Resilience training for hospital workers in anticipation of an influenza pandemic
Identifieur interne : 000121 ( Istex/Corpus ); précédent : 000120; suivant : 000122Resilience training for hospital workers in anticipation of an influenza pandemic
Auteurs : Andria Aiello ; Michelle Young-Eun Khayeri ; Shreyshree Raja ; Nathalie Peladeau ; Donna Romano ; Molyn Leszcz ; Robert G. Maunder ; Marci Rose ; Mary Anne Adam ; Clare Pain ; Andrea Moore ; Diane Savage ; Rabbi Bernard SchulmanSource :
- Journal of Continuing Education in the Health Professions [ 0894-1912 ] ; 2011-12.
Abstract
Background: Well before the H1N1 influenza, health care organizations worldwide prepared for a pandemic of unpredictable impact. Planners anticipated the possibility of a pandemic involving high mortality, high health care demands, rates of absenteeism rising up to 20–30% among health care workers, rationing of health care, and extraordinary psychological stress. Method: The intervention we describe emerged from the recognition that an expected influenza pandemic indicated a need to build resilience to maintain the health of individuals within the organization and to protect the capacity of the organization to respond to extraordinary demands. Training sessions were one component of a multifaceted approach to reducing stress through effective preparation and served as an evidence based platform for our hospital's response to the H1N1 pandemic. Results: The training was delivered to more than 1250 hospital staff representing more than 22 departments within the hospital. The proportion of participants who felt better able to cope after the session (76%) was significantly higher than the proportion who felt prepared to deal confidently with the pandemic before the session (35%). Ten key themes emerged from our qualitative analysis of written comments, including family‐work balance, antiviral prophylaxis, and mistrust or fear towards health care workers. Conclusions: Drawing on what we learned from the impact of SARS on our hospital, we had the opportunity to improve our organization's preparedness for the pandemic. Our results suggest that an evidence‐based approach to interventions that target known mediators of distress and meet standards of continuing professional development is not only possible and relevant, but readily supportable by senior hospital administration.
Url:
DOI: 10.1002/chp.20096
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Maunder</name><affiliation><mods:affiliation>Staff Psychiatrist, Mount Sinai Hospital</mods:affiliation></affiliation></author><author><name sortKey="Rose, Marci" sort="Rose, Marci" uniqKey="Rose M" first="Marci" last="Rose">Marci Rose</name><affiliation><mods:affiliation>Administrative Director, Psychiatry, Mount Sinai Hospital</mods:affiliation></affiliation></author><author><name sortKey="Adam, Mary Anne" sort="Adam, Mary Anne" uniqKey="Adam M" first="Mary Anne" last="Adam">Mary Anne Adam</name><affiliation><mods:affiliation>Director, Occupational Health and Safety, Mount Sinai Hospital</mods:affiliation></affiliation></author><author><name sortKey="Pain, Clare" sort="Pain, Clare" uniqKey="Pain C" first="Clare" last="Pain">Clare Pain</name><affiliation><mods:affiliation>Staff Psychiatrist, Mount Sinai Hospital</mods:affiliation></affiliation></author><author><name sortKey="Moore, Andrea" sort="Moore, Andrea" uniqKey="Moore A" first="Andrea" last="Moore">Andrea Moore</name><affiliation><mods:affiliation>Director, Social Work (Acting), Mount Sinai Hospital</mods:affiliation></affiliation></author><author><name sortKey="Savage, Diane" sort="Savage, Diane" uniqKey="Savage D" first="Diane" last="Savage">Diane Savage</name><affiliation><mods:affiliation>Director, Social Work (Former), Mount Sinai Hospital</mods:affiliation></affiliation></author><author><name sortKey="Bernard Schulman, Rabbi" sort="Bernard Schulman, Rabbi" uniqKey="Bernard Schulman R" first="Rabbi" last="Bernard Schulman">Rabbi Bernard Schulman</name><affiliation><mods:affiliation>Rabbi, Mount Sinai Hospital</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Continuing Education in the Health Professions</title><title level="j" type="alt">JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS</title><idno type="ISSN">0894-1912</idno><idno type="eISSN">1554-558X</idno><imprint><biblScope unit="vol">31</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="15">15</biblScope><biblScope unit="page" to="20">20</biblScope><biblScope unit="page-count">6</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>San