Sante Publique. 2022 Mar 11;Vol. 33(6):853-862. doi: 10.3917/spub.216.0853.
Retention of healthcare workers (HCWs) in the healthcare system during the COVID-19 pandemic could become a challenge. It is therefore important to better understand what are the motivational elements that could explain a greater or lesser motivation to care for infected patients.
To evaluate factors modulating HCWs' willingness to treat COVID-19 infected patients.
HCWs from Québec, Canada, were invited to complete an online survey during the first wave of the COVID-19 pandemic between the months of April and July 2020. The survey focused on the intention to avoid treating infected patients, prior experiences in treating COVID-19 patients and anxiety levels. Descriptive statistics and multiple regression analysis were used to assess which factors explained differences in HCWs intention to avoid treating patients.
A total of 430 HCW completed the survey. A majority were women (87%) and nurses (50%). Of those, 12% indicated having considered measures to avoid working with COVID-19 infected patients and 5% indicated having taken actions to avoid working with infected patients. A further 18% indicated that they would use a hypothetical opportunity to avoid working with infected patients. Having previously treated infected patients was associated with a significant reduction in the intention to avoid work (OR: 0.56 CI 0.36-0.86). Amongst HCWs, physicians had a significantly reduced intention to avoid treating infected patients (OR: 0.47 CI 0.23-0.94). We also found that an increase in anxiety score was associated with a greater intention to avoid treating COVID-19 infected patients (OR: 1.06 CI 1.04-1.08).
Study results suggest that previous experience in treating COVID-19 infected patients is protective in terms of work-avoidance intentions. We also found that amongst HCWs, physicians had a significantly lower intention to avoid working with COVID-19 infected patients. Finally, our results show that increase in anxiety is associated with a higher intention to avoid treating infected patients. Characterization of factors associated with low anxiety levels and low reluctance to work during the COVID-19 pandemic could be useful in staffing facilities during the present and future healthcare crisis.
在新冠疫情期间，医护人员在医疗系统中的留用可能成为一项挑战。因此，更深入地了解哪些激励因素能够解释照顾感染患者的积极性高低就显得尤为重要。
评估调节医护人员治疗新冠感染患者意愿的因素。
在2020年4月至7月新冠疫情第一波期间，邀请加拿大魁北克的医护人员完成一项在线调查。该调查聚焦于避免治疗感染患者的意愿、治疗新冠患者的既往经历以及焦虑水平。使用描述性统计和多元回归分析来评估哪些因素能够解释医护人员避免治疗患者意愿的差异。
共有430名医护人员完成了调查。大多数为女性（87%）且是护士（50%）。其中，12%表示曾考虑采取措施避免与新冠感染患者共事，5%表示已采取行动避免与感染患者共事。另有18%表示会利用一个假设的机会避免与感染患者共事。此前治疗过感染患者与避免工作的意愿显著降低相关（比值比：0.56，置信区间0.36 - 0.86）。在医护人员中，医生避免治疗感染患者的意愿显著降低（比值比：0.47，置信区间0.23 - 0.94）。我们还发现焦虑评分的增加与避免治疗新冠感染患者的意愿增强相关（比值比：1.06，置信区间1.04 - 1.08）。
研究结果表明，既往治疗新冠感染患者的经历在避免工作的意愿方面具有保护作用。我们还发现，在医护人员中，医生避免与新冠感染患者共事的意愿显著更低。最后，我们的结果显示焦虑的增加与避免治疗感染患者的意愿更高相关。在当前及未来医疗危机期间，确定与新冠疫情期间低焦虑水平和低工作抵触情绪相关的因素，可能有助于人员配置。
