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Azziz-Baumgartner E, Hirsch A, Yoo YM, Peretz A, Greenberg D, Avni YS, Glatman-Freedman A, Mandelboim M, MacNeil A, Martin ET, Newes-Adeyi G, Thompson M, Monto AS, Balicer RD, Levine MZ, Katz MA. Incidence of laboratory-confirmed influenza and RSV and associated presenteeism and absenteeism among healthcare personnel, Israel, influenza seasons 2016 to 2019. Euro Surveill 2024; 29. [PMID: 39092531 PMCID: PMC11295438 DOI: 10.2807/1560-7917.es.2024.29.31.2300580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/04/2024] Open
Abstract
BackgroundHealthcare personnel (HCP) are at high risk for respiratory infections through occupational exposure to respiratory viruses.AimWe used data from a prospective influenza vaccine effectiveness study in HCP to quantify the incidence of acute respiratory infections (ARI) and their associated presenteeism and absenteeism.MethodsAt the start and end of each season, HCP at two Israeli hospitals provided serum to screen for antibodies to influenza virus using the haemagglutination inhibition assay. During the season, active monitoring for the development of ARI symptoms was conducted twice a week by RT-PCR testing of nasal swabs for influenza and respiratory syncytial virus (RSV). Workplace presenteeism and absenteeism were documented. We calculated incidences of influenza- and RSV-associated ARI and applied sampling weights to make estimates representative of the source population.ResultsThe median age of 2,505 participating HCP was 41 years, and 70% were female. Incidence was 9.1 per 100 person-seasons (95% CI: 5.8-14.2) for RT-PCR-confirmed influenza and 2.5 per 100 person-seasons (95% CI: 0.9-7.1) for RSV illness. Each season, 18-23% of unvaccinated and influenza-negative HCP seroconverted. The incidence of seroconversion or RT-PCR-confirmed influenza was 27.5 per 100 person-seasons (95% CI: 17.8-42.5). Work during illness occurred in 92% (95% CI: 91-93) of ARI episodes, absence from work in 38% (95% CI: 36-40).ConclusionInfluenza virus and RSV infections and associated presenteeism and absenteeism were common among HCP. Improving vaccination uptake among HCP, infection control, and encouraging sick HCP to stay home are important strategies to reduce ARI incidence and decrease the risk of in-hospital transmission.
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Affiliation(s)
| | - Avital Hirsch
- Clalit Research Institute, Innovation Division, Clalit Health Services, Tel Aviv, Israel
| | - Young M Yoo
- United States Centers for Disease Control and Prevention (CDC), Atlanta, United States
| | - Alon Peretz
- Rabin Medical Center, Clalit Health Services, Petah Tikva, Israel
| | - David Greenberg
- Soroka University Medical Center, Clalit Health Services, Beersheba, Israel
| | - Yonat Shemer Avni
- Soroka University Medical Center, Clalit Health Services, Beersheba, Israel
| | - Aharona Glatman-Freedman
- School of Public Health, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel
- Israel Center for Disease Control, Ramat Gan, Israel
| | - Michal Mandelboim
- Central Virology Laboratory, Ministry of Health, Tel-Hashomer, Israel
- School of Public Health, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel
| | - Adam MacNeil
- United States Centers for Disease Control and Prevention (CDC), Atlanta, United States
| | - Emily T Martin
- School of Public Health, University of Michigan, Ann Arbor, Michigan, United States
| | | | - Mark Thompson
- United States Centers for Disease Control and Prevention (CDC), Atlanta, United States
| | - Arnold S Monto
- School of Public Health, University of Michigan, Ann Arbor, Michigan, United States
| | - Ran D Balicer
- School of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Be'er Sheva, Israel
- Clalit Research Institute, Innovation Division, Clalit Health Services, Tel Aviv, Israel
| | - Min Z Levine
- United States Centers for Disease Control and Prevention (CDC), Atlanta, United States
| | - Mark A Katz
- Clalit Research Institute, Innovation Division, Clalit Health Services, Tel Aviv, Israel
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Yoo YM, Katz MA, Greenberg D, Marcenac P, Newes-Adeyi G, Fowlkes A, Hirsch A, Martin E, Monto A, Thompson M, Azziz-Baumgartner E, Duca LM, Peretz A. Knowledge, attitudes, and practices associated with influenza vaccine uptake among healthcare personnel in Israel during three influenza seasons, 2016-2019. Vaccine 2024:S0264-410X(24)00705-9. [PMID: 38926070 DOI: 10.1016/j.vaccine.2024.06.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Revised: 06/07/2024] [Accepted: 06/11/2024] [Indexed: 06/28/2024]
Abstract
