If UK healthcare services are to respond effectively to pandemic influenza, levels of absenteeism amongst healthcare workers (HCWs) must be minimised. Current estimates of the likelihood that HCWs will continue to attend work during a pandemic are subject to scientific and predictive uncertainty, yet an informed evidence base is needed if contingency plans addressing the issues of HCW absenteeism are to be prepared

Damery, Sarah

Draper, Heather

Gratus, Christine

Greenfield, Sheila

Ives, Jonathan

Parry, Jayne

Petts, Judith

Sorell, Tom

Wilson, Sue

English

PubMed

BACKGROUND: If UK healthcare services are to respond effectively to pandemic influenza, levels of absenteeism amongst healthcare workers (HCWs) must be minimised. Current estimates of the likelihood that HCWs will continue to attend work during a pandemic are subject to scientific and predictive uncertainty, yet an informed evidence base is needed if contingency plans addressing the issues of HCW absenteeism are to be prepared. METHODS: This paper reports the findings of a self-completed survey of randomly selected HCWs across three purposively sampled healthcare trusts in the West Midlands. The survey aimed to identify the factors positively or negatively associated with willingness to work during an influenza pandemic, and to evaluate the acceptability of potential interventions or changes to working practice to promote the continued presence at work of those otherwise unwilling or unable to attend. 'Likelihood' and 'persuadability' scores were calculated for each respondent according to indications of whether or not they were likely to work under different circumstances. Binary logistic regression was used to compute bivariate and multivariate odds ratios to evaluate the association of demographic variables and other respondent characteristics with the self-described likelihood of reporting to work. RESULTS: The survey response rate was 34.4% (n = 1032). Results suggest absenteeism may be as high as 85% at any point during a pandemic, with potential absence particularly concentrated amongst nursing and ancillary workers (OR 0.3; 95% CI 0.1 to 0.7 and 0.5; 95% CI 0.2 to 0.9 respectively). CONCLUSION: Levels of absenteeism amongst HCWs may be considerably higher than official estimates, with potential absence concentrated amongst certain groups of employees. Although interventions designed to minimise absenteeism should target HCWs with a low stated likelihood of working, members of these groups may also be the least receptive to such interventions. Changes to working conditions which reduce barriers to the ability to work may not address barriers linked to willingness to work, and may fail to overcome HCWs' reluctance to work in the face of what may still be deemed unacceptable risk to self and/or family

Sorell, T

University of Birmingham Research Portal

Will the NHS continue to function in an influenza pandemic? A survey of healthcare workers in the West Midlands, UK

BACKGROUND: If UK healthcare services are to respond effectively to pandemic influenza, levels of absenteeism amongst healthcare workers (HCWs) must be minimised. Current estimates of the likelihood that HCWs will continue to attend work during a pandemic are subject to scientific and predictive uncertainty, yet an informed evidence base is needed if contingency plans addressing the issues of HCW absenteeism are to be prepared.METHODS: This paper reports the findings of a self-completed survey of randomly selected HCWs across three purposively sampled healthcare trusts in the West Midlands. The survey aimed to identify the factors positively or negatively associated with willingness to work during an influenza pandemic, and to evaluate the acceptability of potential interventions or changes to working practice to promote the continued presence at work of those otherwise unwilling or unable to attend. 'Likelihood' and 'persuadability' scores were calculated for each respondent according to indications of whether or not they were likely to work under different circumstances. Binary logistic regression was used to compute bivariate and multivariate odds ratios to evaluate the association of demographic variables and other respondent characteristics with the self-described likelihood of reporting to work.RESULTS: The survey response rate was 34.4% (n = 1032). Results suggest absenteeism may be as high as 85% at any point during a pandemic, with potential absence particularly concentrated amongst nursing and ancillary workers (OR 0.3; 95% CI 0.1 to 0.7 and 0.5; 95% CI 0.2 to 0.9 respectively).CONCLUSION: Levels of absenteeism amongst HCWs may be considerably higher than official estimates, with potential absence concentrated amongst certain groups of employees. Although interventions designed to minimise absenteeism should target HCWs with a low stated likelihood of working, members of these groups may also be the least receptive to such interventions. Changes to working conditions which reduce barriers to the ability to work may not address barriers linked to willingness to work, and may fail to overcome HCWs' reluctance to work in the face of what may still be deemed unacceptable risk to self and/or family.</p

