Problem: Vaccination Objections
Patients often refuse vaccines despite repeated provider recommendations.
Solution: Don't give up. Use the entire staff to encourage vaccination.
L - Listen with sympathy and understanding to the patient's reason for vaccine refusal.
E - Explain your own reasons for recommending vaccine.
A - Acknowledge and discuss differences and similarities between views.
R - Recommend vaccination again.
N - Negotiate for agreement.
Source: Adapted from Berlin EA, Fowkes WC Jr. A Teaching Framework for Cross-Cultural Healthcare. Application in family practice. West J Med 1983; Dec 139 (6): 934-938