Celebration of Scholarship and Creative Activity 2021
Vaccinations are cost-effective interventions that have successfully reduced the morbidity and mortality of many infectious diseases. Still, vaccine hesitancy, or the reluctance and refusal to vaccinate in spite of vaccine availability, has been increasing worldwide. Reduced vaccination uptake has caused outbreaks of preventable diseases and will challenge the establishment of herd immunity against the novel coronavirus (COVID-19) and its variants. Civil liberty-based rationales that frame vaccine refusal as a right have become more prominent during the COVID-19 pandemic. However, there is limited guidance for healthcare providers who provide vaccinations as to how best to respond to such rationales. The purpose of this integrative review was to describe the current empirical evidence related to civil liberty-based rationales for vaccine hesitancy and recommend potential nursing informed strategies for health care provider response. Eight databases (Academic Search Complete, Alt HealthWatch, Cumulative Index to Nursing and Allied Health Literature, Health Source, MEDLINE, PsycARTICLES, PyscINFO, and PubMed) were searched to locate peer-reviewed articles published since 2013. Eleven articles were included in this review. Thematic analysis identified three essential themes: Freedom from oppression, perceived autonomy, and resisting interference. Findings support inclusion of assessment of civil liberties-based rationales in the clinical encounter and the provision of informational strategies that support individual control over vaccination decision-making. Continued understanding of the nuances of civil-liberties based rationales for vaccine hesitancy are essential for developing and implementing applicable evidence-based recommendations aimed to maintain and increase vaccination rates.