccination programs have been the cornerstone of preventative healthcare

Over the past year, vaccinations have sparked controversy all over America. Some parents are choosing not to vaccinate their children. I believe that all members of the community should be properly vaccinated to avoid the spread of disease, to prevent introducing eradicated diseases to other countries, and to prevent premature death.

Throughout history, it has been shown that vaccines make a significant impact on the health of our communities and “administration of these vaccines led to dramatic reduction in the number of cases of, as well as deaths from smallpox, polio, diphtheria, pertussis, measles, mumps and preventable diseases” (Jacobson, 2012, p.36). Generally, those involved in campaigns for and research in these preventable diseases attribute vaccines for children as the main contributing factor to the overall decline in diseases such as measles, mumps, smallpox and pertussis (Jacobson, 2012). In the public health setting, there are many issues that threaten the health and safety of the public, not just in the local community but the nation and world-wide. One such issue, surfacing in public health, is the issue of vaccinations; those who choose to vaccinate, those who choose not to vaccinate and those who do not

The Center for Disease Control describes vaccines as the greatest development in public health since clean drinking water. For several decades, vaccines have saved countless lives and helped eradicate some fatal diseases. The push to do away with vaccines will not only endanger our youth, but our society as a whole. Vaccination is needed to maintain a healthy balance within our country. Vaccines provide the immunity that comes from a natural infection without the consequences of a natural infection. Vaccinations save an ever-growing amount of lives every year. The Center for Disease Control (CDC) estimated that 732,000 American children were saved from death and 322 million cases of childhood illnesses were prevented between 1994 and 2014 due to vaccination (“Vaccine ProCon”).