In the context of vaccine hesitancy due to fear of pain, what process should the nurse uphold?

• A. Informed consent process with discussion of concerns and alternatives
• B. Coercive visitation to compel consent
• C. Proceeding with vaccination without discussion
• D. Canceling the vaccination appointment

Answer: (A)

When vaccine hesitancy centers on fear of pain, the important approach is to honor the patient’s or guardian’s autonomy through an informed consent discussion. This means the nurse openly talks about the vaccine, its benefits and risks, and why vaccination is recommended, while also inviting questions and addressing concerns about pain. It’s also essential to offer practical ways to reduce discomfort, such as applying a topical anesthetic to the injection site, using skilled and fast technique, employing distraction or comfort measures, and allowing a caregiver to provide reassurance. By confirming understanding and ensuring the decision is voluntary, the nurse supports shared decision making and trust.

Coercing consent or proceeding without discussion undermines trust and violates ethical practice, and canceling the appointment isn’t necessary if concerns can be addressed and pain can be managed.