SIM Scenario Exchange

MMR Vaccine Hesitancy

Contributed on July 4, 2022, last updated September 6, 2023.



Marian Luctkar-Flude, Queen’s University

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This virtual simulation game focuses on a virtual healthcare encounter between a nurse or nurse practitioner working in primary care. The intended learners are undergraduate nursing students (year 3 or 4) and nurse practitioner students. This learning experience incorporates the CASE Method, a framework that health care providers can use to guide conversations with parents who are vaccine hesitant regarding immunizations for their children.

Learning Objectives:

Determine individual factors that underlie vaccine hesitancy to identify appropriate interventions

Listen in a non-judgemental manner to a vaccine hesitant client to promote effective communication

Appraise the accuracy of client concerns related to vaccine hesitancy to promote evidence-informed practice

Respond to client concerns in a culturally safe way to establish respectful nurse-client engagement

Assess client readiness for education during a clinic visit to encourage client receptiveness to learning

Apply the CASE method to client education to encourage informed decision making

Simulation Modality:

Virtual gaming simulation / virtual patient


015, CAN-Sim


Luctkar-Flude M. MMR Vaccine Hesitancy. Simulation resource published by Simulation Canada; 2022. Available from

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Target Learners






Undergraduate / post-secondary

Fields / Disciplines:

Primary care / community care / family practice
Public/community health & health promotion

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