Francisco</pubPlace><date type="published" when="2011-12">2011-12</date></imprint><idno type="ISSN">0894-1912</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0894-1912</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Well before the H1N1 influenza, health care organizations worldwide prepared for a pandemic of unpredictable impact. Planners anticipated the possibility of a pandemic involving high mortality, high health care demands, rates of absenteeism rising up to 20–30% among health care workers, rationing of health care, and extraordinary psychological stress. Method: The intervention we describe emerged from the recognition that an expected influenza pandemic indicated a need to build resilience to maintain the health of individuals within the organization and to protect the capacity of the organization to respond to extraordinary demands. Training sessions were one component of a multifaceted approach to reducing stress through effective preparation and served as an evidence based platform for our hospital's response to the H1N1 pandemic. Results: The training was delivered to more than 1250 hospital staff representing more than 22 departments within the hospital. The proportion of participants who felt better able to cope after the session (76%) was significantly higher than the proportion who felt prepared to deal confidently with the pandemic before the session (35%). Ten key themes emerged from our qualitative analysis of written comments, including family‐work balance, antiviral prophylaxis, and mistrust or fear towards health care workers. Conclusions: Drawing on what we learned from the impact of SARS on our hospital, we had the opportunity to improve our organization's preparedness for the pandemic. Our results suggest that an evidence‐based approach to interventions that target known mediators of distress and meet standards of continuing professional development is not only possible and relevant, but readily supportable by senior hospital administration.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>sars</json:string><json:string>resilience</json:string><json:string>health care worker</json:string><json:string>sinai hospital</json:string><json:string>pandemic</json:string><json:string>maunder</json:string><json:string>sars outbreak</json:string><json:string>resilience training</json:string><json:string>frontline</json:string><json:string>training session</json:string><json:string>sinai</json:string><json:string>pandemic influenza</json:string><json:string>influenza</json:string><json:string>influenza pandemic</json:string><json:string>medical education</json:string><json:string>frontline staff</json:string><json:string>better able</json:string><json:string>hospital staff</json:string><json:string>professional development</json:string><json:string>senior hospital administration</json:string><json:string>hospital worker</json:string><json:string>family member</json:string><json:string>outbreak</json:string><json:string>multifaceted approach</json:string><json:string>staff psychiatrist</json:string><json:string>social work</json:string><json:string>pandemic preparation</json:string><json:string>severe acute respiratory syndrome</json:string><json:string>staff nurse</json:string><json:string>extraordinary demand</json:string><json:string>health care</json:string><json:string>healthy people</json:string><json:string>social isolation</json:string><json:string>personal resilience</json:string><json:string>antiviral prophylaxis</json:string><json:string>frontline health care worker</json:string><json:string>knowledge exchange</json:string><json:string>high mortality</json:string><json:string>common concern</json:string><json:string>normal response</json:string><json:string>work life</json:string><json:string>personal life</json:string><json:string>stress staff</json:string><json:string>many employee</json:string><json:string>effective preparation</json:string><json:string>timely information</json:string><json:string>night shift</json:string><json:string>health care organization worldwide</json:string><json:string>more information</json:string><json:string>ongoing resilience training</json:string><json:string>stressful situation</json:string><json:string>high health care demand</json:string></teeft></keywords><author><json:item><name>Andria Aiello RN, BScN, MN</name><affiliations><json:string>Staff Nurse, Psychiatry, Mount Sinai Hospital</json:string><json:string>E-mail: aaiello@mtsinai.on.ca</json:string><json:string>Correspondence address: 9 South General Inpatient