Willingness of Health Care Personnel to Work in a Disaster: An Integrative Review of the Literature (original) (raw)
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International Journal of Emergency Medicine, 2012
Background: There is limited research on preparation of health care workers for disasters. Prior research addressed systems-level responses rather than specific institutional and individual responses. Methods: An anonymous online survey of hospital employees, who were grouped into clinical and non-clinical staff, was conducted. The objective of this study was to compare perceptions of clinical and non-clinical staff with regard to personal needs, willingness to report (WTR) to work, and level of confidence in the hospital's ability to protect safety and provide personal protective equipment (PPE) in the event of a disaster. Results: A total of 5,790 employees were surveyed; 41 % responded (77 % were women and 63 % were clinical staff). Seventy-nine percent either strongly or somewhat agreed that they know what to do in the event of a disaster, and the majority was willing to report for duty in the event of a disaster. The most common barriers included 'caring for children' (55 %) and 'caring for pets' (34 %). Clinical staff was significantly more likely than nonclinical staff to endorse childcare responsibilities (58.9 % vs. 48 %) and caring for pets (36 % vs. 30 %, respectively) as barriers to WTR. Older age was a significant facilitator of WTR [odds ratio (OR) 1.49, 95 % CI: 1.27-1.65]. Nonclinical staff was more confident in the hospital's ability to protect safety and provide PPE compared to clinical staff (OR 1.43, 95 % CI: 1.15-1.78). Conclusion: Clinical and non-clinical staff differ in the types of barriers to WTR endorsed, as well as their confidence in the hospital's ability to provide them with PPE and guarantee their safety.
Journal of Holistic Nursing and Midwifery, 2024
A significant challenge in disaster response operations is the willingness of healthcare providers (HCPs) to engage and work in critical situations. Therefore, identifying the factors associated with the intention to participate in disaster response operations will lead to planning better and coping with such situations. Objective: This systematic literature review aims to determine the factors affecting the intention of HCPs to work in disaster response operations. Materials and Methods: In this systematic literature review, a search strategy was developed using keywords in relevant articles to obtain relevant studies published between 1950 and November 1, 2020. Those keywords were obtained through consultation with experts' opinions in disaster risk management and a medical librarian. This study was designed as a systematic review, following the PRISMA (the preferred reporting items for systematic reviews and meta-analyses) guidelines. Databases examined included Scopus, PubMed, and Web of Science. The relevant data (title, author/s, year of publication, country, population of HCPs, sample size, response rate, study design, tools, data collection method, and type of disasters) in the included studies were extracted using a checklist designed for this purpose. Then, the factors affecting staff intention were categorized by thematic analysis. Results: Out of 5721 retrieved articles, 16 were enrolled in this review. Extracted factors affecting the staff intention to work were classified into 3 main categories and 16 subcategories as follows: organizational factors (supply management, risk management, organizational environment, organizational climate, managerial support, financial incentives), personal factors (demographic, familial, beliefs and values, health status, individual experiences, knowledge and education, occupational, self-efficacy), and nature of disaster (type of disaster). Conclusion: The results of this study showed that the intention and motivation of the HCPs to work in the disaster response phase depends on the type of disaster, the risks affecting their health and their families, commitment to the community, professional and financial issues, and responsibility.
Health care workers’ ability and willingness to report to duty during catastrophic disasters
Journal of Urban Health-bulletin of The New York Academy of Medicine, 2005
Catastrophic disasters create surge capacity needs for health care systems. This is especially true in the urban setting because the high population density and reliance on complex urban infrastructures (e.g., mass transit systems and high rise buildings) could adversely affect the ability to meet surge capacity needs. To better understand responsiveness in this setting, we conducted a survey of health care workers (HCWs) (N=6,428) from 47 health care facilities in New York City and the surrounding metropolitan region to determine their ability and willingness to report to work during various catastrophic events. A range of facility types and sizes were represented in the sample. Results indicate that HCWs were most able to report to work for a mass casualty incident (MCI) (83%), environmental disaster (81%), and chemical event (71%) and least able to report during a smallpox epidemic (69%), radiological event (64%), sudden acute respiratory distress syndrome (SARS) outbreak (64%), or severe snow storm (49%). In terms of willingness, HCWs were most willing to report during a snow storm (80%), MCI (86%), and environmental disaster (84%) and least willing during a SARS outbreak (48%), radiological event (57%), smallpox epidemic (61%), and chemical event (68%). Barriers to ability included transportation problems, child care, eldercare, and pet care obligations. Barriers to willingness included fear and concern for family and self and personal health problems. The findings were consistent for all types of facilities. Importantly, many of the barriers identified are amenable to interventions.
