Cone David C, Cummings Bethany A
Division of EMS, Section of Emergency Medicine, Yale University School of Medicine, New Heaven, Connecticut, USA.
Am J Disaster Med. 2006 Nov-Dec;1(1):28-36.
To assess hospital employees' attitudes and needs regarding work commitments during disasters.
A 12-item survey was distributed to employees at nine hospitals in five states. Questions addressed willingness to work during a disaster or its aftermath, support services that could encourage employees to remain for extended hours, and conflicting emergency response obligations (e.g., being a volunteer firefighter) that might prevent employees from working at the hospital. Anonymity was assured, and approval was obtained from each hospital's institutional review board.
Of the 2004 surveys distributed, 1711 (85 percent) were returned. Eighty-seven percent of respondents were willing to work after a fire/rescue/collapse mass casualty incident. Respondents were otherwise less willing to work in response to a man-made disaster (biological event: 58 percent; chemical event: 58 percent; radiation event: 57 percent) than a natural disaster (snowstorm: 83 percent; flood: 81 percent; hurricane: 78 percent; earthquake: 79 percent; tornado: 77 percent; ice storm: 75 percent; flu epidemic: 72 percent) (p < 0.001 for all comparisons by chi2 testing). While 44 percent of respondents would come to work in response to any of the 11 disaster types listed, 19 percent were only willing to cover four or fewer types. Long-distance phone service (694, 41 percent), e-mail access (584, 34 percent), pet care (568, 33 percent), and child care (506, 30 percent) were the most common support needs, and 365 respondents (21 percent) reported a conflicting emergency response obligation.
The majority of hospital workers surveyed were willing to report to work in response to some types of disasters but not others, and some indicated they might not be available at all due to conflicting emergency response obligations.
评估医院员工在灾难期间对工作承诺的态度和需求。
向五个州九家医院的员工发放了一份包含12个条目的调查问卷。问题涉及在灾难期间或灾后工作的意愿、能够鼓励员工延长工作时间的支持服务，以及可能妨碍员工在医院工作的相互冲突的应急响应义务（例如，作为志愿消防员）。确保了匿名性，并获得了每家医院机构审查委员会的批准。
在发放的2004份调查问卷中，回收了1711份（85%）。87%的受访者愿意在火灾/救援/坍塌大规模伤亡事件后工作。受访者对人为灾难（生物事件：58%；化学事件：58%；辐射事件：57%）的工作意愿低于自然灾害（暴风雪：83%；洪水：81%；飓风：78%；地震：79%；龙卷风：77%；冰暴：75%；流感疫情：72%）（所有比较经卡方检验p<0.001）。虽然4...
大多数接受调查的医院工作人员愿意在某些类型的灾难发生时报到工作，但对其他类型则不然，一些人表示由于相互冲突的应急响应义务，他们可能根本无法到岗。 （注：原文“While 44 percent of respondents would come to work in response to any of the 11 disaster types listed, 19 percent were only willing to cover four or fewer types.”中“4...”表述不完整，翻译时保留原文状态）