Psychiatry Unit, Mount Sinai Hospital, 600 University Ave, Toronto, Ontario, M5G 1X5</json:string></affiliations></json:item><json:item><name>Michelle Young‐Eun Khayeri RN, BScN, MScN</name><affiliations><json:string>Staff Nurse, Psychiatry, Mount Sinai Hospital</json:string></affiliations></json:item><json:item><name>Shreyshree Raja BSc, Med</name><affiliations><json:string>Director, Organizational Development, Mount Sinai Hospital</json:string></affiliations></json:item><json:item><name>Nathalie Peladeau RN, BScN, MSc</name><affiliations><json:string>Clinical Nurse Specialist, Psychiatry, Mount Sinai Hospital</json:string></affiliations></json:item><json:item><name>Donna Romano RN, BScN, MSc, PhD</name><affiliations><json:string>Nursing Unit Administrator, Psychiatry, Mount Sinai Hospital</json:string></affiliations></json:item><json:item><name>Molyn Leszcz MD, FRCPC</name><affiliations><json:string>Psychiatrist‐in‐Chief, Mount Sinai Hospital</json:string></affiliations></json:item><json:item><name>Robert G. 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(Ont.), OTR</name><affiliations><json:string>Administrative Director, Psychiatry, Mount Sinai Hospital</json:string></affiliations></json:item><json:item><name>Mary Anne Adam RN</name><affiliations><json:string>Director, Occupational Health and Safety, Mount Sinai Hospital</json:string></affiliations></json:item><json:item><name>Clare Pain MD, FRCPC</name><affiliations><json:string>Staff Psychiatrist, Mount Sinai Hospital</json:string></affiliations></json:item><json:item><name>Andrea Moore MSW, RSW</name><affiliations><json:string>Director, Social Work (Acting), Mount Sinai Hospital</json:string></affiliations></json:item><json:item><name>Diane Savage MSW, RSW</name><affiliations><json:string>Director, Social Work (Former), Mount Sinai Hospital</json:string></affiliations></json:item><json:item><name>Rabbi Bernard Schulman</name><affiliations><json:string>Rabbi, Mount Sinai Hospital</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>pandemic</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>resilience</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>hospital workers</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>health care workers</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>H1N1</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>influenza</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>training</value></json:item></subject><articleId><json:string>CHP20096</json:string></articleId><arkIstex>ark:/67375/WNG-PGL4GWJ6-K</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Background: Well before the H1N1 influenza, health care organizations worldwide prepared for a pandemic of unpredictable impact. Planners anticipated the possibility of a pandemic involving high mortality, high health care demands, rates of absenteeism rising up to 20–30% among health care workers, rationing of health care, and extraordinary psychological stress. Method: The intervention we describe emerged from the recognition that an expected influenza pandemic indicated a need to build resilience to maintain the health of individuals within the organization and to protect the capacity of the organization to respond to extraordinary demands. Training sessions were one component of a multifaceted approach to reducing stress through effective preparation and served as an evidence based platform for our hospital's response to the H1N1 pandemic. Results: The training was delivered to more than 1250 hospital staff representing more than 22 departments within the hospital. The proportion of participants who felt better able to cope after the session (76%) was significantly higher than the proportion who felt prepared to deal confidently with the pandemic before the session (35%). Ten key themes emerged from our qualitative analysis of written comments, including family‐work balance, antiviral prophylaxis, and mistrust or fear towards health care workers. Conclusions: Drawing on what we learned from the impact of SARS on our hospital, we had the opportunity to improve our organization's preparedness for the pandemic. 