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澳大利亚 2009 年甲型 H1N1 流感大流行:急诊医学和护理人员缺勤和重新部署。

Pandemic (H1N1) 2009 Influenza in Australia: Absenteeism and redeployment of emergency medicine and nursing staff.

机构信息

School of Nursing and Midwifery, Deakin University, Burwood, Queensland, Australia.

出版信息

Emerg Med Australas. 2011 Oct;23(5):615-23. doi: 10.1111/j.1742-6723.2011.01461.x. Epub 2011 Aug 8.

DOI:10.1111/j.1742-6723.2011.01461.x
PMID:21995477
Abstract

OBJECTIVE

The aim of the present study was to examine the impact of Pandemic (H(1)N(1)) 2009 Influenza on the Australian emergency nursing and medicine workforce, specifically absenteeism and deployment.

METHODS

Data were collected using an online survey of 618 members of the three professional emergency medicine or emergency nursing colleges.

RESULTS

Despite significant increases in emergency demand during the Pandemic (H(1)N(1)) 2009 Influenza, 56.6% of emergency nursing and medicine staff reported absenteeism of at least 1 day and only 8.5% of staff were redeployed. Staff illness with influenza-like illness was reported by 37% of respondents, and 87% of respondents who became ill were not tested for the Pandemic (H(1)N(1)) 2009 Influenza. Of the respondents who became ill, 43% (n= 79) reported missing no days of work and only 8% of respondents (n= 14) reported being absent for more than 5 days. The mean number of days away from work was 3.73 (standard deviation = 3.63). Factors anecdotally associated with staff absenteeism (caregiver responsibilities, concern about personal illness, concern about exposing family members to illness, school closures, risk of quarantine, stress and increased workload) appeared to be of little or no relevance. Redeployment was reported by 8% of respondents and the majority of redeployment was for operational reasons.

CONCLUSION

Future research related to absenteeism, redeployment during actual pandemic events is urgently needed. Workforce data collection should be an integral part of organizational pandemic planning.

摘要

目的

本研究旨在考察 2009 年甲型 H1N1 流感大流行对澳大利亚急诊护理和医学工作者的影响,特别是缺勤和部署情况。

方法

采用在线调查的方法,对三个专业急诊医学或急诊护理学院的 618 名成员进行了数据收集。

结果

尽管在 2009 年甲型 H1N1 流感大流行期间急诊需求显著增加,但仍有 56.6%的急诊护理和医学工作人员缺勤至少 1 天,仅有 8.5%的工作人员被重新部署。有 37%的受访者报告称患有流感样疾病,87%的患病受访者未接受 2009 年甲型 H1N1 流感检测。在患病的受访者中,43%(n=79)报告未缺勤,仅有 8%的受访者(n=14)报告缺勤超过 5 天。平均缺勤天数为 3.73 天(标准差=3.63)。一些与员工缺勤相关的因素(照顾者责任、担心个人患病、担心将家庭成员暴露于疾病、学校关闭、隔离风险、压力和工作量增加)似乎没有或几乎没有关系。有 8%的受访者报告了重新部署,重新部署主要是出于运营原因。

结论

迫切需要对实际大流行期间的缺勤和重新部署进行相关研究。劳动力数据收集应成为组织大流行规划的一个组成部分。

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