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Survey of Hospital Healthcare Personnel Response during a Potential Avian Influenza Pandemic: Will They Come to Work?

Published online by Cambridge University Press:  28 June 2012

Charlene B. Irvin*
Affiliation:
St. John Hospital and Medical Center, Detroit, Michigan, USA
Lauren Cindrich
Affiliation:
Wayne State University School of Medicine, Detroit, Michigan, USA
William Patterson
Affiliation:
University of Michigan, Ann Arbor, Michigan, USA
Anthony Southall
Affiliation:
St. John Hospital and Medical Center, Detroit, Michigan, USA

Abstract

Introduction:

In order to prepare for pandemics, it is important to assess the likelihood that hospital personnel would report to work and to identify the issues that may affect this decision.

Objective:

To survey hospital personnel regarding their attendance at work in the hypothetical event of avian influenza pandemic, and what factors might influence this decision. Methods: A voluntary, confidential, institutional review board-approved survey was offered to a convenience sample of hospital workers regarding their willingness to report to work and what issues would be important in making this decision. Surveys not returned and individuals declining to participate were recorded.

Results:

Of 187 surveys offered, 169 were completed (90% response rate): 34% were doctors, 33% were nurses, and 33% were clerical and other associates (other). The average age of the participants was 38 years, and 32% were males. Participants were asked: “In the event of an avian pandemic, and patients were being treated at this hospital, would you report to work as usual?”. Of those who responded to the survey, 50% reported “yes”, 42% reported “maybe”, and 8% reported “no”. Doctors were more likely than nurses or others to respond “yes” (73%), as were males (66%). For the “maybe” responders, the most important factor (83%) was: “How confident I am that the hospital can protect me”. For 19% of the “maybe” responders, financial incentives would not make a difference for them to work, even up to triple pay.

Conclusions:

Personnel absenteeism during a pandemic due to fear of contracting an illness may result in a significant personnel shortage. Ensuring worker confidence in adequate personal protection may be more important than financial incentives.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2008

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References

1.Lipsitch, M, Phil, D: Pandemic flu: We are not prepared. Available at http://www.medscape.com/viewarticle/502709. Accessed 01 November 2007.Google Scholar
2., Nordqvist, , Charistian: Medical News Today: America Not Prepared For Flu Pandemic, Says Michael Leavitt. May 8, 2006. Available at http://www.medicalnewstoday.com/healthnews.php?newsid=4295. Accessed 01 November 2007Google Scholar
3. Milican Institute Global Conference, Panel Detail: Monday April 24, 2006. Not If, But When: The Economic Impact of the Coming Flu Pandemic. Available at http://www.milkeninstitute.org/events/gcprogram.taf?function=detail&EvID=610&eventid=gc06.Accessed 01 November 2007.Google Scholar
4.Brodie, L: Former Sec Thompson: “Not IF but when” for pandemic. Available at http://www.msnbc.msn.com/id/16266825/. Accessed 01 November 2007.Google Scholar
5. Homeland Security: Flu pandemic morbidity/mortality. Available at http://www.globalsecurity.org/security/ops/hsc-scen-3_flu-pandemic-deaths.htm. Accessed 01 November 2007.Google Scholar
6.Christian, MD, Hawryluck, L, Wax, RS, Cook, T, Lazar, NM, Herridge, MS, Mueller, MP, Gowans, DR, Fortier, W, Burkle, FM: Development of a triage protocol for critical care during an influenza pandemic. CMAJ 2006;175(11):13771381.Google ScholarPubMed
7. Department of Health and Human Services: Pandemic planning update III A report from Secretary Michael O. Leavitt. Available at http://www.pandemicflu.gov/plan/pdf/panflureport3.pdf. Accessed 17 February 2007Google Scholar
8.Gottleb, S: Research confirms human-to-human transmission of avian flu. BMJ 2005;330:1087.Google Scholar
9. Centers for Disease Control and Prevention: Key facts about avian influenza (bird flu) and avian influenza A (H5N1) virus. Available at http://www.cdc.gov/flu/ avian/gen-info/facts.htm. Accessed 01 November 2007.Google Scholar
10. HSSL Pandemic Implementation Plan, Part I of II, November 2006 Available at http://www.hhs.gov/pandemicflu/implementationplan/pdf/introduction.pdf. Accessed 01 November 2007.Google Scholar
11. PandemicFlu.gov: General information. Available at http://www.pandemicflu.gov/general/. Accessed 01 November 2007.Google Scholar
12. Homeland Security Council: National Strategy for Pandemic Influenza Implementation plan. Available at http://www.whitehouse.gov/homeland/ nspi_implementation.pdf. Accessed 01 November 2007.Google Scholar
13.Balicer, RD, Omer, SB, Barnett, DJ, Everly, GS Jr : Local public health workers' perceptions toward responding to an influenza pandemic. BMC Public Health 2006;6:99.CrossRefGoogle Scholar
14.Ehrenstein, BP, Hanses, F, Salzberger, B: Influenza pandemic and professional duty: Family or patients first? A survey of hospital employees. BMC Public Health 2006;6:311.CrossRefGoogle ScholarPubMed
15.Shaw, KA, Chilcott, A, Hansen, E, Winzenbert, T: The GP's response to pandemic influenza: A qualitative study. Fam Pract 2006;23(3):265266.Google ScholarPubMed
16.Qureshi, K, Gershon, RR, Sherman, MF, Straub, T, Gebbie, E, McColllum, M, Erwin, MJ, Morse, SS: Health care workers' ability and willingness to report to duty during catastrophic disasters. J Urban Health 2005;82(3):378388.CrossRefGoogle ScholarPubMed
17. Guidance of Preparing Workplaces for an Influenza Pandemic. http://www.osha.gov/Publications/influenza_pandemic.html#classifying_exposure Accessed 01 November 2007.Google Scholar
18. Official: US not ready for bird flu. Available at http://www.kvia.com/Global/ story.asp?S=4990981&nav=AbC0. Accessed 01 November 2007.Google Scholar
19. Transmission and infection of H5N1. Available at http://www.avianfluhub.com/causes/transmission-infection. Accessed 01 November 2007.Google Scholar
20. Associated Press: MSNBC Study: Bird flu bigger threat than terrorism. Available at http://www.msnbc.msn.com/id/11047805/. Accessed 01 November 2007.Google Scholar
21. US Department of Health and Human Services: Draft guidance on allocating and targeting pandemic influenza vaccine for prioritization of pre-pandemic and pandemic influenza vaccine. Available at http://www.pandemicflu.gov/vaccine/prioritization.html Accessed 01 November 2007.Google Scholar
22. Pandemic Information and News: The lurking dangers of bird flu. Available at http://www.pandemicinfosite.com/ Accessed 01 November 2007.Google Scholar
23. Matt McGrath: Bird flu vaccine ‘10 years away’. Available at http://news.bbc.co.uk/2/hi/science/nature/5132910.stm.Accessed 01 November 2007.Google Scholar
24.Hamilton, J: Mortalities from a flu pandemic hard to predict. Available at http://www.npr.org/templates/story/story.php?storyId=5056105 Accessed 01 November 2007.Google Scholar
25.Brahmbhatt, M: Avian influenza: Economic and social impacts. Available at http://web.worldbank.org/WBSITE/EXTERNAL/NEWS/0,, contentMD K:20663668~pagePK:34370~piPK:42770~theSitePK:4607,00.html Accessed 19 November 2007.Google Scholar