  Bsc (Hons) Health Studies Perceptive of Parental Attitudes towards the MMR Immunisation Programme (2008) Ref: nursing0005 The
purpose of this literature review
is to critique research carried out in relation to understanding
parental attitudes towards immunisation. The author has researched
studies that have association with immunisation coverage in general.
Considering the high profile being given by the media towards MMR and
the possible link with autism, there is special emphasis on this
particular subject. Investigation of various reference sources such as
university libraries and the Internet provided the author with ten
articles for review. Key words were used in the search for relevant
material, whilst emphasis was also placed on the requirement for
contemporary reports. Considering the impact of the Wakefield scare it
was imperative that all research material was post this particular
event. The author chose articles that utilised different approaches in
trying to understand parental attitudes towards immunisation.
These articles used either qualitative or quantitative data or both, and adopted various means by which to collate their information. The main findings of the review indicated a marked increase in parental awareness of immunisation, and their perceptions of the risks associated with these vaccines. It was very apparent that the Wakefield report had been a major influence in changing parent’s attitude towards immunisation. This also clearly highlighted the power of the media in drawing attention to the subject of immunisation and possibly causing the subsequent drop in immunisation coverage. Special emphasis was made in all the reports on the need for information and support from health professionals to assist parents in making the decision to immunise or not immunise. Research has established that even parents who have immunised their children still have concerns about the safety and risks associated with immunisation. It is this need to reassure parents that should influence further investigation.
CHAPTER 1 – INTRODUCTION PAGE Definitions Historical background Personal perspective CHAPTER 2 – LITERATURE SEARCH Search strategy and outcomes Criteria for inclusion and exclusion Overview of literature CHAPTER 3 – ISSUES IDENTIFIED BY THE LITERATURE Method and Means Awareness and information Adverse effects of media coverage Legislation and governmental policies CHAPTER 4 – CONCLUSION Overall conclusions Reflections References Bibliography APPENDICES Appendix A Summary of primary research publications Appendix B Appraisal checklists for primary research publications Appendix C Summary of principle discussion papers and reviews Appendix D Themes identified in primary research publications Appendix E Table of literature search and outcomes Appendix F Tabular example - Location Appendix G Record of meetings with personal tutor 
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