Will the community nurse continue to function during H1N1 influenza pandemic: a cross-sectional study of Hong Kong community nursesReport as inadecuate

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BMC Health Services Research

, 10:107

First Online: 30 April 2010Received: 30 October 2009Accepted: 30 April 2010DOI: 10.1186-1472-6963-10-107

Cite this article as: Wong, E.L., Wong, S.Y., Kung, K. et al. BMC Health Serv Res 2010 10: 107. doi:10.1186-1472-6963-10-107


BackgroundHealthcare workers have been identified as one of the high risk groups for being infected with influenza during influenza pandemic. Potential levels of absenteeism among healthcare workers in hospital settings are high. However, there was no study to explore the attitudes of healthcare workers in community setting towards the preparedness to the novel H1N1 influenza pandemic. The aim of this study was to explore the willingness of community nurses in Hong Kong to work during H1N1 influenza pandemic.

MethodsA cross-sectional survey was conducted among all 401 community nurses employed by the Hospital Authority in Hong Kong when the WHO pandemic alert level was 6.

ResultsThe response rate of this study was 66.6%. 76.9% participants reported being -not willing- 33.3% or -not sure- 43.6% to take care of patients during H1N1 influenza pandemic. The self-reported reasons for being unwilling to report to duty during H1N1 influenza pandemic were psychological stress 55.0% and fear of being infected H1N1 influenza 29.2%. The reported unwillingness to report to duty was marginally significantly associated with the request for further training of using infection control clinical guideline OR: 0.057; CI: 0.25-1.02. Those who reported unwillingness or not being sure about taking care of the patients during H1N1 influenza pandemic were more depressed p < 0.001 and found work more emotionally stressful p < 0.001.

ConclusionsInterventions to provide infection control training and address community nurses- psychological needs might increase their willingness to provide care to patients in the community during H1N1 influenza pandemic. This would help to ensure an effective and appropriate health system response during the H1N1 influenza pandemic.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6963-10-107 contains supplementary material, which is available to authorized users.

Eliza LY Wong, Samuel YS Wong, Kenny Kung, Annie WL Cheung, Tiffany T Gao and Sian Griffiths contributed equally to this work.

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Author: Eliza LY Wong - Samuel YS Wong - Kenny Kung - Annie WL Cheung - Tiffany T Gao - Sian Griffiths

Source: https://link.springer.com/

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