Healthcare workers' attitudes towards working during pandemic influenza: A multi method study
Healthcare workers' attitudes towards working during pandemic influenza: A multi method study
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DOI：
10.1186/1471-2458-8-192
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发表时间：
2008-06-02
影响因子：
4.5
通讯作者：
Sorell, Tom
中科院分区：
文献类型：
--
作者：
Draper, Heather;Wilson, Sue;Sorell, Tom
背景：医护人员 (HCW) 将是应对大流行性流感的关键角色，并且将处于感染的第一线。有效应对疫情有赖于大多数医疗、护理、实验室和酒店服务人员继续正常工作。规划假设在大流行期间将提供正常的医疗保健服务水平，但预计随着病例数量的增加，将仅提供基本护理。 NHS 提供预期服务水平的能力完全取决于医护人员是否继续正常工作。 方法/设计：本研究设计为两阶段多方法研究，纳入焦点小组和问卷调查。在第一阶段，将使用定性方法收集有目的的医务人员样本的意见，以确定与他们对应对大流行性流感的前景的反应相关的一系列因素。在第二阶段，焦点小组的调查结果与现有文献相结合，将用于为调查设计提供信息，以确定这些因素的普遍性，从而能够估计受每个因素影响的医护人员的可能比例，以及他们在流感大流行期间愿意和/或能够继续工作的可能性有多大。讨论：对于在流感大流行期间工作的一些医护人员来说，可能存在比正常情况更大的健康风险。 大流行，这些工人可能担心感染家人/朋友。医护人员将与其他工人一样有责任照顾生病的家人和朋友。了解医护人员在此类危机期间继续工作的积极性以及哪些因素可能影响他们工作/不工作的决定至关重要。通过识别和随后管理这些因素，可以实施减轻医护人员的担忧和恐惧并消除潜在工作障碍的策略。
Background: Healthcare workers (HCWs) will be key players in any response to pandemic influenza, and will be in the front line of exposure to infection. Responding effectively to a pandemic relies on the majority of medical, nursing, laboratory and hotel services staff continuing to work normally. Planning assumes that during a pandemic normal healthcare service levels will be provided, although it anticipates that as caseloads increase only essential care will be provided. The ability of the NHS to provide expected service levels is entirely dependent upon HCWs continuing to work as normal.Methods/design: This study is designed as a two-phase multi-method study, incorporating focus groups and a questionnaire survey. In phase one, qualitative methods will be used to collect the views of a purposive sample of HCWs, to determine the range of factors associated with their responses to the prospect of working through pandemic influenza. In phase two, the findings from the focus groups, combined with the available literature, will be used to inform the design of a survey to determine the generalisability of these factors, enabling the estimation of the likely proportion of HCWs affected by each factor, and how likely it is that they would be willing and/or able to continue to work during an influenza pandemic.Discussion: There are potentially greater than normal health risks for some healthcare workers working during a pandemic, and these workers may be concerned about infecting family members/ friends. HCWs will be as liable as other workers to care for sick family members and friends. It is vital to have information about how motivated HCWs will be to continue to work during such a crisis, and what factors might influence their decision to work/not to work. Through the identification and subsequent management of these factors it may be possible to implement strategies that will alleviate the concerns and fears of HCWs and remove potential barriers to working.