The Canberra Hospital, Canberra, Australia.
The Canberra Hospital, Infectious Diseases, Canberra, Australia.
Infect Dis Health. 2021 Feb;26(1):3-10. doi: 10.1016/j.idh.2020.07.005. Epub 2020 Aug 11.
Doctors commonly continue to work when they are unwell. This norm is increasingly problematic during the COVID-19 (SARS-CoV-2) pandemic when effective infection control measures are of paramount importance. This study investigates the barriers existing before COVID-19 that prevent junior doctors with an acute respiratory illness working in Canberra, Australia, from taking sick leave, and offers suggestions about how to make sick leave more accessible for junior doctors.
Anonymous online survey study.
192 junior doctors were invited to participate in the study. Fifty-four responded, and only those who had worked whilst unwell with an acute respiratory illness were included, providing a total number of fifty responses. Of these, 72% believed they were infectious at the time they worked whilst unwell. 86% of respondents did not feel supported by the workplace to take sick leave when they were unwell, and 96% identified concerns about burdening colleagues with extra workload and lack of available cover as the main deterrents to accessing sick leave.
Junior doctors at our health service, pre-COVID-19, do not widely feel empowered to take sick leave when they have an acute respiratory illness. Junior doctors are primarily concerned about burdening their colleagues with extra workloads in an environment where they perceive there to be a lack of available cover. Having more available cover, leadership from seniors, and clearer guidelines around the impact of sick leave on registration may contribute to a culture where junior doctors feel supported to access sick leave.
医生在不适时通常会继续工作。在 COVID-19（SARS-CoV-2）大流行期间，这种规范越来越成问题，因为有效的感染控制措施至关重要。本研究调查了 COVID-19 之前存在的阻碍澳大利亚堪培拉的年轻医生因急性呼吸道疾病请假的障碍，并就如何使年轻医生更容易获得病假提出建议。
匿名在线调查研究。
邀请了 192 名年轻医生参加这项研究。54 人做出回应，只有那些在患有急性呼吸道疾病不适时工作的人被纳入研究，共得到 50 份回复。其中，72%的人认为他们在患病工作时具有传染性。86%的受访者表示，他们在不适时感到没有得到工作场所的支持去请假，96%的人认为主要的阻碍是担心给同事增加额外的工作量和缺乏可用的替补。
在 COVID-19 之前，我们的医疗服务中的年轻医生在患有急性呼吸道疾病时，普遍没有被赋予请假的权力。年轻医生主要担心在他们认为缺乏可用替补的情况下，给同事增加额外的工作量。有更多的替补人员、上级的领导力以及更明确的关于病假对注册影响的指导方针，可能有助于培养一种年轻医生感到能够获得支持的病假文化。
