Influenza pandemic and professional duty: family or patients first? A survey of hospital employees.
Identifieur interne : 000476 ( Main/Exploration ); précédent : 000475; suivant : 000477Influenza pandemic and professional duty: family or patients first? A survey of hospital employees.
Auteurs : Boris P. Ehrenstein [Allemagne] ; Frank Hanses ; Bernd SalzbergerSource :
- BMC public health [ 1471-2458 ] ; 2006.
Descripteurs français
- KwdFr :
- Absentéisme, Administrateurs d'hôpitaux (enseignement et éducation), Administrateurs d'hôpitaux (psychologie), Administrateurs d'hôpitaux (éthique), Adulte, Adulte d'âge moyen, Allemagne, Attitude du personnel soignant, Connaissances, attitudes et pratiques en santé, Emploi (éthique), Enquêtes et questionnaires, Femelle, Flambées de maladies, Grippe humaine (), Grippe humaine (transmission), Grippe humaine (virologie), Grippe humaine (épidémiologie), Humains, Hôpitaux universitaires (éthique), Mâle, Obligations morales, Personnel infirmier hospitalier (enseignement et éducation), Personnel infirmier hospitalier (psychologie), Personnel infirmier hospitalier (éthique), Personnel médical hospitalier (enseignement et éducation), Personnel médical hospitalier (psychologie), Personnel médical hospitalier (éthique), Refus de traiter (), Responsabilité sociale, Sous-type H5N1 du virus de la grippe A (pathogénicité).
- MESH :
- enseignement et éducation : Administrateurs d'hôpitaux, Personnel infirmier hospitalier, Personnel médical hospitalier.
- pathogénicité : Sous-type H5N1 du virus de la grippe A.
- psychologie : Administrateurs d'hôpitaux, Personnel infirmier hospitalier, Personnel médical hospitalier.
- virologie : Grippe humaine.
- épidémiologie : Grippe humaine.
- éthique : Administrateurs d'hôpitaux, Emploi, Hôpitaux universitaires, Personnel infirmier hospitalier, Personnel médical hospitalier.
- Absentéisme, Adulte, Adulte d'âge moyen, Allemagne, Attitude du personnel soignant, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Femelle, Flambées de maladies, Grippe humaine, Humains, Mâle, Obligations morales, Refus de traiter, Responsabilité sociale.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Absenteeism, Adult, Attitude of Health Personnel, Disease Outbreaks, Employment (ethics), Female, Germany, Health Knowledge, Attitudes, Practice, Hospital Administrators (education), Hospital Administrators (ethics), Hospital Administrators (psychology), Hospitals, University (ethics), Humans, Influenza A Virus, H5N1 Subtype (pathogenicity), Influenza, Human (epidemiology), Influenza, Human (therapy), Influenza, Human (transmission), Influenza, Human (virology), Male, Medical Staff, Hospital (education), Medical Staff, Hospital (ethics), Medical Staff, Hospital (psychology), Middle Aged, Moral Obligations, Nursing Staff, Hospital (education), Nursing Staff, Hospital (ethics), Nursing Staff, Hospital (psychology), Refusal to Treat (statistics & numerical data), Social Responsibility, Surveys and Questionnaires.
- MESH :
- geographic : Germany.
- education : Hospital Administrators, Medical Staff, Hospital, Nursing Staff, Hospital.
- epidemiology : Influenza, Human.
- ethics : Employment, Hospital Administrators, Hospitals, University, Medical Staff, Hospital, Nursing Staff, Hospital.
- pathogenicity : Influenza A Virus, H5N1 Subtype.
- psychology : Hospital Administrators, Medical Staff, Hospital, Nursing Staff, Hospital.
- statistics & numerical data : Refusal to Treat.
- therapy : Influenza, Human.
- transmission : Influenza, Human.
- virology : Influenza, Human.
- Absenteeism, Adult, Attitude of Health Personnel, Disease Outbreaks, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Moral Obligations, Social Responsibility, Surveys and Questionnaires.
Abstract
BACKGROUND
Conflicts between professional duties and fear of influenza transmission to family members may arise among health care professionals (HCP).
METHODS
We surveyed employees at our university hospital regarding ethical issues arising during the management of an influenza pandemic.
RESULTS
Of 644 respondents, 182 (28%) agreed that it would be professionally acceptable for HCP to abandon their workplace during a pandemic in order to protect themselves and their families, 337 (52%) disagreed with this statement and 125 (19%) had no opinion, with a higher rate of disagreement among physicians (65%) and nurses (54%) compared with administrators (32%). Of all respondents, 375 (58%) did not believe that the decision to report to work during a pandemic should be left to the individual HCP and 496 (77%) disagreed with the statement that HCP should be permanently dismissed for not reporting to work during a pandemic. Only 136 (21%) respondents agreed that HCW without children should primarily care for the influenza patients.
CONCLUSION
Our results suggest that a modest majority of HCP, but only a minority of hospital administrators, recognises the obligation to treat patients despite the potential risks. Professional ethical guidelines allowing for balancing the needs of society with personal risks are needed to help HCP fulfil their duties in the case of a pandemic influenza.
