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When and Why Health Care Personnel Respond to a Disaster: The State of the Science

Published online by Cambridge University Press:  02 May 2014

Susan B. Connor
Susan B. Connor*
Affiliation:
1919 Minnesota Ave #3, Duluth, MN 55802 USA
*
Correspondence: Susan B. Connor, PhD, MSN, RN 1919 Minnesota Ave #3 Duluth, MN 55802 USA E-mail [email protected]
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Abstract

Objective

Emergency response relies on the assumption that essential health care services will continue to operate and be available to provide quality patient care during and after a patient surge. The observed successes and failures of health care systems during recent mass-casualty events and the concern that these assumptions are not evidence based prompted this review.

Method

The aims of this systematic review were to explore the factors associated with the intention of health care personnel (HCP) to respond to uncommon events, such as a natural disaster or pandemic, determine the state of the science, and bolster evidence-based measures that have been shown to facilitate staff response.

Results

Authors of the 70 studies (five mixed-methods, 49 quantitative, 16 qualitative) that met inclusion criteria reported a variety of variables that influenced the intent of HCP to respond. Current evidence suggests that four primary factors emerged as either facilitating or hindering the willingness of HCP to respond to an event: (1) the nature of the event; (2) competing obligations; (3) the work environment and climate; and (4) the relationship between knowledge and perceptions of efficacy.

Conclusions

Findings of this study could influence and strengthen policy making by emergency response planners, staffing coordinators, health educators, and health system administrators.

ConnorSB . When and Why Health Care Personnel Respond to a Disaster: The State of the Science. Prehosp Disaster Med. 2014;29(3):1-5.

Keywords

disaster responsehealth care personnelpandemicpatient surgewillingness/intention
Type
Comprehensive Review
Information
Prehospital and Disaster Medicine , Volume 29 , Issue 3 , June 2014 , pp. 270 - 274
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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References