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xml:lang="en">Resilience Training for an Influenza Pandemic</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Andria</forename><surname>Aiello</surname><roleName type="degree">RN, BScN, MN</roleName></persName><email>aaiello@mtsinai.on.ca</email><affiliation><address><addrLine>Staff Nurse</addrLine><addrLine>Psychiatry, Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Michelle</forename><surname>Young‐Eun Khayeri</surname><roleName type="degree">RN, BScN, MScN</roleName></persName><affiliation><address><addrLine>Staff Nurse</addrLine><addrLine>Psychiatry, Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Shreyshree</forename><surname>Raja</surname><roleName type="degree">BSc, Med</roleName></persName><affiliation><address><addrLine>Director</addrLine><addrLine>Organizational Development, Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Nathalie</forename><surname>Peladeau</surname><roleName type="degree">RN, BScN, MSc</roleName></persName><affiliation><address><addrLine>Clinical Nurse Specialist</addrLine><addrLine>Psychiatry, Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Donna</forename><surname>Romano</surname><roleName type="degree">RN, BScN, MSc, PhD</roleName></persName><affiliation><orgName type="laboratory">Nursing Unit Administrator</orgName><address><addrLine>Psychiatry</addrLine><addrLine>Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Molyn</forename><surname>Leszcz</surname><roleName type="degree">MD, FRCPC</roleName></persName><affiliation><address><addrLine>Psychiatrist‐in‐Chief</addrLine><addrLine>Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">Robert G.</forename><surname>Maunder</surname><roleName type="degree">MD, FRCPC</roleName></persName><affiliation><address><addrLine>Staff Psychiatrist</addrLine><addrLine>Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><author xml:id="author-0007"><persName><forename type="first">Marci</forename><surname>Rose</surname><roleName type="degree">OT Reg. (Ont.), OTR</roleName></persName><affiliation><address><addrLine>Administrative Director</addrLine><addrLine>Psychiatry, Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><author xml:id="author-0008"><persName><forename type="first">Mary Anne</forename><surname>Adam</surname><roleName type="degree">RN</roleName></persName><affiliation><address><addrLine>Director</addrLine><addrLine>Occupational Health and Safety, Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><author xml:id="author-0009"><persName><forename type="first">Clare</forename><surname>Pain</surname><roleName type="degree">MD, FRCPC</roleName></persName><affiliation><address><addrLine>Staff Psychiatrist</addrLine><addrLine>Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><author xml:id="author-0010"><persName><forename type="first">Andrea</forename><surname>Moore</surname><roleName type="degree">MSW, RSW</roleName></persName><affiliation><address><addrLine>Director</addrLine><addrLine>Social Work (Acting), Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><author xml:id="author-0011"><persName><forename type="first">Diane</forename><surname>Savage</surname><roleName type="degree">MSW, RSW</roleName></persName><affiliation><address><addrLine>Director</addrLine><addrLine>Social Work (Former), Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><author xml:id="author-0012"><persName><forename type="first">Rabbi</forename><surname>Bernard Schulman</surname></persName><affiliation><address><addrLine>Rabbi</addrLine><addrLine>Mount Sinai Hospital</addrLine><country key="US" xml:lang="en">UNITED STATES</country></address></affiliation></author><idno type="istex">7737741FA7453E8B8D2D54061DF48C8983A96C2C</idno><idno type="ark">ark:/67375/WNG-PGL4GWJ6-K</idno><idno type="DOI">10.1002/chp.20096</idno><idno type="unit">CHP20096</idno><idno type="toTypesetVersion">file:CHP.CHP20096.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Continuing Education in the Health Professions</title><title level="j" type="alt">JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS</title><idno type="pISSN">0894-1912</idno><idno type="eISSN">1554-558X</idno><idno type="book-DOI">10.1002/(ISSN)1554-558X</idno><idno type="book-part-DOI">10.1002/chp.v31.1</idno><idno type="product">CHP</idno><imprint><biblScope unit="vol">31</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="15">15</biblScope><biblScope unit="page" to="20">20</biblScope><biblScope unit="page-count">6</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>San Francisco</pubPlace><date type="published" when="2011-12"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><encodingDesc><schemaRef type="ODD" url="https://xml-schema.delivery.istex.fr/tei-istex.odd"></schemaRef><appInfo><application ident="pub2tei" version="1.0.10" when="2019-12-20"><label>pub2TEI-ISTEX</label><desc>A set of style sheets for converting XML documents encoded in various scientific publisher formats into a common TEI format.