Explore Bristol Research

Will the NHS continue to function in an influenza pandemic?:A survey of healthcare workers in the West Midlands, UK

Sarah Damery

Sue Wilson

Heather Draper

Christine Gratus

Sheila Greenfield

Jonathan Ives

Jayne Parry

Judith Petts

Tom Sorell

Springer - Publisher Connector

Will the NHS continue to function in an influenza pandemic? a survey of healthcare workers in the West Midlands, UK

Background: if UK healthcare services are to respond effectively to pandemic influenza, levels of absenteeism amongst healthcare workers (HCWs) must be minimised. Current estimates of the likelihood that HCWs will continue to attend work during a pandemic are subject to scientific and predictive uncertainty, yet an informed evidence base is needed if contingency plans addressing the issues of HCW absenteeism are to be prepared.Methods: this paper reports the findings of a self-completed survey of randomly selected HCWs across three purposively sampled healthcare trusts in the West Midlands. The survey aimed to identify the factors positively or negatively associated with willingness to work during an influenza pandemic, and to evaluate the acceptability of potential interventions or changes to working practice to promote the continued presence at work of those otherwise unwilling or unable to attend. 'Likelihood' and 'persuadability' scores were calculated for each respondent according to indications of whether or not they were likely to work under different circumstances. Binary logistic regression was used to compute bivariate and multivariate odds ratios to evaluate the association of demographic variables and other respondent characteristics with the self-described likelihood of reporting to work.Results: the survey response rate was 34.4% (n = 1032). Results suggest absenteeism may be as high as 85% at any point during a pandemic, with potential absence particularly concentrated amongst nursing and ancillary workers (OR 0.3; 95% CI 0.1 to 0.7 and 0.5; 95% CI 0.2 to 0.9 respectively).Conclusion: levels of absenteeism amongst HCWs may be considerably higher than official estimates, with potential absence concentrated amongst certain groups of employees. Although interventions designed to minimise absenteeism should target HCWs with a low stated likelihood of working, members of these groups may also be the least receptive to such interventions. Changes to working conditions which reduce barriers to the ability to work may not address barriers linked to willingness to work, and may fail to overcome HCWs' reluctance to work in the face of what may still be deemed unacceptable risk to self and/or family<br/

Southampton (e-Prints Soton)

Association and Royal College of General Practitioners: Preparing for pandemic influenza, guidance for GP practice: what to do now and in a pandemic.

Cabinet Office: National Risk Register.

D: A cross-sectional study of primary-care physicians in Singapore on their concerns and preparedness for an avian influenza outbreak. Ann Acad Med Singapore

Everly GS: Local public health workers' perceptions towards responding to an influenza pandemic. BMC Public Health

Health: Pandemic flu: a national framework for responding to an influenza pandemic. Cabinet Office,

Health: Pandemic influenza: human resources guidance for the NHS.

Health: Responding to pandemic influenza: the ethical framework for policy and planning. Cabinet Office,

Health: Sickness and absence rates of NHS staff in

Influenza pandemic and professional duty: family or patients first? A survey of hospital employees.

Lim WS: Ethical planning for an influenza pandemic. Clin Med

Nurses' fears and professional obligations concerning possible human to human avian flu. Nurs Ethics

Organization: WHO Global influenza preparedness plans: the role of WHO and recommendations for national measures before and during pandemics.

Prevalence of subclinical thyroid dysfunction in the elderly in England – the Birmingham Elderly Thyroid Study (BETS): a community based crosssectional survey.

Scientific Pandemic Influenza Advisory Committee Subgroup on Modelling: Modelling summary.

SS: Healthcare workers' ability and willingness to report to duty during catastrophic disasters. J Urban Health

T: Healthcare workers attitudes towards working during pandemic influenza: a multi-method study, study protocol. BMC Public Health

Vaginal vault smears – 'know more – do less': a questionnaire survey of primary healthcare practitioners. Cytopathology

Winzenberg T: The GP's response to pandemic influenza: a qualitative study. Fam Pract

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http://wrap.warwick.ac.uk/54336/1/WRAP_Sorell_1471-2458-9-142.pdf

Will the NHS continue to function in an influenza pandemic? A survey of healthcare workers in the West Midlands, UK

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University of Birmingham Research Portal

Springer - Publisher Connector

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Explore Bristol Research

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