caa a22 4500 606170812 CHVBK 20210128100719.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s10728-012-0237-9 doi (NATIONALLICENCE)springer-10.1007/s10728-012-0237-9 Informed Consent for HPV Vaccination: A Relational Approach [Elektronische Daten] [Maria Gottvall, Tanja Tydén, Margareta Larsson, Christina Stenhammar, Anna Höglund] The aim of this study was to explore the relational aspects of the consent process for HPV vaccination as experienced by school nurses, based on the assumption that individuals have interests related to persons close to them, which is not necessarily to be apprehended as a restriction of autonomy; rather as a voluntary and emotionally preferred involvement of their close ones. Thirty Swedish school nurses were interviewed in five focus groups, before the school based vaccination program had started in Sweden. The empirical results were discussed in light of theories on relational autonomy. The school nurses were convinced that parental consent was needed for HPV vaccination of 11-year-old girls, but problems identified were the difficulty to judge when a young person is to be regarded as autonomous and what to do when children and parents do not agree on the decision. A solution suggested was that obtaining informed consent in school nursing is to be seen as a deliberative process, including the child, the parents and the nurse. The nurses described how they were willing strive for a dialogue with the parents and negotiate with them in the consent process. Seeing autonomy as relational might allow for a more dialogical approach towards how consent is obtained in school based vaccination programs. Through such an approach, conflicts of interests can be made visible and become possible to deal with in a negotiating dialogue. If the school nurses do not focus exclusively on accepting the individual parent's choice, but strive to engage in a process of communication and deliberation, the autonomy of the child might increase and power inequalities might be reduced. Springer Science+Business Media New York, 2012 HPV vaccination nationallicence Informed consent nationallicence Relational autonomy nationallicence School nursing nationallicence Sweden nationallicence Gottvall Maria Department of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, Sweden aut Tydén Tanja Department of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, Sweden aut Larsson Margareta Department of Women's and Children's Health, Uppsala University Hospital, 751 85, Uppsala, Sweden aut Stenhammar Christina Department of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, Sweden aut Höglund Anna Department of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, Sweden aut Health Care Analysis Springer US; http://www.springer-ny.com 23/1(2015-03-01), 50-62 1065-3058 23:1<50 2015 23 10728 https://doi.org/10.1007/s10728-012-0237-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10728-012-0237-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gottvall Maria Department of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, Sweden aut NATIONALLICENCE 700 1- Tydén Tanja Department of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, Sweden aut NATIONALLICENCE 700 1- Larsson Margareta Department of Women's and Children's Health, Uppsala University Hospital, 751 85, Uppsala, Sweden aut NATIONALLICENCE 700 1- Stenhammar Christina Department of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, Sweden aut NATIONALLICENCE 700 1- Höglund Anna Department of Public Health and Caring Sciences, Uppsala University, Box 564, 751 22, Uppsala, Sweden aut NATIONALLICENCE 773 0- Health Care Analysis Springer US; http://www.springer-ny.com 23/1(2015-03-01), 50-62 1065-3058 23:1<50 2015 23 10728