DOI: 10.1186/1471-2458-6-311
PubMed: 17192198
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Conflicts between professional duties and fear of influenza transmission to family members may arise among health care professionals (HCP).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We surveyed employees at our university hospital regarding ethical issues arising during the management of an influenza pandemic.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Of 644 respondents, 182 (28%) agreed that it would be professionally acceptable for HCP to abandon their workplace during a pandemic in order to protect themselves and their families, 337 (52%) disagreed with this statement and 125 (19%) had no opinion, with a higher rate of disagreement among physicians (65%) and nurses (54%) compared with administrators (32%). Of all respondents, 375 (58%) did not believe that the decision to report to work during a pandemic should be left to the individual HCP and 496 (77%) disagreed with the statement that HCP should be permanently dismissed for not reporting to work during a pandemic. Only 136 (21%) respondents agreed that HCW without children should primarily care for the influenza patients.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Our results suggest that a modest majority of HCP, but only a minority of hospital administrators, recognises the obligation to treat patients despite the potential risks. Professional ethical guidelines allowing for balancing the needs of society with personal risks are needed to help HCP fulfil their duties in the case of a pandemic influenza.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17192198</PMID><DateCompleted><Year>2007</Year><Month>03</Month><Day>05</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>6</Volume><PubDate><Year>2006</Year><Month>Dec</Month><Day>28</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Influenza pandemic and professional duty: family or patients first? A survey of hospital employees.</ArticleTitle><Pagination><MedlinePgn>311</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Conflicts between professional duties and fear of influenza transmission to family members may arise among health care professionals (HCP).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We surveyed employees at our university hospital regarding ethical issues arising during the management of an influenza pandemic.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 644 respondents, 182 (28%) agreed that it would be professionally acceptable for HCP to abandon their workplace during a pandemic in order to protect themselves and their families, 337 (52%) disagreed with this statement and 125 (19%) had no opinion, with a higher rate of disagreement among physicians (65%) and nurses (54%) compared with administrators (32%). Of all respondents, 375 (58%) did not believe that the decision to report to work during a pandemic should be left to the individual HCP and 496 (77%) disagreed with the statement that HCP should be permanently dismissed for not reporting to work during a pandemic. Only 136 (21%) respondents agreed that HCW without children should primarily care for the influenza patients.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our results suggest that a modest majority of HCP, but only a minority of hospital administrators, recognises the obligation to treat patients despite the potential risks. Professional ethical guidelines allowing for balancing the needs of society with personal risks are needed to help HCP fulfil their duties in the case of a pandemic influenza.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ehrenstein</LastName><ForeName>Boris P</ForeName><Initials>BP</Initials><AffiliationInfo><Affiliation>Dept. of Internal Medicine I, University Medical Center Regensburg, Germany. boris.ehrenstein@klinik.uni-r.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hanses</LastName><ForeName>Frank</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Salzberger</LastName><ForeName>Bernd</ForeName><Initials>B</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2006</Year><Month>12</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Public Health</MedlineTA><NlmUniqueID>100968562</NlmUniqueID><ISSNLinking>1471-2458</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000041" MajorTopicYN="N">Absenteeism</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="Y">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004651" MajorTopicYN="N">Employment</DescriptorName><QualifierName UI="Q000941" MajorTopicYN="N">ethics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="N">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006740" MajorTopicYN="N">Hospital Administrators</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName><QualifierName UI="Q000941" MajorTopicYN="Y">ethics</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006785" MajorTopicYN="N">Hospitals, University</DescriptorName><QualifierName UI="Q000941" MajorTopicYN="Y">ethics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053124" MajorTopicYN="Y">Influenza A Virus, H5N1 Subtype</DescriptorName><QualifierName UI="Q000472" MajorTopicYN="N">pathogenicity</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="Y">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008505" MajorTopicYN="N">Medical Staff, Hospital</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName><QualifierName UI="Q000941" MajorTopicYN="Y">ethics</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D028681" MajorTopicYN="Y">Moral Obligations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009741" MajorTopicYN="N">Nursing Staff, Hospital</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName><QualifierName UI="Q000941" MajorTopicYN="Y">ethics</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016079" MajorTopicYN="N">Refusal to Treat</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012941" MajorTopicYN="N">Social Responsibility</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2006</Year><Month>08</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2006</Year><Month>12</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>12</Month><Day>29</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>3</Month><Day>6</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>12</Month><Day>29</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17192198</ArticleId><ArticleId IdType="pii">1471-2458-6-311</ArticleId><ArticleId IdType="doi">10.1186/1471-2458-6-311</ArticleId><ArticleId IdType="pmc">PMC1764890</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Am J Bioeth. 2004 Winter;4(1):W5-11</Citation><ArticleIdList><ArticleId 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name="Allemagne"><noRegion><name sortKey="Ehrenstein, Boris P" sort="Ehrenstein, Boris P" uniqKey="Ehrenstein B" first="Boris P" last="Ehrenstein">Boris P. 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