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How to Have 'The Talk' — About Vaccines
MEDPAGE TODAY ^ | July 1, 2025 | Stacy B. Buchanan, DNP, RN

Posted on 07/02/2025 3:16:47 PM PDT by nickcarraway

Tips to persuade, and lead with empathy, in the dreaded vaccine conversation

I am hearing a story repeated across specializations and practice settings: Clinicians and caregivers alike are avoiding -- or dreading -- vaccine conversations. Often, they leave conversations with feelings of resentment (instead of clarity) as well. For clinicians, the need to "debunk" myths or correct irrational statements can induce angst because they know the facts; they want to provide the best possible care. Yet, they can't seem to speak the right language.

The experience can be draining and disheartening, and many of us grow weary of trying. Have you found yourself, more and more, accepting what patients or caregivers say without discussing the evidence-based guidance to provide immunizations for all age-eligible children?

I am a pediatric nurse practitioner, a scholar of vaccine hesitancy, and I am writing to encourage you to have the tough conversations. With the right tactics, they don't have to feel so intimidating. We can and should have the "talk." (No, not the safe sex talk -- the one about preventing diseases that can be passed from person to person without physical contact!)

In 2025, science is being overshadowed by opinions. Vaccine skepticism (I would go so far as to say vaccine hatred) has taken over social media platforms. This is causing an unprecedented number of parents and caregivers to reject having their children immunized. They may question a vaccine for fear of side effects, lack of knowledge of the disease they are being protected against, or a desire to live a more natural lifestyle.

Oftentimes, these individuals are resistant to having vaccine discussions with their pediatric clinicians. Clinicians who try to have "the talk" may feel frustrated because of the extra time it takes during a visit to discuss concerns of caregivers that may be grounded in conspiracy or misinformation. Offering fact-based information is often met with further resistance and can increase the tension in small exam rooms.

Many clinicians may feel that they "know better" than these parents and are well-trained to combat parental online research. We are not in a battle, however. There are better ways to approach the "talk."

As healthcare professionals, we are taught how to have difficult conversations. In our pre-licensure programs, we learn a range of evidence-informed approaches such as de-escalation techniques, crisis response and debriefs, active bystander strategies, and more. We can borrow empathetic listening and persuasion tactics from all of these practices.

When approaching the vaccine conversation, it's time to dust off the skills of motivational interviewingopens in a new tab or window in particular, and put those to use. Recall, with motivational interviewing, the key skill for the clinician is listening: Find out what the caregiver feels and if there is anything that would support them in making the decision to vaccinate. Inquisitiveness drives motivational interviewing; instead of telling parents what we think is best for their child, we should be listening for "the why" that underscores the decision to forgo what we believe is the standard of care.

Questions to help start this conversation include:

Would you be open to discussing vaccination today?

What are some of your thoughts and feelings about vaccination?

Can you tell me what you have heard about this vaccine?

(If you sense hesitation) Is there a concern you have regarding vaccines?

What is your experience with vaccination?

Create a comfortable space for the caregivers to discuss their fears and listen to what they have to say. Do not dismiss them. Take a deep breath and then repeat back what you heard. Validate their worries and recognize that they are doing their best to care for and protect their kid(s) -- just like you are. Then ask if you can offer them information on what you know about vaccines.

In my experience, particularly with the human papillomavirus (HPV) vaccine, a caregiver will often decline and tell me they need to do more research. Our scholarly brains tell us that the evidence is plentiful; we know the data from randomized control trials; we know that certain strains of HPVopens in a new tab or window have been linked to cervical, oral, neck, and anal cancers.

Might I offer that when you encounter this response in the future, that you simply state, "That's great! I respect that you want to know as much as you can about this vaccine. Here are a few resources for you." And then share the following list:

The National Association of Pediatric Nurse Practitioners (NAPNAP) Immunization Special Interest Group

Vaccines & Diseases -- Vaccinate Your Family

Unity Consortium, Improving the Vaccination Experience

Improving the Vaccination Experience: Immunize.org

Vaccine Webinar Series from the Children's Hospital of Philadelphia

Vaccinate With Confidence

If you are providing pediatric care at any level, vaccine recommendations should occur. We know the vaccine schedule is supported by pediatric professional organizations such as NAPNAP and the American Academy of Pediatrics (AAP). The Advisory Committee on Immunization Practices (ACIP) has historically provided expert guidance to the CDC for updates, changes, and retractions from the schedule.

