Vaccine hesitancy is an increasing problem in middle- to high-income countries. Australia currently has high levels of childhood immunisation uptake; however, COVID‑19 vaccine uptake during pregnancy remains sub-optimal. This paper acknowledges the important role of nurses and midwives in the promotion and provision of immunisation and recognises that many feel under-prepared for encounters with vaccine hesitant parents and pregnant women. The aim of this paper is to discuss the current literature on vaccine hesitancy, conduct a balanced discussion, and provide the top ten tips for effectively communicating with vaccine hesitant parents.
Background Excessive screen use is associated with poorer physical and psychological health and quality of life for children and adolescents. However, little is known about screen use in early childhood, and parents’ perspectives on barriers to developing healthy screen use habits with young children remain largely unexamined. This study explored the barriers experienced by Australian parents in establishing healthy habits around screen use with their 0–4-year-old children.
Methods A sample of parents (n=419) participated in an Australia-wide online survey examining adherence to child health recommendations around screen use. Respondents completed a series of Likert-scale and open-ended items exploring different aspects of their young children’s day-to-day screen use. Statistical and qualitative analyses examined children’s day-to-day screen use and parents’ perceived barriers to establishing healthy screen use habits with children.
Findings Adherence to national recommendations around children’s screen use varied across age and by target behaviour. Most children exceeded screen time guidelines. Thematic analysis revealed four main themes representing barriers to establishing healthy screen use habits: (i) parenting practices which encourage screen use, which included two sub-themes – (a) using screens to keep children occupied and (b) high use of screens by parents themselves; (ii) parents struggling to set screen use limits; (iii) difficult child behaviour when limits are imposed; and (iv) influences outside the home.
Conclusions Parents identify parenting practices and child behaviour difficulties and key barriers to healthy screen use. Future intervention development should target these modifiable factors to support the development of healthy screen use habits with young children.
Internet addiction is believed to affect adolescent psychological conditions, including anxiety and sleep quality. This study aimed to identify the relationship between internet addiction, anxiety level and sleep quality of adolescents in Bogor, West Java, Indonesia. The research design used was descriptive analytic with a cross-sectional approach. The study involved 427 adolescents who were selected as respondents by a cluster random sampling technique. The instruments used were the Internet Addiction Test, Hamilton Anxiety Rating Scale and Pittsburgh Sleep Quality Index. The results of the study were analysed by chi-square using the additional method of Monte Carlo and showed a significant relationship between internet addiction and anxiety level (p<0.001) and between internet addiction and sleep quality (p<0.001). Educational institutions and nursing services can participate in preventing and controlling internet addiction, anxiety level and adolescent sleep quality by designing special programmes and appropriate nursing care.