<ref target="http://www.tei-c.org/">We use TEI</ref></desc></application></appInfo></encodingDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><head>Background</head><p>Well before the H1N1 influenza, health care organizations worldwide prepared for a pandemic of unpredictable impact. Planners anticipated the possibility of a pandemic involving high mortality, high health care demands, rates of absenteeism rising up to 20–30% among health care workers, rationing of health care, and extraordinary psychological stress.</p><head>Method</head><p>The intervention we describe emerged from the recognition that an expected influenza pandemic indicated a need to build resilience to maintain the health of individuals within the organization and to protect the capacity of the organization to respond to extraordinary demands. Training sessions were one component of a multifaceted approach to reducing stress through effective preparation and served as an evidence based platform for our hospital's response to the H1N1 pandemic.</p><head>Results</head><p>The training was delivered to more than 1250 hospital staff representing more than 22 departments within the hospital. The proportion of participants who felt better able to cope after the session (76%) was significantly higher than the proportion who felt prepared to deal confidently with the pandemic before the session (35%). Ten key themes emerged from our qualitative analysis of written comments, including family‐work balance, antiviral prophylaxis, and mistrust or fear towards health care workers.</p><head>Conclusions</head><p>Drawing on what we learned from the impact of SARS on our hospital, we had the opportunity to improve our organization's preparedness for the pandemic. Our results suggest that an evidence‐based approach to interventions that target known mediators of distress and meet standards of continuing professional development is not only possible and relevant, but readily supportable by senior hospital administration.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="kwd1">pandemic</term><term xml:id="kwd2">resilience</term><term xml:id="kwd3">hospital workers</term><term xml:id="kwd4">health care workers</term><term xml:id="kwd5">H1N1</term><term xml:id="kwd6">influenza</term><term xml:id="kwd7">training</term></keywords><keywords rend="articleCategory"><term>Original Research</term></keywords><keywords rend="tocHeading1"><term>Original Research</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc><revisionDesc><change when="2019-12-20" who="#istex" xml:id="pub2tei">formatting</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-PGL4GWJ6-K/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>San Francisco</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1554-558X</doi><issn type="print">0894-1912</issn><issn type="electronic">1554-558X</issn><idGroup><id type="product" value="CHP"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS">Journal of Continuing Education in the Health Professions</title><title type="short">J. Contin. Educ. Health Prof.</title></titleGroup></publicationMeta><publicationMeta level="part" position="10"><doi origin="wiley" registered="yes">10.1002/chp.v31.1</doi><numberingGroup><numbering type="journalVolume" number="31">31</numbering><numbering type="journalIssue">1</numbering></numberingGroup><coverDate startDate="2011-12">Winter 2011</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="30" status="forIssue"><doi origin="wiley" registered="yes">10.1002/chp.20096</doi><idGroup><id type="unit" value="CHP20096"></id></idGroup><countGroup><count type="pageTotal" number="6"></count></countGroup><titleGroup><title type="articleCategory">Original Research</title><title type="tocHeading1">Original Research</title></titleGroup><copyright ownership="thirdParty">Copyright © 2011 The Alliance for Continuing Medical Education, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education</copyright><eventGroup><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.4.8 mode:FullText" date="2011-03-21"></event><event type="firstOnline" date="2011-03-21"></event><event type="publishedOnlineFinalForm" date="2011-03-21"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-09"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst">15</numbering><numbering type="pageLast">20</numbering></numberingGroup><correspondenceTo>9 South General Inpatient Psychiatry Unit, Mount Sinai Hospital, 600 University Ave, Toronto, Ontario, M5G 1X5</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CHP.CHP20096.