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Master Thesis

Vaccination anti-papillomavirus : perception et rôle des infirmiers scolaires

Abstract : Introduction : Cervical cancer is a public health problem. Morbidity and mortality can be reduced by Human PapillomaVirus vaccination (HPV). Nevertheless, in France, vaccination coverage is currently the lowest in Europe. Some nearby countries with high vaccination coverage rely on school nurses. What do French school nurses think about it and what is their role about HPV information? Method : A qualitative study by semi-structured individual interviews was conducted from November 2017 to March 2018, with voluntary high school nurses. Manual thematic analysis with double coding was performed. Results : Twelve interviews were analyzed. HPV vaccination was rarely covered with the students. The nurses described a lack of information about HPV vaccination, which limits their perception and delivery of information to the target population. Lack of time, variety of tasks related to their own job restrained their prevention mission. Their mission mainly depends of their hierarchy and external speaker. Some of them doubted the transparency of pharmaceutical companies and mistrusted any side effects caused by adjuvants. Other vaccines were considered as priorities and nurses reckoned that young girls didn’t feel concerned by this topic, either by lack of interest or immaturity. They refered to general practitioner regarded as the backbone of vaccination information. They underlined the substantive role of parents, as decision makers and the necessity to increase awareness about this vaccination to improve the vaccination coverage. Conclusion : School nurses seems to be thinly invested with HPV vaccination information. Better information during the educational training could sensitize the school nurses to this public health problem. The participation of this profession who work directly with the target population could improve the vaccination coverage. It might be interesting to create common action with general practitioners, who is considered as a key player concerning vaccination information.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02142110
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Benoit Tanguy. Vaccination anti-papillomavirus : perception et rôle des infirmiers scolaires. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02142110⟩

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