How would Australian hospital staff react to an avian influenza admission, or an influenza pandemic?
How would Australian hospital staff react to an avian influenza admission, or an influenza pandemic?
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DOI：
10.1111/j.1742-6723.2008.01143.x
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发表时间：
2009-02-01
影响因子：
2.3
通讯作者：
Lind, James
中科院分区：
文献类型：
--
作者：
Martinese, Franco;Keijzers, Gerben;Lind, James
评估澳大利亚三级医院员工在两种假设情况下的预期员工缺勤率和工作态度：(i) 单次因禽流感入院； 2006 年 5 月至 8 月期间，在医院工作人员会议上进行了一项调查。在发放的 570 份调查问卷中，完成了 560 份。对于情景一，72 人 (13%) 表示他们不会上班，另有 136 人 (25%) 只有在立即获得免疫接种和/或抗病毒药物的情况下才会工作，因此多达 208 人 (38%) 不会上班。对于情景二，196 名员工 (36%) 不会上班，另外 95 名员工 (17%) 只有在立即获得免疫接种和/或抗病毒药物的情况下才会工作，因此多达 291 名员工 (53%) 不会上班。工作需要在急诊室（每种情况的比值比分别为 2.2 和 1.6）或急性内科病房（比值比分别为 2.2 和 2.0）的工作人员更有可能工作。如果患者因禽流感或大流行性流感入院，特别是在不能立即采取具体的抗病毒预防措施的情况下，预计医院工作人员的缺勤率会很高。最大限度地保障员工及其家人安全的措施将是激励员工上班的重要因素。关于禽流感和大流行性流感的实际风险水平以及基本感染控制程序和个人防护设备有效性的教育将有助于提高工作意愿。
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.A survey conducted at hospital staff meetings between May and August 2006.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.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.