Factors associated with motivation and hesitation to work among health professionals during a public crisis: a cross sectional study of hospital workers in Japan during the pandemic (H1N1) 2009.
Factors associated with motivation and hesitation to work among health professionals during a public crisis: a cross sectional study of hospital workers in Japan during the pandemic (H1N1) 2009.
复制标题
DOI：
10.1186/1471-2458-10-672
复制
发表时间：
2010-11-04
影响因子：
4.5
通讯作者：
Mita T
中科院分区：
文献类型：
--
作者：
Imai H;Matsuishi K;Ito A;Mouri K;Kitamura N;Akimoto K;Mino K;Kawazoe A;Isobe M;Takamiya S;Mita T
日本医院工作人员的专业精神受到2009年甲型H1N1流感大流行的挑战。为了在大流行等危急情况下维持医院的功能，重要的是要了解增加和降低工作意愿的因素。以前基于医院的研究使用假设事件来研究这个问题，但到目前为止还没有在实际的大流行中进行检查。在这里，我们调查了影响医院工作人员在2009年H1N1大流行后不久在日本工作的动机和犹豫不决的因素。日本神户市三家核心医院的3635名员工于2009年6月至7月，也就是日本甲型H1N1流感大流行后约一个月，向所有3635名员工发放了关于人口特征和压力因素的匿名自填问卷。在总共发放的3635份问卷中，收回有效问卷1693份(46.7%)。28.4%(N=481)的员工有强烈的工作动力，14.7%(N=249)的员工对工作有强烈的犹豫。人口统计学特征和与压力相关的问题根据工作动机和犹豫的优势比(OR)被分为四种类型：一些因素增加了动机和降低了犹豫；其他因素只增加了动机；其他因素只增加了犹豫；其他因素既增加了动机又增加了犹豫。获得国家和地方政府支持的强烈感受(多变量OR：动机；3.5；CI 2.2~5.4，犹豫；0.2；CI 0.1~0.6)和受到医院保护(多变量OR：动机；2.8；CI 2.2~3.7，犹豫；0.5；CI 0.3~0.7)与较高的动机和较低的犹豫有关。在这里，保护包括采取预防措施，防止工人及其家人患病，为那些确实生病的人提供护理，减少医疗事故威胁，以及为因公殉职的工人家属提供经济支持。但94.1%的受访者回答国家和地方政府的保护力度较弱，79.7%的受访者回答医院保护力度较弱。一些因素具有相互矛盾的影响，因为它们既增加了动力，也增加了犹豫。给工人一种他们受到国家和地方政府和医院保护的感觉特别有价值，因为这增加了他们的动力，降低了他们对工作的犹豫。
The professionalism of hospital workers in Japan was challenged by the pandemic (H1N1) 2009. To maintain hospital function under critical situations such as a pandemic, it is important to understand the factors that increase and decrease the willingness to work. Previous hospital-based studies have examined this question using hypothetical events, but so far it has not been examined in an actual pandemic. Here, we surveyed the factors that influenced the motivation and hesitation of hospital workers to work in Japan soon after the pandemic (H1N1) 2009. Self-administered anonymous questionnaires about demographic character and stress factors were distributed to all 3635 employees at three core hospitals in Kobe city, Japan and were collected from June to July, 2009, about one month after the pandemic (H1N1) in Japan. Of a total of 3635 questionnaires distributed, 1693 (46.7%) valid questionnaires were received. 28.4% (N = 481) of workers had strong motivation and 14.7% (N = 249) had strong hesitation to work. Demographic characters and stress-related questions were categorised into four types according to the odds ratios (OR) of motivation and hesitation to work: some factors increased motivation and lowered hesitation; others increased motivation only; others increased hesitation only and others increased both motivation and hesitation. The strong feeling of being supported by the national and local governments (Multivariate OR: motivation; 3.5; CI 2.2-5.4, hesitation; 0.2; CI 0.1-0.6) and being protected by hospital (Multivariate OR: motivation; 2.8; CI 2.2-3.7, hesitation; 0.5; CI 0.3-0.7) were related to higher motivation and lower hesitation. Here, protection included taking precautions to prevent illness among workers and their families, providing for the care of those who do become ill, reducing malpractice threats, and financial support for families of workers who die on duty. But 94.1% of the respondents answered protection by the national and local government was weak and 79.7% answered protection by the hospital was weak. Some factors have conflicting effects because they increase both motivation and hesitation. Giving workers the feeling that they are being protected by the national and local government and hospital is especially valuable because it increases their motivation and lowers their hesitation to work.
登录
查看更多内容
影响因子：
3.3
作者：
HUGHES, D
通讯作者：
HUGHES, D
影响因子：
120.7
作者：
EMANUEL, EJ;DUBLER, NN
通讯作者：
DUBLER, NN
DOI：
10.1098/rstb.2004.1483
发表时间：
2004-07-29
影响因子：
6.3
作者：
Maunder, R
通讯作者：
Maunder, R
影响因子：
158.5
作者：
HILLMAN, AL
通讯作者：
HILLMAN, AL
DOI：
10.1017/s193578930000241x
发表时间：
2010-03-01
影响因子：
2.7
作者：
Santos, Cynthia D.;Bristow, Robert B.;Vorenkamp, Jaclyn V.
通讯作者：
Vorenkamp, Jaclyn V.