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Perception, attitudes and knowledge regarding the 2009 swine‐origin influenza A (H1N1) virus pandemic among health‐care workers in Australia

Identifieur interne : 000D45 ( Istex/Checkpoint ); précédent : 000D44; suivant : 000D46

Perception, attitudes and knowledge regarding the 2009 swine‐origin influenza A (H1N1) virus pandemic among health‐care workers in Australia

Auteurs : Marc Tebruegge [Australie] ; Anastasia Pantazidou [Australie] ; Nicole Ritz [Australie] ; Tom Connell [Australie] ; Penelope Bryant [Australie] ; Susan Donath [Australie] ; Nigel Curtis [Australie]

Source :

RBID : ISTEX:E7DBCC66D3C1E460983AFC44A962C6C40780A9FF

English descriptors

Abstract

Aim:  To determine the perceptions, attitudes and knowledge of Australian health‐care workers (HCWs) regarding the novel, swine‐origin influenza A (H1N1) virus (S‐OIV) outbreak that reached the country in early May 2009. Methods:  Self‐administered, anonymous Web‐based survey conducted during the early stages of the S‐OIV pandemic. Participants comprised hospital‐ and community‐based medical and nursing staff, medical students, allied health professionals, laboratory staff and administrative personnel. Results:  Of the 947 participants surveyed, 59.4% were not convinced that Australia was sufficiently prepared for an influenza pandemic. Only 17.6% of the participants stated they were prepared to work unconditionally during a pandemic; 36.5% stated they would work if they had access to antiviral treatment; 27.9% would if provided with antiviral prophylaxis; and 7.5% would refuse to work. In addition, 37.5% of the participants responded they would refuse or avoid being involved in screening suspected cases. A total of 47.7% admitted to possessing a personal supply of antivirals or having considered this option. Only 48.0% provided a realistic estimate of the mortality associated with an influenza pandemic at a population level. HCWs overestimating the mortality risk and HCWs believing the efficacy of antiviral prophylaxis to be low were significantly less likely to be prepared to work (P= 0.04 and P= 0.0004, respectively). Conclusions:  To ensure adequate staffing during an influenza pandemic, preparedness plans should anticipate significant levels of absenteeism by choice. Interventions aimed at increasing staff retention during a pandemic require further evaluation.

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DOI: 10.1111/j.1440-1754.2010.01820.x


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ISTEX:E7DBCC66D3C1E460983AFC44A962C6C40780A9FF

Le document en format XML

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<div type="abstract" xml:lang="en">Aim:  To determine the perceptions, attitudes and knowledge of Australian health‐care workers (HCWs) regarding the novel, swine‐origin influenza A (H1N1) virus (S‐OIV) outbreak that reached the country in early May 2009. Methods:  Self‐administered, anonymous Web‐based survey conducted during the early stages of the S‐OIV pandemic. Participants comprised hospital‐ and community‐based medical and nursing staff, medical students, allied health professionals, laboratory staff and administrative personnel. Results:  Of the 947 participants surveyed, 59.4% were not convinced that Australia was sufficiently prepared for an influenza pandemic. Only 17.6% of the participants stated they were prepared to work unconditionally during a pandemic; 36.5% stated they would work if they had access to antiviral treatment; 27.9% would if provided with antiviral prophylaxis; and 7.5% would refuse to work. In addition, 37.5% of the participants responded they would refuse or avoid being involved in screening suspected cases. A total of 47.7% admitted to possessing a personal supply of antivirals or having considered this option. Only 48.0% provided a realistic estimate of the mortality associated with an influenza pandemic at a population level. HCWs overestimating the mortality risk and HCWs believing the efficacy of antiviral prophylaxis to be low were significantly less likely to be prepared to work (P= 0.04 and P= 0.0004, respectively). Conclusions:  To ensure adequate staffing during an influenza pandemic, preparedness plans should anticipate significant levels of absenteeism by choice. Interventions aimed at increasing staff retention during a pandemic require further evaluation.</div>
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