1. Guha-Sapir, D, Hargitt, D, Hoyois, P. Thirty years of natural disasters 1974-2003: the numbers. Natural News 2004. http://www.emdat.be/old/Documents/Publications/publication_2004_emdat.pdf. Accessed April 26, 2013.Google Scholar
2. Gutierrez, D. Natural disasters up more than 400 percent in two decades. Natural News 2008. http:// www.naturalnews.com/023362_natural_disasters_floods.html. Accessed April 26, 2013.Google Scholar
3. Miller, P. Weather gone wild. Natl Georg. 2012;222:30-55.Google Scholar
4. RAND. The public health system a decade after 9/11: key success and continuing challenges. RAND. http://www.rand.org/pubs/research_briefs /RB9608.html. Accessed February 12, 2013.Google Scholar
5. Chaffee, M. Willingness of health care personnel to work in a disaster: an integrative review of the literature. Disaster Med Public Health Prep. 2009;3(1):42-56.Google Scholar
6. Gershon, RR, Magda, LA, Qureshi, KA, et al. Factors associated with the ability and willingness of essential workers to report to duty during a pandemic. J Occup Environ Med. 2010;52(10):995-1003.Google Scholar
7. Shapira, Y, Marganitt, B, Roziner, I, Shochet, T, Bar, Y, Shemer, J. Willingness of staff to report to their hospital duties following an unconventional missile attack: a state-wide survey. Isr J Med Sci. 1991;27:704-711.Google ScholarPubMed
8. Smith, E. Emergency health care workers’ willingness to work during major emergencies and disasters. Aust J Emerg Man. 2007;22(2):21-24.Google Scholar
9. Wong, TY, Koh, GCH, Cheong, SK, et al. A cross-sectional study of primary-care physicians in Singapore on their concerns and preparedness for an avian influenza outbreak. Ann Acad Med Singapore. 2008;37(6):458-464.Google Scholar
10. Qureshi, K, Gershon, RR, 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
11. United States Department of Health and Human Services (USDHHS). Definition of Health Care Personnel (HCP), March 2008. USDHHS. http://www.hhs.gov/ash/initiatives/vacctoolkit/definition.html. Accessed March 4, 2011.Google Scholar
12. Why define disaster? Federal Emergency Management Agency (FEMA). http://training.fema.gov. Accessed March 6, 2011.Google Scholar
13. Definition of a disaster. University of Pittsburg. http://www.pitt.edu/~epi2170/lecture15/sld007.htm. Accessed March 14, 2011.Google Scholar
14. French, ED, Sole, ML, Byers, JF. A comparison of nurses’ needs/concerns and hospital disaster plans following Florida's Hurricane Floyd. J Emerg Nur. 2002;28(2):111-117.Google Scholar
15. Lanzilotti, SS, Galanis, D, Leoni, N, Craig, B. Hawaii medical professionals assessment. Hawaii Med J. 2002;61(8):162-173.Google Scholar
16. Smith, E, Morgans, A, Qureshi, K, Burkle, F, Archer, F. Paramedics’ perceptions of risk and willingness to work during disasters. Aust J Emerg Man. 2009;24(3):21-27.Google Scholar
17. Smith, E, Burkle, FM Jr., Archer, FL. Fear, familiarity, and the perception of risk: a quantitative analysis of disaster-specific concerns of paramedics. Disaster Med Public Health Prep. 2011;5(1):46-53.Google Scholar
18. Cone, DC, Cummings, GA. Hospital disaster staffing: if you call, will they come? Am J Disaster Med. 2006;1(1):28-36.Google Scholar
19. Dimaggio, C, Markenson, D, T Loo, G, Redlener, I. The willingness of U.S. Emergency Medical Technicians to respond to terrorist incidents. Biosecur Bioterror. 2005;3(4):331-337.Google Scholar
20. Masterson, L, Steffen, C, Brin, M, Kordick, MF, Christos, S. Willingness to respond: of emergency department personnel and their predicted participation in mass casualty terrorist events. J Emerg Med. 2009;36(1):43-49.Google Scholar
21. Alexander, GC, Wynia, MK. Ready and willing? Physicians’ sense of preparedness for bioterrorism. Health Aff. 2003;22:189-197.Google Scholar
22. Balicer, RD, Thompson, CB, Hsu, EB, et al. Characterizing hospital workers’ willingness to report to duty in an influenza pandemic through threat-and efficacy-based assessment. BMC Pubic Health. 2010;10(1):436-446.Google Scholar
23. Basta, NE, Edwards, SE, Schulte, J. Assessing public health department employees’ willingness to report to work during an influenza pandemic. J Public Health Man. 2009;15(5):375-383.Google Scholar
24. Irvin, CB, Cindrich, L, Patterson, W, Slouthall, A. Survey of hospital healthcare personnel response during a potential avian influenza pandemic: will they come to work? Prehosp Disaster Med. 2008;23(4):328-335.Google Scholar
25. Ma, X, He, Z, Wang, Y, et al. Knowledge and attitudes of healthcare workers in Chinese intensive care units regarding 2009 H1N1 influenza pandemic. BMC Infect Dis. 2011;11(1):24-31.Google Scholar
26. Wong, EL, Wong, SY, Kung, K, Cheung, AW, Gao, TT, Griffiths, S. Will the community nurse continue to function during H1N1 influenza pandemic: a cross-sectional study of Hong Kong community nurses? BMC Health Serv Res. 2010;10:107.Google Scholar
