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Healthcare Worker Ability and Willingness to Work During 医护人员能力和意愿来工作期间
November 2006 Healthcare Worker Ability and Willingness to Work During Pandemic Flu Risk perception and attitudes (intended audience: managers) Acknowledgements These training materials were developed by Kay Koelemay, MD and Jeffrey Duchin, MD Public Health – Seattle King County with support from the University of Washington and The National Institutes of Health Region X Center of Excellence for Biodefense and Emerging Infectious Diseases Lessons Learned from SARS Transmission of SARS to healthcare workers was associated with: lack of infection control precautions inconsistent use of PPE having 2 hours of infection control training procedures → aerosolized particles without required use of fit-tested N-95 equivalent job as non-medical support staff Readiness Training Is Essential Infection control training Facts Procedures Protocols Practice Essential to include all healthcare personnel Tailored to occupational group Knowledge of preventive measures should not be assumed in any group Nurses: Conflicted Highest score in knowledge of preventive measures Highest “avoidance of patient” “I shouldn’t be caring for patients with SARS” Higher in younger nurses than in older nurses Highest level of fear (~61%) Job change/resignation considered in 34% “The most frequently cited reason for employees’ unwillingness to report to duty during a disaster was fear and concern for the safety of their families and themselves.” Qureshi K, Gershon RRM, Sherman MF et al. Health care workers’ ability and willingness to report to duty during catastrophic disasters. Journal of Urban Health: Bulletin of the New York Academy of Medicine. 2005; 82 (3): 378-88. Concern for Personal or Family Health Factors associated with increased level Perception of greater risk of death from SARS Living with children Lifestyle affected by the SARS outbreak Being treated differently because a HCW Factors associated with decreased level Management or supervisory position Belief in precautionary
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