Cone David C, Cummings Bethany A
Division of EMS, Section of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut.
Valley Health System, Winchester, Virginia.
Am J Disaster Med. 2020;14(4):237-245. doi: 10.5055/ajdm.2019.0337.
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 2,004 surveys distributed, 1,711 (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 χ 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), email 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。
向五个州的九家医院的员工发放了一份包含12个问题的调查问卷。问题涉及在灾难期间或灾后工作的意愿、可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，担任志愿消防员）。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，有1711份（85%）被收回。87%的受访者愿意在火灾/救援/坍塌等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χ检验，p<0.001）。虽然44%的受访者愿意响应列出的11种灾难类型中的任何一种前来工作，但19%的受访者只愿意应对四种或更少类型的灾难。长途电话服务（694人，41%）、电子邮件访问（584人，34%）、宠物照料（568人，33%）和儿童照料（506人，30%）是最常见的支持需求，365名受访者（21%）报告有相互冲突的应急响应义务。
接受调查的大多数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。