Finally, we need to tell caregivers what their chosen media outlets' headlines are likely not saying: There is a measles outbreak with more than 1,200 casesopens in a new tab or window, and this is the worst we have seen since 2019. There is a cost of life and dollars associated with this outbreak, and just one decision against vaccinating a child could end up with the ultimate price of diminished health or the purchase of a tiny casket.

No, I am not suggesting we lead with fear. However, we must cautiously deliver facts to capture the attention of caregivers who sit on the fence and who, with our expert advice, may decide that the pinch of the needle is worth it for their child(ren).

Stacy B. Buchanan, DNP, RN,opens in a new tab or window is assistant professor (clinical track) in the Nell Hodgson Woodruff School of Nursing at Emory University. She is also a committee member and chair of the immunization special interest group in the National Association of Pediatric Nurse Practitioners (NAPNAP). She serves as liaison to ACIP on behalf of NAPNAP. The opinions expressed are hers and do not represent those of Emory University.

Disclosures

Buchanan has worked with NAPNAP on a COVID-19 provider education initiative for which she received honoraria.


TOPICS: Business/Economy; Health/Medicine
KEYWORDS: antivaxhysteria; vaccines
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To: nickcarraway
"...a scholar of vaccine hesitancy..."

Blood curdlingly condecending. She should go straight to hell. I'd tell her in no uncertain terms.

41 posted on 07/02/2025 6:51:18 PM PDT by Theophilus (covfefe)
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To: 9YearLurker

vacine voodoo - look at her dead spike protein eyes!

Doesn't it feel good to be crisp and clean with no vaccine? Never had it. Never will!

42 posted on 07/02/2025 6:58:38 PM PDT by Theophilus (covfefe)
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To: lastchance
There's quite a hit piece on RFK JR. on Wiki. It makes sense he would have to step away from orgs like Children's Health Defense when he ran for office. I was reading that publication when he was still 'there'. Here's an excerpt re that org.

From 2015 to 2023, Kennedy chaired the Children's Health Defense, formerly known as the World Mercury Project, an anti-vaccine advocacy group he joined in 2015.[26][218] 


43 posted on 07/02/2025 7:34:58 PM PDT by ransomnote (IN GOD WE TRUST)
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To: ransomnote

Thanks.


44 posted on 07/02/2025 7:36:33 PM PDT by lastchance (Cognovit Dominus qui sunt eius.)
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To: hoosierham

It is amazing how hard they try to avoid the fact that their lies about Covid have destroyed their credibility. Unfortunately for far too many people to return to herd immunity for so many diseases the Medical profession is going to have to declare the Covid shot are not vaccines and were mislabeled as such. Then they will likely need to publicly redo the both the efficacy and the safety studies for all of the vaccines they recommend.


45 posted on 07/03/2025 12:20:27 AM PDT by Fraxinus (My opinion, worth what you paid.)
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To: nickcarraway

“medicine” ruined “vaccines” with the gene modification shot.


46 posted on 07/03/2025 12:53:23 AM PDT by Uncle Miltie (Nitzy, now with 88% plausibly anti-Semitic posts!)
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To: Fraxinus

Trust but verify, as Reagan said.


47 posted on 07/03/2025 5:11:01 AM PDT by hoosierham (Freedom isnt free)
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To: hoosierham

It’s Genocide Light.


48 posted on 07/03/2025 5:26:06 AM PDT by Noumenon (You can evade reality, but you cannot evade the consequences of evading reality. KTF)
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To: DugwayDuke
Nonsense!

Nothing about "the spike protein" is elemental in presenting the immune system with a virus to learn to fight.

Nothing about the Covid shot prevents Covid or protects against its spread.

49 posted on 07/03/2025 9:49:59 AM PDT by G Larry (Its RACIST to impose slave wages on LEGAL immigrants and minorities by importing cheap ILLEGAL labor)
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To: G Larry

G Larry wrote: “Nonsense! Nothing about “the spike protein” is elemental in presenting the immune system with a virus to learn to fight. Nothing about the Covid shot prevents Covid or protects against its spread.”

Now that’s the real nonsense. Nothing but anti-vaccine propaganda.


50 posted on 07/03/2025 10:27:00 AM PDT by DugwayDuke (Most pick the expert who says the things they agree with.)
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To: DugwayDuke

It can’t be “anti-vaccine propaganda” if it’s not a vaccine.


