The Peds NP: Pearls of Pediatric Evidence-Based Practice

Author: Becky Carson

Join pediatric nurse practitioner and educator Dr. Becky Carson on The Peds NP, a podcast that turns evidence-based practice into practical, real-world strategies for caring for kids. Each episode blends the latest pediatric literature with conversational insights, helping you connect research to bedside decisions with confidence. Becky brings her experience as a dual-certified PNP in acute and primary care and faculty member at Duke University School of Nursing to guide you through cases, concepts, and clinical pearls that matter most. Youll gain tools to improve outcomes, sharpen your thinking, and feel empowered in those tricky situations where judgment counts. Tune in, learn, and transform the way you practiceand remember, youre doing it for the kids. Disclaimers & Show Notes: www.thepedsnp.com
Be a guest on this podcast

Language: en

Genres: Health & Fitness, Medicine

Contact email: Get it

Feed URL: Get it

iTunes ID: Get it

Get all podcast data

Listen Now...

Immunizations Updates: Motivational Interviewing in Vaccine Hesitancy: Case Studies with Dr. Maddie Manfredi (S13 Ep. 87)
Episode 87
Monday, 8 June, 2026

In the last episode of our mini-series on Immunizations Updates, we are joined again by pediatric nurse practitioner, Dr. Maddie Manfredi, for a live role-play extended episode focused on motivational interviewing (MI) in the setting of vaccine hesitancy. During 5 cases built around common worries surrounding pediatric vaccines, Dr. Manfredi uses evidence-based approaches to explore hesitancy and reach a common goal– a child’s health and well-being. The cases cover: - Immune system overload - Misinformation and distrust - The autism myth - Preference for a natural lifestyle - Low risk disease perception This episode demonstrates what a therapeutic relationship looks like and how to navigate real-world conversations with caregivers across a spectrum of hesitancy. Through five case-based scenarios, listeners will hear MI techniques applied in real time and walk away with practical scripts and strategies to use in clinical encounters. Website: www.thepedsnp.com Contact: thepedsnp@gmail.com Instagram: @thepedsnppodcast AACN Essentials Mapping (Domain. sub-competency): 1.1f, 1.2g 2.2c, 2.2f, 2.3b, 2.4e 3.1a, 3.2b, 3.3d 4.1a, 4.1d, 4.2c 5.1b, 5.2a, 5.3c 6.2b, 6.3a 7.1c, 7.2d 8.2c, 8.3d 9.1a, 9.2f, 9.3c 10.2a, 10.2d, 10.3b References: Bernstein, T. A., Broome, M., Millman, J., Epstein, J., & Derouin, A. (2022). Promoting strategies to increase HPV vaccination in the pediatric primary care setting. Journal of Pediatric Health Care, 36(2), e36–e41. https://doi.org/10.1016/j.pedhc.2021.10.009 Bullen, M., Heriot, G.S., & Jamrozik, E. (2023). Herd immunity, vaccination and moral obligation. Journal of Medical Ethics, 49(9), 636–641. https://doi.org/10.1136/jme-2022-108485 Braun, C., & O'Leary, S. T. (2020). Recent advances in addressing vaccine hesitancy. Current Opinion in Pediatrics, 32(4), 601–609. https://doi.org/10.1097/MOP.0000000000000929 Brewer, N. T., Chapman, G. B., Rothman, A. J., Leask, J., & Kempe, A. (2017). Increasing vaccination: Putting psychological science into action. Psychological Science in the Public Interest: A Journal of the American Psychological Society, 18(3), 149–207. https://doi.org/10.1177/1529100618760521 Brewer, N. T. (2021). What works to increase vaccine uptake. Academic Pediatrics, 21(4S), S9-S16. https://doi.org/10.1016.j.acap.2021.01.017 