27. Daugherty, EL, Perl, TM, Rubinson, L, Bilderback, A, Rand, CS. Survey study of the knowledge, attitudes, and expected behaviors of critical care clinicians regarding an influenza pandemic. Infect Control Hosp Epidemiol. 2009;30(12):1143-1149.CrossRefGoogle ScholarPubMed
28. Barnett, DJ, Thompson, CB, Storey, JD, et al. Assessment of local public health workers willingness to respond to pandemic influenza through application of the extended parallel process model. PLoS ONE. 2009;4(7):e6365.Google Scholar
29. Cowan, AE, Ching, PL, Clark, SJ, Kemper, AR. Willingness of private physicians to be involved in smallpox preparedness and response activities. Biosecur Bioterror. 2005;3(1):16-22.Google Scholar
30. O'Boyle, C, Robertson, C, Secor-Turner, M. Nurses’ beliefs about public health emergencies: fear of abandonment. Am J Infect Control. 2006;34(6):351-357.Google Scholar
31. Tam, DK, Lee, S, Lee, SS. Impact of SARS on avian influenza preparedness in healthcare workers. Infection. 2007;35(5):320-325.Google Scholar
32. Chong, MY, Wang, WC, Hsieh, WC, et al. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. Brit J Psychiat. 2004;185:127-133.Google Scholar
33. Koh, D, Lim, MK, Chia, SE, et al. Risk perception and impact of severe acute respiratory syndrome (SARS) on work and personal lives of healthcare workers in Singapore: what can we learn? Med Care. 2005;43(7):676-682.Google Scholar
34. Tzeng, HM, Yin, CY. A crisis: fear toward a possible H5N1 pandemic. J Nurs Care Qual. 2008;23(2):177-183.Google Scholar
35. Bensimon, CM, Tracy, CS, Bernstein, M, Shaul, RZ, Upshur, RE. A qualitative study of the duty to care in communicable disease outbreaks. Soc Sci Med. 2007;65(12):2566-2575.Google Scholar
36. Davidson, JE, Sekayan, A, Agan, D, Good, L, Shaw, D, Smilde, R. Disaster dilemma: factors affecting decision to come to work during a natural disaster. Adv Emerg Nurs J. 2009;31(3):248-257.Google Scholar
37. Mitani, S, Kuboyama, K, Shirakawa, T. Nursing in sudden-onset disasters: factors and information that affect participation. Prehosp Disaster Med. 2003;18(4):359-366.Google Scholar
38. Smith, E. Willingness to work during a terrorist attack: a case-study of first responders during the 9/11 World Trade Centre terrorist attacks. J Emerg Primary Health Care. 2008;6(1):1-11.Google Scholar
39. Barnett, DJ, Levine, R, Thompson, CB, et al. Gauging US emergency medical services workers’ willingness to respond to pandemic influenza using a threat-and efficacy-based assessment framework. PLoS ONE. 2010;5(3):e9856.Google Scholar
40. Damery, S, Draper, H, Wilson, S, et al. Healthcare workers’ perceptions of the duty to work during an influenza pandemic. J Med Ethics. 2010;36(1):12-18.Google Scholar
41. DeSimone, CL. Response of public health workers to various emergencies. Workplace Health Saf. 2009;57(1):17-23.Google Scholar
42. Garrett, AL, Park, YS, Redlener, I. Mitigating absenteeism in hospital workers during a pandemic. Disaster Med Public Health Prep. 2009;3(Suppl 2):S141-S147.Google Scholar
43. Grimes, DE, Mendias, EP. Nurses’ intentions to respond to bioterrorism and other infectious disease emergencies. Nurs Outlook. 2010;58(1):10-16.Google Scholar
44. Imai, H, Matsuishi, K, Ito, A, et al. Factors that reduce the conflicts of health professionals about working during a public crisis: a cross sectional study of motivation and hesitation of hospital workers in Japan during the pandemic (H1N1) 2009. BMC Public Health. 2010;10(1):672-680.CrossRefGoogle ScholarPubMed
45. Mackler, N, Wilkerson, W, Cinti, S. Will first-responders show up for work during a pandemic? Lessons from a smallpox vaccination survey of paramedics. Disaster Manag Response. 2007;5(2):45-48.Google Scholar
46. Martin, SD. Nurses’ ability and willingness to work during pandemic flu. J Nurs Manag. 2011;19(1):98-108.Google Scholar
47. Scott, TE, Bansal, S, Mascarenhas, AK. Willingness of New England dental professionals to provide assistance during a bioterrorism event. Biosecur Bioterror. 2008;6(3):253-260.Google Scholar
48. Shaw, KA, Chilcott, A, Hansen, E, Winzenberg, T. The GP's response to pandemic influenza: a qualitative study. Fam Pract. 2006;23(3):267-272.CrossRefGoogle ScholarPubMed
49. Tippett, VC, Watt, K, Raven, SG, et al. Anticipated behaviours of emergency prehospital medical care providers during an influenza pandemic. Prehosp Disaster Med. 2010;25(1):20-25.Google Scholar
50. 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
51. Hunt, M. Moral experience of Canadian health care professionals in humanitarian work. Prehosp Disaster Med. 2009;24(6):518-524.CrossRefGoogle ScholarPubMed
52. Qureshi, K, Gershon, RR, Conde, F. Factors that influence medical reserve corps recruitment. Prehosp Disaster Med. 2008;23(3):s27-s34.Google Scholar
