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How would Australian hospital staff react to an avian influenza admission, or an influenza pandemic?

Identifieur interne : 000C01 ( Pmc/Checkpoint ); précédent : 000C00; suivant : 000C02

How would Australian hospital staff react to an avian influenza admission, or an influenza pandemic?

Auteurs : Franco Martinese ; Gerben Keijzers ; Steven Grant ; James Lind

Source :

RBID : PMC:7163727

Abstract

Abstract

Objective:  To estimate the expected staff absentee rates and work attitudes in an Australian tertiary hospital workforce in two hypothetical scenarios: (i) a single admission of avian influenza; and (ii) multiple admissions of human pandemic influenza.

Methods:  A survey conducted at hospital staff meetings between May and August 2006.

Results:  Out of 570 questionnaires distributed, 560 were completed. For scenario one, 72 (13%) indicated that they would not attend work, and an additional 136 (25%) would only work provided that immunizations and/or antiviral medications were immediately available, so that up to 208 (38%) would not attend work. For scenario two, 196 (36%) would not attend work, and an additional 95 (17%) would work only if immunizations and/or antiviral medications were immediately available, so that up to 291 (53%) staff would not attend work. Staff whose work required them to be in the ED (odds ratios 2.2 and 1.6 for each scenario respectively) or on acute medical wards (odds ratios 2.2 and 2.0 respectively) were more likely to work.

Conclusion:  High absenteeism among hospital staff should be anticipated if patients are admitted with either avian or pandemic influenza, particularly if specific antiviral preventative measures are not immediately available. Measures to maximize the safety of staff and their families would be important incentives to attend work. Education on realistic level of risk from avian and pandemic influenza, as well as the effectiveness of basic infection control procedures and personal protective equipment, would be useful in improving willingness to work.


Url:
DOI: 10.1111/j.1742-6723.2008.01143.x
PubMed: 19254308
PubMed Central: 7163727


Affiliations:


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PMC:7163727

Le document en format XML

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<bold>Objective: </bold>
To estimate the expected staff absentee rates and work attitudes in an Australian tertiary hospital workforce in two hypothetical scenarios: (i) a single admission of avian influenza; and (ii) multiple admissions of human pandemic influenza.</p>
<p>
<bold>Methods: </bold>
A survey conducted at hospital staff meetings between May and August 2006.</p>
<p>
<bold>Results: </bold>
Out of 570 questionnaires distributed, 560 were completed. For scenario one, 72 (13%) indicated that they would not attend work, and an additional 136 (25%) would only work provided that immunizations and/or antiviral medications were immediately available, so that up to 208 (38%) would not attend work. For scenario two, 196 (36%) would not attend work, and an additional 95 (17%) would work only if immunizations and/or antiviral medications were immediately available, so that up to 291 (53%) staff would not attend work. Staff whose work required them to be in the ED (odds ratios 2.2 and 1.6 for each scenario respectively) or on acute medical wards (odds ratios 2.2 and 2.0 respectively) were more likely to work.</p>
<p>
<bold>Conclusion: </bold>
High absenteeism among hospital staff should be anticipated if patients are admitted with either avian or pandemic influenza, particularly if specific antiviral preventative measures are not immediately available. Measures to maximize the safety of staff and their families would be important incentives to attend work. Education on realistic level of risk from avian and pandemic influenza, as well as the effectiveness of basic infection control procedures and personal protective equipment, would be useful in improving willingness to work.</p>
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Department of Emergency Medicine, Gold Coast Hospital, Southport, Queensland, Australia</aff>
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<abstract>
<title>Abstract</title>
<p>
<bold>Objective: </bold>
To estimate the expected staff absentee rates and work attitudes in an Australian tertiary hospital workforce in two hypothetical scenarios: (i) a single admission of avian influenza; and (ii) multiple admissions of human pandemic influenza.</p>
<p>
<bold>Methods: </bold>
A survey conducted at hospital staff meetings between May and August 2006.</p>
<p>
<bold>Results: </bold>
Out of 570 questionnaires distributed, 560 were completed. For scenario one, 72 (13%) indicated that they would not attend work, and an additional 136 (25%) would only work provided that immunizations and/or antiviral medications were immediately available, so that up to 208 (38%) would not attend work. For scenario two, 196 (36%) would not attend work, and an additional 95 (17%) would work only if immunizations and/or antiviral medications were immediately available, so that up to 291 (53%) staff would not attend work. Staff whose work required them to be in the ED (odds ratios 2.2 and 1.6 for each scenario respectively) or on acute medical wards (odds ratios 2.2 and 2.0 respectively) were more likely to work.</p>
<p>
<bold>Conclusion: </bold>
High absenteeism among hospital staff should be anticipated if patients are admitted with either avian or pandemic influenza, particularly if specific antiviral preventative measures are not immediately available. Measures to maximize the safety of staff and their families would be important incentives to attend work. Education on realistic level of risk from avian and pandemic influenza, as well as the effectiveness of basic infection control procedures and personal protective equipment, would be useful in improving willingness to work.</p>
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<p>Franco Martinese, MB BS, FACEM, DTM & H (London), Emergency Physician; Gerben Keijzers, MSc Epidemiology (Nijmegen, The Netherlands) MB BS, FACEM, Staff specialist; Steven Grant, MB BS, FACEM, Staff specialist; James Lind, MB BS, FACEM, Staff specialist.</p>
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