Centers for Disease Control and Prevention. (2024a, August 9). Reasons to vaccinate. https://www.cdc.gov/vaccines-children/reasons/index.html Centers for Disease Control and Prevention. (2024c). Talking with parents about vaccines. https://www.cdc.gov/vaccines-children/hcp/conversation-tips/index.html Eagan, R.L., Larson, H.J., & de Figueiredo, A. (2023). Recent trends in vaccine coverage and confidence: A cause for concern. Human Vaccines & Immunotherapeutics, 19(2), 2237374. https://doi.org/10.1080/21645515.2023.2237374 Frew, P.M., & Lutz, C.S. (2017). Interventions to increase pediatric vaccine uptake: An overview of recent findings. Human Vaccines & Immunotherapeutics, 13(11), 2503-2511. https://doi.org/10.1080/21645515.2017.1367069 Gagneur, A., Gutnick, D., Berthiaume, P., Diana, A., Rollnick, S., & Saha, P. (2024). From vaccine hesitancy to vaccine motivation: A motivational interviewing based approach to vaccine counselling. Human Vaccines & Immunotherapeutics, 20(1), 2391625. https://doi.org/10.1080/21645515.2024.2391625 Jarrett, C., Wilson, R., O'Leary, M., Eckersberger, E., Larson, H. J., & SAGE Working Group on Vaccine Hesitancy. (2015). Strategies for addressing vaccine hesitancy - A systematic review. Vaccine, 33(34), 4180–4190. https://doi.org/10.1016/j.vaccine.2015.04.040 Kestenbaum, L. A., & Feemster, K. A. (2015). Identifying and addressing vaccine hesitancy. Pediatric Annals, 44(4), e71–e75. https://doi.org/10.3928/00904481-20150410-07 Lafnitzegger, A., & Gaviria-Agudelo, C. (2022). Vaccine hesitancy in pediatrics. Advances in pediatrics, 69(1), 163–176. https://doi.org/10.1016/j.yapd.2022.03.011 Limaye, R. J., Opel, D. J., Dempsey, A., Ellingson, M., Spina, C., Omer, S. B., Dudley, M. Z., Salmon, D. A., & Leary, S. O. (2021). Communicating with vaccine-hesitant parents: A narrative review. Academic pediatrics, 21(4S), S24–S29. https://doi.org/10.1016/j.acap.2021.01.018 McClure, C. C., Cataldi, J. R., & O'Leary, S. T. (2017). Vaccine hesitancy: Where we are and where we are going. Clinical Therapeutics, 39(8), 1550–1562. https://doi.org/10.1016/j.clinthera.2017.07.003 Mical, R., Martin-Velez, J., Blackstone, T., & Derouin, A. (2021). Vaccine hesitancy in rural pediatric primary care. Journal of Pediatric Health Care, 35(1), 16–22. https://doi.org/10.1016/j.pedhc.2020.07.003 Minta, A. A., Ferrari, M., Antoni, S., Lambert, B., Sayi, T. S., Hsu, C. H., Steulet, C., Gacic-Dobo, M., Rota, P. A., Mulders, M. N., Wimmer, A., Bose, A. S., O'Connor, P., & Crowcroft, N. S. (2024). Progress toward measles elimination - Worldwide, 2000-2023. MMWR. Morbidity and Mortality Weekly Report, 73(45), 1036–1042. https://doi.org/10.15585/mmwr.mm7345a4 Nandi, A., & Shet, A. (2020). Why vaccines matter: understanding the broader health, economic, and child development benefits of routine vaccination. Human Vaccines & Immunotherapeutics, 16(8), 1900-1904. https://doi.org/10.1080/21645515.2019.1708669 Nyhan, B., Reifler, J., Richey, S., & Freed, G. L. (2014). Effective messages in vaccine promotion: A randomized trial. Pediatrics, 133(4), e835–e842. https://doi.org/10.1542/peds.2013-2365 Obohwemu, K., Christie-de Jong, F., & Ling, J. (2022). Parental childhood vaccine hesitancy and predicting uptake of vaccinations: a systematic review. Primary Health Care Research & Development, 23, e68. https://doi.org/10.1017/S1463423622000512 Offit, P. A., & Moser, C. A. (2009). The problem with Dr Bob's alternative vaccine schedule. Pediatrics, 