53. Chiang, HH, Chen, MB, Sue, IL. Self-state of nurses in caring for SARS survivors. Nurs Ethics. 2007;14(1):18-26.Google Scholar
54. Straus, SE, Wilson, K, Rambaldini, G, et al. Severe acute respiratory syndrome and its impact on professionalism: qualitative study of physicians’ behaviour during an emerging healthcare crisis. BMJ. 2004;329(7457):83.CrossRefGoogle ScholarPubMed
55. Ehrenstein, BP, Hanses, F, Salzberger, B. Influenza pandemic and professional duty: family or patients first? A survey of hospital employees. BMC Public Health. 2006;6:311.Google Scholar
56. Shabanowitz, RB, Reardon, JE. Avian flu pandemic—flight of the healthcare worker? HEC Forum. 2009;21(4):365-385.Google Scholar
57. Ives, J, Greenfield, S, Parry, JM, et al. Healthcare workers’ attitudes to working during pandemic influenza: a qualitative study. BMC Public Health. 2009;9:56.Google Scholar
58. Becker, SM, Middleton, SA. Improving hospital preparedness for radiological terrorism: perspectives from emergency department physicians and nurses. Disaster Med Public Health Prep. 2008;2(3):174-184.CrossRefGoogle ScholarPubMed
59. Chokshi, NK, Behar, S, Nager, AL, Dorey, F, Upperman, JS. Disaster management among pediatric surgeons. Am J Disaster Med. 2008;3(1):5-14.Google Scholar
60. Goodhue, CJ, Burke, RV, Ferrer, RR, Chokshi, NK, Dorey, F, Upperman, JS. Willingness to respond in a disaster: a pediatric nurse practitioner national survey. J Pediatr Health Car. 2011;26(4):7-20.Google Scholar
61. Griffiths, R, Emrys, E, Finney Lamb, C, Eagar, S, Smith, M. Operation Safe Haven: the needs of nurses caring for refugees. Int J Nurs Pract. 2003;9(3):183-190.Google Scholar
62. Gullion, JS. School nurses as volunteers in a bioterrorism event. Biosecur Bioterror. 2004;2(2):112-117.Google Scholar
63. Tolomiczenko, GS, Kahan, M, Ricci, M, et al. SARS: coping with the impact at a community hospital. J Adv Nurs. 2005;50(1):101-110.Google Scholar
64. Katz, AR, Nekorchuk, DM, Holck, PS, Hendrickson, LA, Imrie, AA, Effler, PV. Dentists’ preparedness for responding to bioterrorism: a survey of Hawaii dentists. J Am Dent Assoc. 2006;137(4):461-467.Google Scholar
65. Katz, AR, Nekorchuk, DM, Holck, PS, Hendrickson, LA, Imrie, AA, Effler, PV. Bioterrorism preparedness survey of Hawaii mental health professionals. Int J Ment Health. 2006;35(1):12-25.Google Scholar
66. Ko, NY, Feng, MC, Chiu, DY, Wu, MH, Feng, JY, Pan, SM. Applying theory of planned behavior to predict nurses’ intention and volunteering to care for SARS patients in southern Taiwan. Kaohsiung J Med Sci. 2004;20(8):389-398.Google Scholar
67. Watt, K, Tippett, VC, Raven, SG, et al. Attitudes to living and working in pandemic conditions among emergency prehospital medical care personnel. Prehosp Disaster Med. 2010;25(1):13-19.Google Scholar
68. Katz, AR, Nekorchuk, DM, Holck, PS, Hendrickson, LA, Imrie, AA, Effler, PV. Hawaii veterinarians’ bioterrorism preparedness needs assessment survey. J Vet Med Educ. 2006;33(4):612-617.Google Scholar
69. Hogg, W, Huston, P, Martin, C, Soto, E. Enhancing public health response to respiratory epidemics: are family physicians ready and willing to help? Can Fam Physician. 2006;52(10):1254-1260.Google Scholar
70. Katz, AR, Nekorchuk, DM, Holck, PS, Hendrickson, LA, Imrie, AA, Effler, PV. Hawaii physician and nurse bioterrorism preparedness survey. Prehosp Disaster Med. 2006;21(6):404-413.Google Scholar
71. Qureshi, K, Merrill, JA, Gershon, RR, Calero-Breckheimer, A. Emergency preparedness training for public health nurses: a pilot study. J Urban Health. 2002;79(3):413-416.CrossRefGoogle ScholarPubMed
72. Rincon, E, Linares, MY, Greenberg, B. Effect of previous experience of a hurricane on preparedness for future hurricanes. Am J Emerg Med. 2001;19(4):276-279.Google Scholar
73. Seale, H, Leask, J, Po, K, MacIntyre, CR. “Will they just pack up and leave?” Attitudes and intended behaviour of hospital health care workers during an influenza pandemic. BMC Health Serv Res. 2009;9:30-38.Google Scholar
74. Syrett, JI, Benitez, JG, Livingston, WH 3rd, Davis, EA. Will emergency health care providers respond to mass casualty incidents? Prehosp Emerg Care. 2007;11(1):49-54.Google Scholar
75. Wright, DJ. Perceived barriers of non-U.S. healthcare providers to responding during mass casualty incidents. Am J Disaster Med. 2009;4(6):345-351.Google Scholar
76. Balicer, RD, Omer, SB, Barnett, DJ, Everly, GS Jr. Survey of local public health workers’ perceptions toward responding to an influenza pandemic. J Healthc Prot Manag. 2006;22(2):1-14.Google Scholar
77. Gershon, RRM, Qureshi, KA, Stone, PW, et al. Home health care challenges and avian influenza. Home Health Care Manag Pract. 2007;20(1):58-69.Google Scholar
78. Yang, YN, Xiao, LD, Cheng, HY, Zhu, JC, Arbon, P. Chinese nurses’ experience in the Wenchuan earthquake relief. Int Nurs Rev. 2010;57(2):217-223.Google Scholar