Emergency Medical Services Personnel's Pandemic Influenza Training Received and Willingness to Work during a Future Pandemic

Emergency Medical Services Personnel's Pandemic Influenza Training Received and Willingness to Work during a Future Pandemic

Objective: Identify determinants of emergency medical service (EMS) personnel's willingness to work during an influenza pandemic. Background: Little is known about the willingness of EMS personnel to work during a future influenza pandemic or the extent to which they are receiving pandemic trai...

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Bibliographic Details
Published in:Prehospital emergency care Vol. 24; no. 5; pp. 601 - 609
Main Authors: Rebmann, T., Charney, R. L., Loux, T. M., Turner, J. A., Abbyad, Y. S., Silvestros, M.
Format: Journal Article
Language:English
Published: England Taylor & Francis 02-09-2020
Subjects:
Adolescent
Adult
Attitude of Health Personnel
Cross-Sectional Studies
disaster
emergency management
Emergency Medical Services
Female
Health Personnel - education
Humans
Influenza, Human - epidemiology
Male
medical countermeasures
Middle Aged
pandemic
Pandemics
prehospital
surge capacity
Young Adult
medical countermeasures
surge capacity
prehospital
pandemic
emergency management
disaster
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Summary:Objective: Identify determinants of emergency medical service (EMS) personnel's willingness to work during an influenza pandemic. Background: Little is known about the willingness of EMS personnel to work during a future influenza pandemic or the extent to which they are receiving pandemic training. Methods: EMS personnel were surveyed in July 2018 - Feb 2019 using a cross-sectional approach; the survey was available both electronically and on paper. Participants were provided a pandemic scenario and asked about their willingness to respond if requested or required; additional questions assessed their attitudes and beliefs and training received. Chi-square tests assessed differences in attitude/belief questions by willingness to work. Logistic regressions were used to identify significant predictors of response willingness when requested or required, controlling for gender and race. Results: 433 individuals completed the survey (response rate = 82.9%). A quarter (26.8%, n = 116) received no pandemic training; 14.3% (n = 62) participated in a pandemic exercise. Significantly more EMS personnel were willing to work when required versus when only requested (88.2% vs 76.9%, X 2 = 164.1, p < .001). Predictors of willingness to work when requested included believing it is their responsibility to work, believing their coworkers were likely to work, receiving prophylaxis for themselves and their family members, and feeling safe working during a pandemic. Discussion: Many emergency medical services personnel report lacking training or disaster exercises related to influenza pandemics, and a fair percentage are unwilling to work during a future event. This may limit healthcare surge capacity and could contribute to increased morbidity and mortality. Findings from this study indicate that prehospital staff's attitudes and beliefs about pandemics influence their willingness to work. Pre-event training and planning should address these concerns.
Bibliography:ObjectType-Article-1
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ISSN:1090-3127
1545-0066
1545-0066
DOI:10.1080/10903127.2019.1701158