123(1), e164–e169. https://doi.org/10.1542/peds.2008-2189 O'Leary, S. T., Opel, D. J., Cataldi, J. R., Hackell, J. M.; Committee on Infection Diseases, Committee on Practice and Ambulatory Medicine, & Committee on Bioethics. (2024). Strategies for improving vaccine communication and uptake. Pediatrics, 153(3), e2023065483. https://doi.org/10.1542/peds.2023-065483 Opel, D. J., Heritage, J., Taylor, J. A., Mangione-Smith, R., Salas, H. S., DeVere, V., Zhou, C., & Robinson, J. D. (2013). The architecture of provider-parent vaccine discussions at health supervision visits. Pediatrics, 132(6), 1037–1046. https://doi.org/10.1542/peds.2013-2037 Opel, D. J., Mangione-Smith, R., Robinson, J.D., Heritage, J., DeVere, V., Salas, H.S., Zhou, C., & Taylor, J. A. (2015). The influence of provider communication behaviors on parental vaccine acceptance and visit experience. American Journal of Public Health, 105(10), 1998–2004. https://doi.org/10.2105/AJPH.2014.302425 Petca, A., Borislavschi, A., Zvanca, M. E., Petca, R. C., Sandru, F., & Dumitrascu, M. C. (2020). Non-sexual HPV transmission and role of vaccination for a better future (Review). Experimental and therapeutic medicine, 20(6), 186. https://doi.org/10.3892/etm.2020.9316 Shattock, A. J., Johnson, H. C., Sim, S. Y., Carter, A., Lambach, P., Hutubessy, R. C. W., Thompson, K. M., Badizadegan, K., Lambert, B., Ferrari, M. J., Jit, M., Fu, H., Silal, S. P., Hounsell, R. A., White, R. G., Mosser, J. F., Gaythorpe, K. A. M., Trotter, C. L., Lindstrand, A., O'Brien, K. L., Bar-Zeev, N. (2024). Contribution of vaccination to improved survival and health: modelling 50 years of the Expanded Programme on Immunization. Lancet (London, England), 403(10441), 2307–2316. https://doi.org/10.1016/S0140-6736(24)00850-X Smith M. J. (2015). Promoting vaccine confidence. Infectious Disease Clinics of North America, 29(4), 759–769. https://doi.org/10.1016/j.idc.2015.07.004 Songol, A., Amiri-Farahani, L., Haghani, S., Pezaro, S., & Omrani Saravi, S. (2023). Comparing the effect of parental education via both lecture and film upon vaccination uptake for children under one year of age: A cluster randomized clinical trial. Vaccine, 41(5), 1067-1073. https://doi.org/10.1016/j.vaccine.2022.12.012 Szilagyi, P. G., Albertin, C. S., Gurfinkel, D., Saville, A. W., Vangala, S., Rice, J. D., Helmkamp, L., Zimet, G. D., Valderrama, R., Breck, A., Rand, C. M., Humiston, S. G., & Kempe, A. (2020). Prevalence and characteristics of HPV vaccine hesitancy among parents of adolescents across the US. Vaccine, 38(38), 6027–6037. https://doi.org/10.1016/j.vaccine.2020.06.074 World Health Organization. (n.d.). A brief history of vaccines. https://www.who.int/news-room/spotlight/history-of-vaccination/a-brief-history-of-vaccination World Health Organization. (2015, August 18). Vaccine hesitancy: A growing challenge for immunization programmes. https://www.who.int/news/item/18-08-2015-vaccine-hesitancy-a-growing-challenge-for-immunization-programmes World Health Organization. (2019). Ten threats to global health in 2019. https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019 Zhou, F., Jatlaoui, T. C., Leidner, A. J., Carter, R. J., Dong, X., Santoli, J. M., Stokley, S., Daskalakis, D. C., & Peacock, G. (2024). Health and economic benefits of routine childhood immunizations in the era of the vaccines for children program - United States, 1994-2023. MMWR. Morbidity and Mortality Weekly Report, 73(31), 682–685. https://doi.org/10.15585/mmwr.mm7331a2