INTRODUCTION Despite a longstanding Israel Ministry of Health recommendation that all healthcare personnel (HCP) receive a seasonal influenza vaccine, vaccine uptake among HCP remains below the country's target of 60% coverage. To understand factors related to vaccine hesitancy, we used data from a prospective three-year (2016-2019) influenza vaccine effectiveness study among Israeli HCP to examine knowledge, attitudes, and practices (KAP) about influenza vaccination and their association with vaccine uptake. METHODS At the start of each influenza season, all participating HCP completed a questionnaire that included questions about socio-demographic and occupational characteristics, health status, and KAP related to seasonal influenza vaccination. We extracted vaccination history from electronic medical records and employee vaccination registries. We used logistic regression models to identify demographic and occupational factors, and KAP about influenza vaccination, associated with receipt of vaccination. RESULT A total of 2,126 HCP were enrolled and had available data on vaccination history. Their median age was 42 years [IQR 35-52], and 73 % self-identified as female. Influenza vaccine uptake in 2016, 2017 and 2018 was 46 %, 48 % and 47 %, respectively. Overall, 36 % of HCP had received an influenza vaccine in ≥ 4 of the eight years prior. HCP aged 35-49 years were less likely to receive influenza vaccine compared to HCP aged ≥ 50 years (OR: 0.81 [95 % CI: 0.67-0.98]). Nurses and allied personnel were less likely to receive influenza vaccine compared to physicians (OR: 0.63 [95 % CI: 0.50-0.78] and OR: 0.53 [95 % CI: 0.40-0.70], respectively). The emotional benefit of vaccination (e.g., anticipating regret if not vaccinated) and the perception of vaccine safety were factors associated with vaccine uptake (OR: 7.60 [95 % CI: 6.27-9.22] and OR: 3.43 [95 % CI:2.91-4.03], respectively). CONCLUSION Among HCP at two hospitals in Israel, less than half received an annual influenza vaccine. Older HCP, physicians, and those who reported the emotional benefit of vaccination or agreed that influenza vaccines are safe were more likely to be vaccinated. Future influenza vaccination campaigns could focus on these demographic groups and tailor messages emphasizing the emotional benefits of vaccination and vaccine safety to increase seasonal influenza vaccine uptake among HCP in Israel.
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Affiliation(s)
| | | | - David Greenberg
- Soroka University Medical Center, Clalit Health Services, Beersheba, Israel
| | | | | | | | | | - Emily Martin
- University of Michigan School of Public Health, USA
| | - Arnold Monto
- University of Michigan School of Public Health, USA
| | | | | | | | - Alon Peretz
- Rabin Medical Center, Clalit Health Services, Petah Tikva, Israel
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Moore A, Knutsen Glette M. Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities. BMJ Open 2023; 13:e076136. [PMID: 37989382 PMCID: PMC10668197 DOI: 10.1136/bmjopen-2023-076136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Accepted: 10/31/2023] [Indexed: 11/23/2023] Open
Abstract
OBJECTIVES This study aimed to gain new insight and knowledge on out-of-hours emergency primary care nurses' experience of presenteeism in their workplace and their outlook on the impact they recognised the phenomenon to have on patient safety when caring for acute patients. DESIGN An explorative qualitative study. SETTING The study was conducted at three out-of-hours primary care facilities in southwest Norway. PARTICIPANTS A total of 10 female nurses were recruited as interviewees. Nurses providing direct patient care were included in the study. RESULTS The analysis resulted in four major themes: strong work ethics influence the decision to attend work unwell; work environment factors have a negative impact on nurses' health; nurses' awareness of consequences on the quality of care and patient safety and nurses make use of coping strategies when engaging in presenteeism. CONCLUSION Presenteeism is a common experience among nurses at out-of-hours emergency primary care clinics, with work-related stress being a significant contributing factor. Despite recognising a decrease in performance while engaging in presenteeism, nurses displayed adaptive behaviour. They were confident that their suboptimal health issues did not significantly impact patient safety while caring for acute patients. However, the true impact of presenteeism on patient safety in an out-of-hours emergency care setting remains uncertain due to the reliance on subjective reporting systems as quality indicators. More research is needed to understand the phenomenon and its implications on patient safety fully.
