Publications by authors named "C M P M Hertogh"
Objectives: To explore the influenza and COVID-19 vaccination status among Dutch nursing home (NH) health care workers (HCWs), factors associated with vaccination including the influence of the pandemic, and the facilitators and barriers to vaccination willingness.
Design: An explanatory sequential mixed methods study.
Setting And Participants: HCWs providing direct care to residents in Dutch NHs.
Background: The Dutch Euthanasia law permits euthanasia in patients with advanced dementia lacking decisional capacity based on advance euthanasia directives. Nevertheless, physicians encounter difficulties assessing the criteria for due care in such cases. This study explores the perspectives of legal experts on the fulfillment of these criteria and the potential for additional legal guidance to support physicians' decision-making processes.
View Article and Find Full Text PDFImplementation of a tailored multifaceted antibiotic stewardship intervention to improve antibiotic prescribing for urinary tract infections in frail older adults (ImpresU) in four European countries: a process evaluation alongside a pragmatic cluster randomized controlled trial.
Trials
October 2024
Background: We previously performed a pragmatic cluster randomized controlled trial (RCT) in general practices and older adult care organizations in Poland, the Netherlands, Norway, and Sweden. We found that a multifaceted antibiotic stewardship intervention (ASI) substantially reduced antibiotic use for suspected urinary tract infections (UTIs) in frail older adults compared with usual care. We aimed to evaluate the implementation process of the ASI to provide recommendations for clinical practice.
View Article and Find Full Text PDFArticle Synopsis
- The transition of older hospital patients to appropriate post-acute care has become critical due to demographic changes and limited hospital stays.
- A national web-based survey gathered input from hospital and geriatric rehabilitation professionals in the Netherlands regarding current assessment practices for guiding post-acute care decisions.
- Results indicated mixed satisfaction with the triage process, highlighting differing perspectives between sending and receiving professionals, particularly on patient involvement and the importance of triage items.
Article Synopsis
- The study investigates the challenges that physicians in the Netherlands face when considering euthanasia requests from patients with advanced dementia, focusing on ethical dilemmas related to communication and assessing suffering.
- It involves a descriptive multimethod approach, including a questionnaire to gather insights from three categories of physicians: older adult care physicians (ECPs), support and consultation on euthanasia (SCEN) physicians, and euthanasia expertise center (EEC) physicians.
- Results revealed that while ECPs handle most requests for euthanasia based on advance directives, very few actually perform the procedure, with a consensus among all physician groups emphasizing the need for effective communication with patients to understand their wishes and gauge their suffering.