Page 120 - Preventing pertussis in early infancy - Visser

Chapter 7
Chapter 7
mdeefainsiutiroentraunsdtmscoorpeediorefctrlyusint,fkuetuerpeinsgtuidniems.ind the literature on vaccine confidence, and
Decisional uncertainty
measure trust more directly in future studies.
Decisional uncertainty
As indicated above with the practice and policy recommendations on decisional
As indicated above with the practice and policy recommendations on decisional
uncertainty, our respondents indicated to be uncertain about their vaccination decisions,
uncertainty, our respondents indicated to be uncertain about their vaccination decisions,
despite their will to make a deliberate decision on vaccination. Our research suggests that
despite their will to make a deliberate decision on vaccination. Our research suggests that
supporting people’s reflection on personal and professional values, in combination with
supporting people’s reflection on personal and professional values, in combination with
information, their personal experiences and their views on societal aspects of vaccination,
information, their personal experiences and their views on societal aspects of vaccination,
reduces decisional uncertainty and aids decision making. We have developed an online
reduces decisional uncertainty and aids decision making. We have developed an online
deliberation tool that aims to stimulate and support this reflection. However, the specific
deliberation tool that aims to stimulate and support this reflection. However, the specific
role of reflection on values in the vaccination decision making process is still unclear.
role of reflection on values in the vaccination decision making process is still unclear.
Recommendation 15: We recommend to test this online deliberation tool and measure its Recommendation 15: We recommend to test this online deliberation tool and measure its
effect on decisional uncertainty as well as deliberate choice and vaccination intention (or
effect on decisional uncertainty as well as deliberate choice and vaccination intention (or
uptake, depending on the context).
uptake, depending on the context).
Recommendation 16: We recommend to conduct more research to further explore and Recommendation 16: We recommend to conduct more research to further explore and
confirm the specific role of reflection on values in the vaccination decision making process,
confirm the specific role of reflection on values in the vaccination decision making process,
while specifically applying the current theories and knowledge on decision making from
while specifically applying the current theories and knowledge on decision making from
other research fields.
other research fields.
Recommendation 17: Furthermore, to facilitate future adaptation, we recommend to Recommendation 17: Furthermore, to facilitate future adaptation, we recommend to
further determine, specify and confirm which values are most important to reflect on for
Midwives
further determine, specify and confirm which values are most important to reflect on for
those deciding on vaccination, in order to further reduce decisional uncertainty.
those deciding on vaccination, in order to further reduce decisional uncertainty.
Midwives
As far as we know this is the first study that suggests a slightly critical vaccination
As far as we know this is the first study that suggests a slightly critical vaccination
attitude among midwives in the Netherlands: the uptake rate of NIP vaccinations for
attitude among midwives in the Netherlands: the uptake rate of NIP vaccinations for
children of midwives was lower than among the general population (chapter 5, 78% versus
children of midwives was lower than among the general population (chapter 5, 78% versus
95%), and the percentage of midwives who indicated to have a specific philosophical
95%), and the percentage of midwives who indicated to have a specific philosophical
background was slightly higher than among the general population (chapter 5, 16% versus
background was slightly higher than among the general population (chapter 5, 16% versus
8%).
8%).
Recommendation 18: We recommend that the suggestion that midwives hold a slightly Recommendation 18: We recommend that the suggestion that midwives hold a slightly
critical attitude towards vaccination is checked in future further study.
critical attitude towards vaccination is checked in future further study.
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