Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-20T00:48:36.720Z Has data issue: false hasContentIssue false

Obstetrician-Gynecologists’ Role Conflict in a Natural Disaster: Professional Versus Family Responsibilities

Published online by Cambridge University Press:  17 October 2018

Mark A. Turrentine*
Affiliation:
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX
Manju Monga
Affiliation:
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX
Laurie S. Swaim
Affiliation:
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX
*
Correspondence and reprint requests to Dr Mark Turrentine, Department of Obstetrics and Gynecology, Baylor College of Medicine, 6651 Main Street, Suite F1020, Houston, TX 77030 (e-mail: [email protected]).

Abstract

Objective

The purpose of this study was to evaluate role conflict between professional and familial responsibilities among obstetric health care providers during a natural disaster between those required to stay in the hospital versus those who were at home during a catastrophic weather event.

Methods

A survey was used of obstetric attending and resident physicians in the Baylor College of Medicine, Department of Obstetrics and Gynecology following Hurricane Harvey on August 26, 2017.

Results

Ninety one of 103 physicians (88%) completed the survey. Survey responses were compared between physicians who worked in the hospital (n = 47) versus those who were at home (n = 44) during the storm and its immediate aftermath. Physicians in the hospital and at home agreed (47% and 48%, respectively, P = 0.94) that professional duties conflicted with family obligations and felt torn (49% and 55%, respectively, P = 0.48) regarding family obligations. A majority of homebound health care providers disagreed with the statement that professional duties override family responsibilities, whereas less than half of in-hospital providers felt the same (68% at-home versus 47% of the hospital-team, P = 0.10).

Conclusion

As organizations prepare for possible catastrophic situations, institutions must realize that obstetric health care providers will experience role conflict between professional and family responsibilities. (Disaster Med Public Health Preparedness. 2019;13:33–37)

Type
Original Research
Copyright
Copyright © 2018 Society for Disaster Medicine and Public Health, Inc. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Getzels, JW, Guba, EC. Role, role conflict, and effectiveness: an empirical study. Am Soc Rev. 1954;19(2):164-175.Google Scholar
2. French, ED, Sole, ML, Byers, JF. A comparison of nurses’ needs/concerns and hospital disaster plans following Florida’s Hurricane Floyd. J Emerg Nurs. 2002;28:111-117.Google Scholar
3. Adams, T, Turner, M. Professional responsibilities versus familial responsibilities: an examination of role conflict among first responders during Hurricane Katrina disaster. J Emerg Manag. 2014;12:45-54.Google Scholar
4. Connor, SB. When and why health care personnel respond to a disaster: the state of the science. Prehosp Disaster Med. 2014;29(3):270-274.Google Scholar
5. Snipes, C, Miramonti, C, Chisholm, C, Chisholm, R. Reporting for duty during mass casualty events: a survey of factors influencing emergency medicine physicians. J Grad Med Educ 2013;5(3):417-426.Google Scholar
6. Science On a Sphere. Hurricane Harvey: clouds with precipitation. 2017. National Oceanic and Atmospheric Administration, U.S. Department of Commerce website. https://www.sos. noaa.gov/datasets/hurricane-harvey-clouds-with-precipitation-2017. Accessed September 3, 2017.Google Scholar
7. Centers for Disease Control and Prevention. Surveillance for illness and injury after Hurricane Katrina – three counties, Mississippi. September 5-October 11, 2005. MMWR Morb Mortal Wkly Rep. 2006;55(9):231-234.Google Scholar
8. Arbon, P, Cusack, L, Ranse, J, et al. Exploring staff willingness to attend work during disaster: a study of nurses employed in four Australian emergency departments. Australas Emerg Nurs J. 2103;16:103-109.Google Scholar
9. Arbon, P, Ranse, J, Cusack, L, et al. Australasian emergency nurses’ willingness to attend work in a disaster: a survey. Australas Emerg Nurs J. 2013;16:52-57.Google Scholar
10. Harris, PA, Taylor, R, Thielke, R, et al. Research Electronic Data Capture (REDCap) – a metadata-driven methodology and workflow process for providing translational research information support. J Biomed Inform. 2009;42:377-381.Google Scholar
11. Giarratano, G, Orlando, S, Savage, J. Perinatal nursing in uncertain times: the Katrina effect. MCN Am J Matern Child Nurs. 2008;33(4):249-257.Google Scholar
12. Qureshi, K, Gershon, RRM, Sherman, MF, et al. Health care workers’ ability and willingness to report to duty during catastrophic disasters. J Urban Health. 2005;82(3):378-388.Google Scholar
13. Davidson, JE, Sekayan, A, Agan, D, et al. Disaster dilemma: factors affecting decision to come to work during a natural disaster. Adv Emerg Nurs J. 2009;31(3):248-257.Google Scholar
14. Hospital disaster preparedness of obstetricians and facilities providing maternity care. Committee Opinion No. 726. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2017;130:e291-e297.Google Scholar