397 Public Expectations of Non-Medical Hospital Assistance During Disasters
Annals of Emergency Medicine, 2011
Objective: The public's expectations of hospital services during disasters may not reflect current hospital disaster plans. The objective of this study was to determine the public's expected hospital service utilization during a pandemic, earthquake, and terrorist bombing. Methods: A survey was distributed to adult patients or family members at 3 emergency departments (EDs). Participants identified resources and services they expect to need during 3 disaster scenarios. Linear regression was used to describe factors associated with higher expected utilization scores for each scenario. Results: Of the 961 people who participated in the study, 66.9% were women, 47.5% were white, and 44.6% were black. Determinants of higher pandemic resource utilization included persons who were younger (P ,.01); non-white (P ,.001); had higher ED visits (P ,.01), hospitalization (P 5.001), or fewer primary care provider visits (P 5.001) in the past year; and did not having a reunification plan (P ,.001). Determinants of higher earthquake resource utilization included persons who were non-white (P ,.001); who were a patient or spouse (vs parent) participating in the study (P ,.05 and P 5.001); and had higher ED visits in the past year (P 5.001). Determinants of higher bombing resource utilization included persons who were female (P 5.001); non-white (P ,.001); had higher ED (P 5.001) or primary care provider (P ,.01) visits in past year; and experienced the loss of home or property during a past disaster (P ,.05). Conclusions: Public expectations of hospitals during disasters are high, and some expectations are inappropriate. Better community disaster planning and public risk communication are needed. (Disaster Med Public Health Preparedness. 2013;7:167-174)
A systematic mapping review of factors associated with willingness to work under emergency condition
Human Resources for Health, 2021
IntroductionAn effective response to an emergency situation relies on health care workers’ preparedness. The main purpose of this study was to provide a comprehensive overview of relevant studies regarding the willingness to work in emergency and disaster situations, describe and classify the most important challenges and solutions, identifying knowledge gaps in the literature which could inform future research.MethodsIn this Systematic Mapping Review required information was searched from PubMed, Scopus, the web of science, Embase databases, and Google scholar search engine in the period 2000–2020. Data were analyzed using a content framework analysis.ResultsFrom 2902 article search results, 26 articles met the inclusion criteria. The studies varied in terms of aim, study design, and detail of reporting. The results showed that nearly three-quarters of studies were conducted in high and middle-income countries. Most of the studies were published in 2020 due to the COVID-19 pandemic...
BMJ Open, 2019
ObjectivesWillingness to participate in disasters is usually overlooked and not addressed in disaster preparedness training courses to ensure health service coverage. This will lead to issues during the disaster’s response. This study, therefore, aims to assess healthcare workers willingness to participate in biological and natural disasters, and to identify its associated factors.DesignThis is a cross-sectional study using a self-administered questionnaire. The questionnaire was distributed to 1093 healthcare workers. The data were analysed using multiple logistic regression with significance level p<0.05. Ethical clearance and consent of the participants were duly obtained.SettingIn three public hospitals that provide tertiary-level healthcare in Sana’a City, Yemen.ParticipantsThere were 692 nurses and doctors (response rate 63.3%) completed the questionnaires.ResultsAlmost half of the participants 55.1% were nurses and 44.9% were doctors. The study found that self-efficacy was...
