Will you work during a Pandemic? - page 27
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Oct 21, '08I am fairly sure I would. It is my ethical decision, for me. I am fairly old and would not worry about too much. I am not trying to die, but I would rather die trying than sitting on the sidelines.
I believe we need to keep younger nurses able to pick up after so do not have any negative feelings towards people who are declining to work.
Oct 21, '08The government orders all nurses to work and there's not adequate PPE? In that circumstance I would give up my nursing license forever. If I wanted a really dangerous job I would work in a really dangerous place. But I don't. My family is where my priorities are.
Oct 21, '08I don't have children and my answer is still no. My profession is to care for people, not die for them.Last edit by Farmer Jane on Oct 21, '08
Nov 13, '08Reference to HCW study in Maryland regarding working during a pandemic.
Another study out of Johns Hopkins found that nearly half of the public health employees in Maryland said they would stay away from work rather than risk exposing their families to the virus. Physicians and nurses were more likely to show up than support personnel. Clerical and some technical personnel were less likely to work, chiefly because of their perception of the value of their own roles.
Two-thirds of the public health workers in that study said their role is not important in combating a pandemic, and thus, they were less likely to show up.
The new study emphasizes that if essential workers fail to come through, the entire structure of any society will begin to unravel. And thus, the aftermath of the epidemic could claim more lives than the virus.. . .
Nov 13, '08Quote from Farmer JaneGreat post! Short and sweet..Gets my goat when people think just because someone doesn't have a family(a traditional one, anyway) that they should be willing to martyr themselves.I don't have children and my answer is still no. My profession is to care for people, not die for them.
Just watched a program I got off of Itunes the other night. It was made by the National Geographic people.It showed just how fast this virus will spread. If the pandemic hits, no way the government will be ready. And we've all seen just how much the government and administrators care about those who will be on the front lines of this thing.
I'll be home, taking care of my family and friends and anyone else in my neighborhood who may need help.
Nov 14, '08[quote=WitchyRN;3246180] Just watched a program I got off of Itunes the other night. It was made by the National Geographic people.It showed just how fast this virus will spread. If the pandemic hits, no way the government will be ready. And we've all seen just how much the government and administrators care about those who will be on the front lines of this thing. quote]
I don't know if they've revised their timelines since I read about it, but based on modern popuation densities and travel patterns, the US government has modeled a flu pandemic as going global in 21 days, while the UK government estimates 2-4 weeks from a first hypothetical patient appearing in Hong Kong to the virus arriving in Britain. Take into account that there will probably be time lost while tests are done on the first infected individuals and maybe some sort of news blackout to prevent panic until it becomes impossible to hide. All things considered, it seems we won't have a lot of forewarning before it appears in our neighborhoods.
Nov 15, '08It's encouraging to see almost half of those polled would continue to work during a pandemic. Of course, with the health field working at half it's capacity, the government would be forced to decide who gets the limited resources available. I suppose first responders, police, military, healthcare, and infrastructure (water, power, etc) would get priority over the general population. The collapse of any one of those would lead to even greater losses. Imagine your home without electricity or water or sewer. It would quickly cease to be a refuge.
The patients who take up our typical day today would still appear; ob, emergency general surgeries, accident victims, etc. If the prognosis for pandemic flu is so dire, it would be better to treat those who are more likely to benefit from treatment. In other words, perhaps we wouldn't be treating flu victims in hospital settings. That would be a tough decision and I hope we never see it in our lifetime. But it's something I bet different governments around the world have considered in making their plans.
Feb 12, '09Healthcare worker's attitudes to working during pandemic influenza: a
BMC Public Health 2009, 9:56 doi:10.1186/1471-2458-9-56
Healthcare workers (HCWs) will play a key role in any response to pandemic
influenza, and the UK healthcare system's ability to cope during an influenza
pandemic will depend, to a large extent, on the number of HCWs who are able and
willing to work through the crisis. UK emergency planning will be improved if
planners have a better understanding of the reasons UK HCWs may have for their
absenteeism, and what might motivate them to work during an influenza pandemic.
This paper reports the results of a qualitative study that explored UK HCWs' views
(n=64) about working during an influenza pandemic, in order to identify factors that
might influence their willingness and ability to work and to identify potential sources
of any perceived duty on HCWs to work.
A qualitative study, using focus groups (n=9) and interviews (n=5).
HCWs across a range of roles and grades tended to feel motivated by a sense of
obligation to work through an influenza pandemic. A number of significant barriers
that may prevent them from doing so were also identified. Perceived barriers to the
ability to work included being ill oneself, transport difficulties, and childcare
responsibilities. Perceived barriers to the willingness to work included: prioritising
the wellbeing of family members; a lack of trust in, and goodwill towards, the NHS; a
lack of information about the risks and what is expected of them during the crisis;
fear of litigation; and the feeling that employers do not take the needs of staff
seriously. Barriers to ability and barriers to willingness, however, are difficult to
Although our participants tended to feel a general obligation to work during an
influenza pandemic, there are barriers to working, which, if generalisable, may
significantly reduce the NHS workforce during a pandemic. The barriers identified
are both barriers to willingness and to ability. This suggests that pandemic planning
needs to take into account the possibility that staff may be absent for reasons
beyond those currently anticipated in UK planning documents. In particular, staff
who are physically able to attend work may nonetheless be unwilling to do so.
Although there are some barriers that cannot be mitigated by employers (such as
illness, transport infrastructure etc.), there are a number of remedial steps that can
be taken to lesson the impact of others (providing accommodation, building
reciprocity, provision of information and guidance etc). We suggest that barriers to
working lie along an ability/willingness continuum, and that absenteeism may be
reduced by taking steps to prevent barriers to willingness becoming perceived
barriers to ability.
full article here: http://www.biomedcentral.com/content...-2458-9-56.pdf
Feb 12, '09Thanks for the article, Al. More food for thought, and it's not just here in the US that staffing may be a problem.
Feb 12, '09Thanks for the article, Al. Interesting to know that our foreign counterparts have the same misgivings and problems that we contemplate here.
Feb 12, '09i have two preschool aged children. they come first. period. with full hazmat suit and decon room? maybe. but with h5n1 having an over 50% mortality rate? i doubt it. not with children at home.
Quote from gojuadmin note: please note, we just added the poll to this thread (4-25-08), so please take a second and vote in the poll so we can get a graphical idea the responses. thanks
h5n1 (the bird flu) mutates to become efficient at transmitting human to human causing a pandemic, with a case fatality rate of 60% and with 80% of the cases in the 0-40 year old age range.
hospitals will be quickly overrun. hospital staff shortages are 50%. the government orders all nurses to work. there is not enough personal protection equipment (n95 masks, gloves, goggles, tamiflu, vax, etc)
home quarantines become common (in the fed plans).
your family is also quarantined in your home. you are running out of food and the government promises you will be "taken care of" if you report to work.
will you go?
Feb 13, '09I would feel badly about not going to work because there are usual illnesses being admitted as well. However, I definitely would not allow government officials to sit in safe, clean office buildings and order me to work (or to my death).