Publications by authors named "M E J L Hulscher"

Background: Vaccinations are a cornerstone of public health. However, reluctance to accepting vaccines is common. Using longitudinal data, we investigated which individual and contextual factors were associated with switching preferences from initial hesitancy or unwillingness toward acceptance of a first COVID-19 vaccination.

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Introduction: In high tuberculosis (TB) burden countries, the private sector manages a large proportion of initial visits by presumptive patients with TB. In Indonesia, the second largest contributor of TB cases globally, private practitioners (PPs) often do not adhere to national TB guidelines. A district public-private mix programme to mitigate this issue was started in 2019, yet engagement remains low.

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Article Synopsis
  • COVID-19 emerged as a global pandemic in December 2019, leading to significant hospitalizations and deaths, and the development of non-mandatory vaccinations in the Netherlands aimed at empowering informed decision-making through reliable information.
  • An online COVID-19 vaccination decision aid (DA) was created following a user-centered design approach, involving three phases of development and feedback from end-users and experts to ensure accessibility and effectiveness for individuals with low literacy.
  • The DA was successfully developed in 14 weeks, featuring modules for information provision, decision support, and action facilitation, and was widely disseminated in May 2021, reaching a diverse audience across the Netherlands.
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Objectives: Evidence on the optimal frequency of laboratory testing during outpatient parenteral antimicrobial therapy (OPAT) is lacking. Therefore, we investigated how often and when laboratory abnormalities occur during OPAT and which factors are associated with these abnormalities.

Methods: We performed a multicenter cohort study in four Dutch hospitals among adult patients receiving OPAT and collected routinely obtained laboratory test results.

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Background: Antimicrobial Stewardship (AMS), the set of actions to ensure appropriate antimicrobial use, is increasingly considered a multidisciplinary endeavour. However, it is unclear how Dutch hospital-based nurses envision their contribution to AMS.

Objective: To explore the views and visions of Dutch bedside nurses on their role regarding appropriate antimicrobial use.

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