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="1"></count><count type="referenceTotal" number="20"></count></countGroup><titleGroup><title type="main" xml:lang="en">Resilience training for hospital workers in anticipation of an influenza pandemic<link href="#fn1"></link></title><title type="short" xml:lang="en">Resilience Training for an Influenza Pandemic</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Andria</givenNames><familyName>Aiello</familyName><degrees>RN, BScN, MN</degrees></personName><contactDetails><email>aaiello@mtsinai.on.ca</email></contactDetails></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Michelle</givenNames><familyName>Young‐Eun Khayeri</familyName><degrees>RN, BScN, MScN</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Shreyshree</givenNames><familyName>Raja</familyName><degrees>BSc, Med</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af4"><personName><givenNames>Nathalie</givenNames><familyName>Peladeau</familyName><degrees>RN, BScN, MSc</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af5"><personName><givenNames>Donna</givenNames><familyName>Romano</familyName><degrees>RN, BScN, MSc, PhD</degrees></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af6"><personName><givenNames>Molyn</givenNames><familyName>Leszcz</familyName><degrees>MD, FRCPC</degrees></personName></creator><creator xml:id="au7" creatorRole="author" affiliationRef="#af7"><personName><givenNames>Robert G.</givenNames><familyName>Maunder</familyName><degrees>MD, FRCPC</degrees></personName></creator><creator xml:id="au8" creatorRole="author" affiliationRef="#af8"><personName><givenNames>Marci</givenNames><familyName>Rose</familyName><degrees>OT Reg. (Ont.), OTR</degrees></personName></creator><creator xml:id="au9" creatorRole="author" affiliationRef="#af9"><personName><givenNames>Mary Anne</givenNames><familyName>Adam</familyName><degrees>RN</degrees></personName></creator><creator xml:id="au10" creatorRole="author" affiliationRef="#af10"><personName><givenNames>Clare</givenNames><familyName>Pain</familyName><degrees>MD, FRCPC</degrees></personName></creator><creator xml:id="au11" creatorRole="author" affiliationRef="#af11"><personName><givenNames>Andrea</givenNames><familyName>Moore</familyName><degrees>MSW, RSW</degrees></personName></creator><creator xml:id="au12" creatorRole="author" affiliationRef="#af12"><personName><givenNames>Diane</givenNames><familyName>Savage</familyName><degrees>MSW, RSW</degrees></personName></creator><creator xml:id="au13" creatorRole="author" affiliationRef="#af13"><personName><givenNames>Rabbi</givenNames><familyName>Bernard Schulman</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="US" type="organization"><unparsedAffiliation>Staff Nurse, Psychiatry, Mount Sinai Hospital</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="US" type="organization"><unparsedAffiliation>Staff Nurse, Psychiatry, Mount Sinai Hospital</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="US" type="organization"><unparsedAffiliation>Director, Organizational Development, Mount Sinai Hospital</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="US" type="organization"><unparsedAffiliation>Clinical Nurse Specialist, Psychiatry, Mount Sinai Hospital</unparsedAffiliation></affiliation><affiliation xml:id="af5" countryCode="US" type="organization"><unparsedAffiliation>Nursing Unit Administrator, Psychiatry, Mount Sinai Hospital</unparsedAffiliation></affiliation><affiliation xml:id="af6" countryCode="US" type="organization"><unparsedAffiliation>Psychiatrist‐in‐Chief, Mount Sinai Hospital</unparsedAffiliation></affiliation><affiliation xml:id="af7" countryCode="US" type="organization"><unparsedAffiliation>Staff Psychiatrist, Mount Sinai Hospital</unparsedAffiliation></affiliation><affiliation xml:id="af8" countryCode="US" type="organization"><unparsedAffiliation>Administrative Director, Psychiatry, Mount Sinai Hospital</unparsedAffiliation></affiliation><affiliation xml:id="af9" countryCode="US" type="organization"><unparsedAffiliation>Director, Occupational Health and Safety, Mount Sinai Hospital</unparsedAffiliation></affiliation><affiliation xml:id="af10" countryCode="US" type="organization"><unparsedAffiliation>Staff Psychiatrist, Mount Sinai Hospital</unparsedAffiliation></affiliation><affiliation xml:id="af11" countryCode="US" type="organization"><unparsedAffiliation>Director, Social