Davidson Judy E, Sekayan Ani, Agan Donna, Good Linda, Shaw David, Smilde Renee
Scripps Mercy Hospital, San Diego, California 92108, USA.
Adv Emerg Nurs J. 2009 Jul-Sep;31(3):248-57. doi: 10.1097/TME.0b013e3181af686d.
Natural disasters threaten the ability to staff a hospital. The objective of this study was to identify factors influencing decision to come to work during a fire disaster. The authors' hospital experienced a 17-fold increase in no-shows during a fire. Phenomenography was used to explore staff experiences immediately following wildfires. Factors affecting decision to work during a disaster included vulnerability of family, personal safety, and fire proximity. Modifiable factors were identified as follows: past experience with disasters, perceived importance, relationship with the organization, and caring connection with the organization. Employees experienced tension between obligations to family, community, and organization. Pets were seen as family and as important as biological family. Further research is indicated to determine predictive modeling and generalizability. Hospital leaders may influence disaster response by establishing a caring connection, providing resources for family members/pets, and promoting perceived importance of the employee.
自然灾害威胁着医院的人员配备能力。本研究的目的是确定火灾期间影响员工决定前来工作的因素。作者所在的医院在火灾期间旷工人数增加了17倍。现象学方法被用于探究野火过后员工的经历。影响灾难期间工作决定的因素包括家人的脆弱性、个人安全和火灾距离。可改变的因素如下：过去的灾难经历、感知到的重要性、与组织的关系以及与组织的关怀联系。员工在对家庭、社区和组织的义务之间感到紧张。宠物被视为家人，与亲人家属同等重要。需要进一步开展研究以确定预测模型和普遍性。医院领导可以通过建立关怀联系、为家庭成员/宠物提供资源以及提升员工感知到的重要性来影响灾难应对。