51 posted on 07/03/2025 12:21:21 PM PDT by G Larry (Its RACIST to impose slave wages on LEGAL immigrants and minorities by importing cheap ILLEGAL labor)
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To: G Larry

G Larry wrote: “It can’t be “anti-vaccine propaganda” if it’s not a vaccine.”

Regardless of all the anti-mRNA propaganda, the mRNA is still a vaccine.


52 posted on 07/03/2025 12:29:16 PM PDT by DugwayDuke (Most pick the expert who says the things they agree with.)
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To: DugwayDuke
A vaccine is a biological preparation that provides active acquired immunity to a particular infectious or malignant disease. The safety and effectiveness of vaccines has been widely studied and verified. A vaccine typically contains an agent that resembles a disease-causing microorganism and is often made from weakened or killed forms of the microbe, its toxins, or one of its surface proteins. The agent stimulates the body's immune system to recognize the agent as a threat, destroy it, and recognize further and destroy any of the microorganisms associated with that agent that it may encounter in the future.

Wikipedia - (before the definition was adulterated by unscientific politics.)

53 posted on 07/03/2025 12:52:48 PM PDT by G Larry (Its RACIST to impose slave wages on LEGAL immigrants and minorities by importing cheap ILLEGAL labor)
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To: Donbue
It isn't just lying about the "vaccine" that caused the CDC, NIH, WHO and their "medical experts" to lose all credibility, the agencies -- and especially the "medical experts" -- lied about (or at least were very wrong about everything of significance about the Fauci Flu ... everything of any significance.

Over time, it became crystal clear what motivated these agencies and their "medical experts" (apart from a few minutes of "fame" and attention) wasn't medical science, it was political science. I despise those who participated in this debacle of historic proportions.

54 posted on 07/03/2025 1:03:58 PM PDT by glennaro (2025: The year of America's rebirth as a Great (and Free) Republic)
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To: G Larry

G Larry wrote: “A vaccine is a biological preparation that provides active acquired immunity to a particular infectious or malignant disease.”
mRNA is a biological preparation. As with all vaccines, the mRNA provides limited immunity. (If you disagree, then post three vaccines that confer 100% immunity).

G Larry wrote: “The safety and effectiveness of vaccines has been widely studied and verified.”

The mRNA vaccines have been widely studied and verified.

G Larry wrote: “ A vaccine typically contains an agent that resembles a disease-causing microorganism and is often made from weakened or killed forms of the microbe, its toxins, or one of its surface proteins.”

Like the spike protein.

G Larry wrote: “ The agent stimulates the body’s immune system to recognize the agent as a threat, destroy it, and recognize further and destroy any of the microorganisms associated with that agent that it may encounter in the future.”

Like the spike protein.


55 posted on 07/03/2025 1:04:54 PM PDT by DugwayDuke (Most pick the expert who says the things they agree with.)
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To: DugwayDuke
“The safety and effectiveness of vaccines has been widely studied and verified.”

Certainly not true of any of the Covid shots. Otherwise it wouldn't be distributed under "Emergency Authorization".

56 posted on 07/04/2025 12:28:41 PM PDT by G Larry (Its RACIST to impose slave wages on LEGAL immigrants and minorities by importing cheap ILLEGAL labor)
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To: G Larry

Larry wrote: “Certainly not true of any of the Covid shots. Otherwise it wouldn’t be distributed under “Emergency Authorization”.

On Aug. 23, 2021, the FDA granted full approval to the Pfizer COVID-19 vaccine. Next, on Jan. 31, 2022, the agency granted full approval to the Moderna COVID-19 vaccine.

It’s estimated that distribution of the COVID-19 vaccines under the EUA saved at least a quarter of a million lives and prevented more than 1 million hospitalizations.

IOW, waiting for all the extensive testing preferred by the anti-vaxxers would have cost hundreds of thousands of lives and a million hospitalizations.


57 posted on 07/04/2025 2:37:55 PM PDT by DugwayDuke (Most pick the expert who says the things they agree with.)
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To: nickcarraway

One of my cousins stopped talking to me as he had unknown to me taken the vaccine. His 3 sisters have not as their father never would take the flu vaccine and did not trust the pharma companies. He lived to be 92 years old. Woulda lasted longer but three falls and the medicine he was given for the the pain interacted with his heart meds and he ended up with dementia.


58 posted on 07/05/2025 7:05:48 PM PDT by minnesota_bound (Making money now. Still want much more.)
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