Work (Acting), Mount Sinai Hospital</unparsedAffiliation></affiliation><affiliation xml:id="af12" countryCode="US" type="organization"><unparsedAffiliation>Director, Social Work (Former), Mount Sinai Hospital</unparsedAffiliation></affiliation><affiliation xml:id="af13" countryCode="US" type="organization"><unparsedAffiliation>Rabbi, Mount Sinai Hospital</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">pandemic</keyword><keyword xml:id="kwd2">resilience</keyword><keyword xml:id="kwd3">hospital workers</keyword><keyword xml:id="kwd4">health care workers</keyword><keyword xml:id="kwd5">H1N1</keyword><keyword xml:id="kwd6">influenza</keyword><keyword xml:id="kwd7">training</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><section xml:id="abs1-1"><title type="main">Background</title><p>Well before the H1N1 influenza, health care organizations worldwide prepared for a pandemic of unpredictable impact. Planners anticipated the possibility of a pandemic involving high mortality, high health care demands, rates of absenteeism rising up to 20–30% among health care workers, rationing of health care, and extraordinary psychological stress.</p></section><section xml:id="abs1-2"><title type="main">Method</title><p>The intervention we describe emerged from the recognition that an expected influenza pandemic indicated a need to build resilience to maintain the health of individuals within the organization and to protect the capacity of the organization to respond to extraordinary demands. Training sessions were one component of a multifaceted approach to reducing stress through effective preparation and served as an evidence based platform for our hospital's response to the H1N1 pandemic.</p></section><section xml:id="abs1-3"><title type="main">Results</title><p>The training was delivered to more than 1250 hospital staff representing more than 22 departments within the hospital. The proportion of participants who felt better able to cope after the session (76%) was significantly higher than the proportion who felt prepared to deal confidently with the pandemic before the session (35%). Ten key themes emerged from our qualitative analysis of written comments, including family‐work balance, antiviral prophylaxis, and mistrust or fear towards health care workers.</p></section><section xml:id="abs1-4"><title type="main">Conclusions</title><p>Drawing on what we learned from the impact of SARS on our hospital, we had the opportunity to improve our organization's preparedness for the pandemic. Our results suggest that an evidence‐based approach to interventions that target known mediators of distress and meet standards of continuing professional development is not only possible and relevant, but readily supportable by senior hospital administration.</p></section></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>Disclosures: The authors report none.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Resilience training for hospital workers in anticipation of an influenza pandemic</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Resilience Training for an Influenza Pandemic</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Resilience training for hospital workers in anticipation of an influenza pandemic</title></titleInfo><name type="personal"><namePart type="given">Andria</namePart><namePart type="family">Aiello</namePart><namePart type="termsOfAddress">RN, BScN, MN</namePart><affiliation>Staff Nurse, Psychiatry, Mount Sinai Hospital</affiliation><affiliation>E-mail: aaiello@mtsinai.on.ca</affiliation><affiliation>Correspondence address: 9 South General Inpatient Psychiatry Unit, Mount Sinai Hospital, 600 University Ave, Toronto, Ontario, M5G 1X5</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michelle</namePart><namePart type="family">Young‐Eun Khayeri</namePart><namePart type="termsOfAddress">RN, BScN, MScN</namePart><affiliation>Staff Nurse, Psychiatry, Mount Sinai Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Shreyshree</namePart><namePart type="family">Raja</namePart><namePart type="termsOfAddress">BSc, Med</namePart><affiliation>Director, Organizational Development, Mount Sinai Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Nathalie</namePart><namePart type="family">Peladeau</namePart><namePart type="termsOfAddress">RN, BScN, MSc</namePart><affiliation>Clinical Nurse Specialist, Psychiatry, Mount Sinai Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Donna</namePart><namePart type="family">Romano</namePart><namePart type="termsOfAddress">RN, BScN, MSc, PhD</namePart><affiliation>Nursing Unit Administrator, Psychiatry, Mount Sinai Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Molyn</namePart><namePart type="family">Leszcz</namePart><namePart type="termsOfAddress">MD, FRCPC</namePart><affiliation>Psychiatrist‐in‐Chief, Mount Sinai Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Robert G.