Healthcare workers’ willingness to work during an influenza pandemic
Citation: Aoyagi Y, Beck CR, Dingwall R, et al. Healthcare workers’ willingness to work during an influenza pandemic: a systematic review and meta-analysis. Influenza and Other Respiratory Viruses 2015; 9(3): 120–30
What is this? COVID-19 is placing a great strain on healthcare workers. Previous research has examined how their willingness to work is affected during an influenza pandemic and might suggest points of intervention to increase willingness to work during the COVID-19 pandemic.
In this systematic review, the authors searched for cross-sectional surveys of healthcare workers’ willingness to work during an influenza pandemic. They did not restrict their search by date of publication but did limit to articles published in English. They did their search up to April 2013. They identified 43 studies from 11 countries (including 21 studies from the USA).
What was found: On average, healthcare workers’ willingness to work during an influenza pandemic was moderately high but widely variable (range: 23% to 96%).
Factors significantly associated with higher willingness to work during an influenza pandemic were being male, being a physician or nurse, full-time employment, perceived personal safety, awareness of pandemic risk and clinical knowledge of influenza pandemics, role-specific knowledge, pandemic response training, and confidence in personal skills.
Childcare obligations were significantly associated with decreased willingness to work during an influenza pandemic.
What’s uncertain: Estimates for willingness to work were highly variable and depended on context. There was inconsistency in how respondents in the studies included in the review were asked about their willingness to work.
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