How would Australian hospital staff react to an avian influenza admission, or an influenza pandemic?
Identifieur interne : 000136 ( Psycho/Analysis ); précédent : 000135; suivant : 000137How would Australian hospital staff react to an avian influenza admission, or an influenza pandemic?
Auteurs : Franco Martinese [Australie] ; Gerben Keijzers [Australie] ; Steven Grant [Australie] ; James Lind [Australie]Source :
- Emergency Medicine Australasia [ 1742-6731 ] ; 2009-02.
English descriptors
- Teeft :
- Absentee, Absentee rate, Absentee rates, Absenteeism, Actual risk, Alternative accommodation, Antiviral, Antiviral medications, Australasian, Australasian college, Australasian society, Australian government department, Authors journal compilation, Avian, Avian admission, Avian virus, Basic infection control procedures, Dependant, Emergency medicine, Emergency medicine staff absenteeism, Employment status, Ethical reasons, Ethics committee, Financial incentive, Financial reasons lack, Franco martinese, Further information, Gerben keijzers, Gold coast hospital, Gold coast hospital staff, Healthcare workers, High return rate, Hong kong, Hospital staff, Human cases, Imaging pharmacy, Immediate access, Immunization, Infection control, Infection control procedures, Local outbreak, Logistical regression analysis, Long service, Many patients, Mark line, Martinese, Medical staff, Mortality rate, Multiple admissions, Nursing staff, Odds ratios, Other factors, Outbreak, Overall level, Pandemic, Pandemic threat, Percentage absentees, Present study, Preventative, Preventative measures, Protective clothing, Protective measures, Psychological impact, Public health, Respiratory syndrome, Safety concerns, Sars, Sars outbreak, Scenario, Similar lines, Staff specialist, Statistical analyses, Steven grant, Support staff, Visual analogue scale, Work attendance, Work attitudes, Work incentives, World health organisation.
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
Affiliations:
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Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2009-02">2009-02</date></imprint><idno type="ISSN">1742-6731</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1742-6731</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Absentee</term><term>Absentee rate</term><term>Absentee rates</term><term>Absenteeism</term><term>Actual risk</term><term>Alternative accommodation</term><term>Antiviral</term><term>Antiviral medications</term><term>Australasian</term><term>Australasian college</term><term>Australasian society</term><term>Australian government department</term><term>Authors journal compilation</term><term>Avian</term><term>Avian admission</term><term>Avian virus</term><term>Basic infection control procedures</term><term>Dependant</term><term>Emergency medicine</term><term>Emergency medicine staff absenteeism</term><term>Employment status</term><term>Ethical reasons</term><term>Ethics committee</term><term>Financial incentive</term><term>Financial reasons lack</term><term>Franco martinese</term><term>Further information</term><term>Gerben keijzers</term><term>Gold coast hospital</term><term>Gold coast hospital staff</term><term>Healthcare workers</term><term>High return rate</term><term>Hong kong</term><term>Hospital staff</term><term>Human cases</term><term>Imaging pharmacy</term><term>Immediate access</term><term>Immunization</term><term>Infection control</term><term>Infection control procedures</term><term>Local outbreak</term><term>Logistical regression analysis</term><term>Long service</term><term>Many patients</term><term>Mark line</term><term>Martinese</term><term>Medical staff</term><term>Mortality rate</term><term>Multiple admissions</term><term>Nursing staff</term><term>Odds ratios</term><term>Other factors</term><term>Outbreak</term><term>Overall level</term><term>Pandemic</term><term>Pandemic threat</term><term>Percentage absentees</term><term>Present study</term><term>Preventative</term><term>Preventative measures</term><term>Protective clothing</term><term>Protective measures</term><term>Psychological impact</term><term>Public health</term><term>Respiratory syndrome</term><term>Safety concerns</term><term>Sars</term><term>Sars outbreak</term><term>Scenario</term><term>Similar lines</term><term>Staff specialist</term><term>Statistical analyses</term><term>Steven grant</term><term>Support staff</term><term>Visual analogue scale</term><term>Work attendance</term><term>Work attitudes</term><term>Work incentives</term><term>World health organisation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Martinese, Franco" sort="Martinese, Franco" uniqKey="Martinese F" first="Franco" last="Martinese">Franco Martinese</name></noRegion><name sortKey="Grant, Steven" sort="Grant, Steven" uniqKey="Grant S" first="Steven" last="Grant">Steven Grant</name><name sortKey="Keijzers, Gerben" sort="Keijzers, Gerben" uniqKey="Keijzers G" first="Gerben" last="Keijzers">Gerben Keijzers</name><name sortKey="Lind, James" sort="Lind, James" uniqKey="Lind J" first="James" last="Lind">James Lind</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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