</namePart><namePart type="family">Maunder</namePart><namePart type="termsOfAddress">MD, FRCPC</namePart><affiliation>Staff Psychiatrist, Mount Sinai Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marci</namePart><namePart type="family">Rose</namePart><namePart type="termsOfAddress">OT Reg. (Ont.), OTR</namePart><affiliation>Administrative Director, Psychiatry, Mount Sinai Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mary Anne</namePart><namePart type="family">Adam</namePart><namePart type="termsOfAddress">RN</namePart><affiliation>Director, Occupational Health and Safety, Mount Sinai Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Clare</namePart><namePart type="family">Pain</namePart><namePart type="termsOfAddress">MD, FRCPC</namePart><affiliation>Staff Psychiatrist, Mount Sinai Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Andrea</namePart><namePart type="family">Moore</namePart><namePart type="termsOfAddress">MSW, RSW</namePart><affiliation>Director, Social Work (Acting), Mount Sinai Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Diane</namePart><namePart type="family">Savage</namePart><namePart type="termsOfAddress">MSW, RSW</namePart><affiliation>Director, Social Work (Former), Mount Sinai Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Rabbi</namePart><namePart type="family">Bernard Schulman</namePart><affiliation>Rabbi, Mount Sinai Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">San Francisco</placeTerm></place><dateIssued encoding="w3cdtf">2011-12</dateIssued><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">1</extent><extent unit="references">20</extent></physicalDescription><abstract lang="en">Background: Well before the H1N1 influenza, health care organizations worldwide prepared for a pandemic of unpredictable impact. Planners anticipated the possibility of a pandemic involving high mortality, high health care demands, rates of absenteeism rising up to 20–30% among health care workers, rationing of health care, and extraordinary psychological stress. Method: The intervention we describe emerged from the recognition that an expected influenza pandemic indicated a need to build resilience to maintain the health of individuals within the organization and to protect the capacity of the organization to respond to extraordinary demands. Training sessions were one component of a multifaceted approach to reducing stress through effective preparation and served as an evidence based platform for our hospital's response to the H1N1 pandemic. Results: The training was delivered to more than 1250 hospital staff representing more than 22 departments within the hospital. The proportion of participants who felt better able to cope after the session (76%) was significantly higher than the proportion who felt prepared to deal confidently with the pandemic before the session (35%). Ten key themes emerged from our qualitative analysis of written comments, including family‐work balance, antiviral prophylaxis, and mistrust or fear towards health care workers. Conclusions: Drawing on what we learned from the impact of SARS on our hospital, we had the opportunity to improve our organization's preparedness for the pandemic. Our results suggest that an evidence‐based approach to interventions that target known mediators of distress and meet standards of continuing professional development is not only possible and relevant, but readily supportable by senior hospital administration.</abstract><note type="content">*Disclosures: The authors report none.</note><subject lang="en"><genre>keywords</genre><topic>pandemic</topic><topic>resilience</topic><topic>hospital workers</topic><topic>health care workers</topic><topic>H1N1</topic><topic>influenza</topic><topic>training</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Continuing Education in the Health Professions</title></titleInfo><titleInfo type="abbreviated"><title>J. Contin. Educ. 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