Factors Influencing Health Care Workers’ Willingness to Respond to Duty during Infectious Disease Outbreaks and Bioterrorist Events: An Integrative Review

Eleanor J Murray; Matthew Mason; Vanessa Sparke; Peta-Anne Zimmerman

doi:10.1017/S1049023X21000248

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Factors Influencing Health Care Workers’ Willingness to Respond to Duty during Infectious Disease Outbreaks and Bioterrorist Events: An Integrative Review

Journal article

Open access

Peer reviewed

Factors Influencing Health Care Workers’ Willingness to Respond to Duty during Infectious Disease Outbreaks and Bioterrorist Events: An Integrative Review

Eleanor J Murray, Matthew Mason, Vanessa Sparke and Peta-Anne Zimmerman

Prehospital and Disaster Medicine, Vol.36(3), pp.321-337

2021

DOI: https://doi.org/10.1017/S1049023X21000248

PMCID: PMC7948100

PMID: 33618789

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Abstract

bioterrorism

health care workers

infectious disease emergency

infectious disease outbreak

willingness to respond

coronavirus disease 2019

Emergency Medical Services

emergency medical technician

health care worker

Middle Eastern Respiratory Syndrome

Mixed Methods Assessment Tool

nongovernment organization

personal protective equipment

Preferred Reporting Items for Systematic Reviews and Meta-Analysis

Severe Acute Respiratory Syndrome

Background: Infectious disease emergencies are increasingly becoming part of the health care delivery landscape, having implications to not only individuals and the public, but also on those expected to respond to these emergencies. Health care workers (HCWs) are perhaps the most important asset in an infectious disease emergency, yet these individuals have their own barriers and facilitators to them being willing or able to respond. Aim: The purpose of this review was to identify factors affecting HCW willingness to respond (WTR) to duty during infectious disease outbreaks and/or bioterrorist events. Methods: An integrative literature review methodology was utilized to conduct a structured search of the literature including CINAHL, Medline, Embase, and PubMed databases using key terms and phrases. PRISMA guidelines were used to report the search outcomes and all eligible literature was screened with those included in the final review collated and appraised using a quality assessment tool. Results: A total of 149 papers were identified from the database search. Forty papers were relevant following screening, which highlighted facilitators of WTR to include: availability of personal protective equipment (PPE)/vaccine, level of training, professional ethics, family and personal safety, and worker support systems. A number of barriers were reported to prevent WTR for HCWs, such as: concern and perceived risk, interpersonal factors, job-level factors, and outbreak characteristics. Conclusions: By comprehensively identifying the facilitators and barriers to HCWs’ WTR during infectious disease outbreaks and/or bioterrorist events, strategies can be identified and implemented to improve WTR and thus improve HCW and public safety.

Details

Title: Factors Influencing Health Care Workers’ Willingness to Respond to Duty during Infectious Disease Outbreaks and Bioterrorist Events: An Integrative Review
Authors: Eleanor J Murray (Author) - Boston University
Matthew Mason (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
Vanessa Sparke (Author) - James Cook University
Peta-Anne Zimmerman (Corresponding Author) - Griffith University
Publication details: Prehospital and Disaster Medicine, Vol.36(3), pp.321-337
Publisher: Cambridge University Press
Date published: 2021
DOI: 10.1017/S1049023X21000248
ISSN: 1945-1938
PMID: 33618789; PMC7948100
Copyright note: © The Author(s), 2021. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine. This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (http://creativecommons.org/licenses/by-nc-sa/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is included and the original work is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use.
Organisation Unit: Australian Centre for Pacific Islands Research; School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99511306402621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Emergency Medicine

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