The Journal of Emergency Medicine, 2013
Background: During natural and manmade disasters, the hospital is perceived as a central rallying and care site for the public, for both those with and without emergency medical needs. The expectations of the public may outstrip hospital plans and abilities to provide nonmedical assistance. Objective: Our objective was to determine the public expectations of the hospital during disasters regarding resource provision. Methods: A survey was distributed to adult patients or family members at three emergency departments (EDs). Respondents were asked to evaluate hospital responsibility to provide nine resources to those without emergency medical needs, including vaccination, medication refill or replacement, food and water, grief/stress counseling, Federal Emergency Management Agency (FEMA) access assistance, short/long-term shelter, family reunification, and hospital. Additionally, respondents answered questions regarding prior disaster experience and demographics. Results: There were 961 respondents (66.9% were female, 47.5% were white, and 44.6% were black). Respondents agreed or strongly agreed that the hospital should provide the following services: event-specific vaccination (84%), medication refill/replacement (76.5%), food and water (61%), grief or stress counseling (53%), FEMA access assistance (52%), short-term shelter (51%), family reunification (50%), long-term shelter (38%), and hospital transportation (29%). Those 36-45 years of age were less likely to expect services (p < 0.05) and nonwhites and those with a family member with a medical condition requiring electricity were more likely to expect services (p < 0.001 and p < 0.05, respectively). There were no differences based on frequency of ED use, sex, income, or prior disaster experience. Conclusion: There is a high public expectation that hospitals will provide significant nonmedical disaster relief. Understanding these expectations is essential to appropriate community disaster planning. Ó 2013 Elsevier Inc.
Willingness to Respond in a Disaster: A Pediatric Nurse Practitioner National Survey
Journal of Pediatric Health Care, 2012
Objective: The objective of this study was to examine factors associated with pediatric nurse practitioners (PNPs) reporting to work in the event of a disaster. Methods: An anonymous national survey of PNPs was conducted. Several domains were explored, including demo-graphics, personal preparedness plans, disaster training, prior disaster experience, and likelihood of responding in the event of a disaster. A logistic regression analysis was conducted to determine which factors were associated with the respondentÕs likelihood of responding in the event of a disaster. Results: Factors associated with increased likelihood of responding included gender (being a male PNP), military experience, and disaster training. The most significant factor associated with an increased likelihood of responding to work during a disaster was having a specified role in the workplace disaster plan. PNPs with a specified role were three times more likely to respond than were those without a specified role. Conclusions: PNPs are health care workers with advanced skill sets. This untapped resource is available to provide care for a vulnerable population: our children. Disaster planners should explore the possibility of utilizing these highly skilled health care workers in their disaster plans.
BMC Public Health
BackgroundMost U.S. studies on workforce preparedness have a narrow scope, focusing primarily on perceptions of clinical staff in a single hospital and for one type of disaster. In contrast, this study compares the perceptions of workplace disaster preparedness among both clinical and non-clinical staff at all U.S. Department of Veterans Affairs (VA) medical facilities nationwide for three types of disasters (natural, epidemic/pandemic, and manmade).MethodsThe VA Preparedness Survey used a stratified simple random, web-based survey (fielded from October through December 2018) of all employees at VA medical facilities. We conducted bivariate and multivariate logistic regression analyses to compare the sociodemographic characteristics and perceptions of disaster preparedness between clinical and non-clinical VA staff.ResultsThe study population included 4026 VA employees (2488 clinicians and 1538 non-clinicians). Overall, VA staff were less confident in their medical facility’s abilit...
Prehospital and Disaster Medicine
Background:Infectious disease emergencies are increasingly becoming part of the health care delivery landscape, having implications to not only individuals and the public, but also on those expected to respond to these emergencies. Health care workers (HCWs) are perhaps the most important asset in an infectious disease emergency, yet these individuals have their own barriers and facilitators to them being willing or able to respond.Aim:The purpose of this review was to identify factors affecting HCW willingness to respond (WTR) to duty during infectious disease outbreaks and/or bioterrorist events.Methods:An integrative literature review methodology was utilized to conduct a structured search of the literature including CINAHL, Medline, Embase, and PubMed databases using key terms and phrases. PRISMA guidelines were used to report the search outcomes and all eligible literature was screened with those included in the final review collated and appraised using a quality assessment too...