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Affiliation(s)
- Angelena Moore
- Department of Caring and Ethics, University of Stavanger, Faculty of Health Sciences, Department of Caring and Ethics, Stavanger, Norway
| | - Malin Knutsen Glette
- SHARE - Center of Resilience in Healthcare, University of Stavanger, Faculty of Health Sciences, Stavanger, Norway
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Galon T, Navarro VL. "We are human beings, we also get sick": presenteeism in nursing workers in a pandemic context. Rev Lat Am Enfermagem 2023; 31:e4052. [PMID: 37937600 PMCID: PMC10631296 DOI: 10.1590/1518-8345.6861.4052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 08/21/2023] [Indexed: 11/09/2023] Open
Abstract
OBJECTIVE to understand the experiences of presenteeism in nursing professionals from hospital services during the COVID-19 pandemic. METHOD qualitative study, anchored in historicaldialectical materialism. Thirty nursing workers participated in the research, divided into six online focus groups, analyzed based on Hermeneutics-Dialectics. RESULTS three categories of analysis emerged: "Worsening presenteeism in the pandemic context"; "Why did I go to work sick: the worker's decision or precarious work?"; "Old problems, permanent struggle". Despite the illness of professionals by COVID-19, presenteeism in the pandemic was marked by institutional pressure to return to work, mental suffering and lack of recognition and humanization. Among the factors that led to presenteeism, the lack of testing for COVID-19, concern for patients, co-workers and managers, as well as fear of losing their job and/or financial benefits, stood out. Faced with this scenario, workers called for a new reality in which rights such as decent wages and safe working conditions are guaranteed. CONCLUSION the pandemic context revealed a worsening of presenteeism among nursing professionals. The results pointed to the importance of concretely valuing nursing in legal terms and beyond honors.
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Affiliation(s)
- Tanyse Galon
- Universidade Federal do Triângulo Mineiro, Instituto de Ciências da Saúde, Departamento de Enfermagem na Assistência Hospitalar, Uberaba, MG, Brasil
| | - Vera Lucia Navarro
- Universidade de São Paulo, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Departamento de Psicologia, Ribeirão Preto, SP, Brasil
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Pereira F, Querido A, Verloo H, Bieri M, Laranjeira C. Consequences of Nurse Presenteeism in Switzerland and Portugal and Strategies to Minimize It: A Qualitative Study. Healthcare (Basel) 2022; 10:healthcare10101871. [PMID: 36292318 PMCID: PMC9601409 DOI: 10.3390/healthcare10101871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 09/18/2022] [Accepted: 09/19/2022] [Indexed: 11/16/2022] Open
Abstract
Nurses exhibit higher rates of presenteeism than other professionals, with consequences for the quality of care and patient safety. However, nurses’ perceptions of these issues have been poorly explored. This study investigated the perceptions and experiences of frontline nurses and nurse managers in Switzerland and Portugal about the consequences of presenteeism and strategies to minimize it in different healthcare settings. Our qualitative study design used video focus groups involving 55 participants from both countries. Thematic analysis of their transcribed discussions revealed six themes surrounding the consequences of presenteeism: the personal impact on nurses’ health and wellbeing, on their family relationships, and on professional frustration and dissatisfaction; the professional impact on work dynamics; the social impact on the quality of care and patient safety and on society’s impressions of the profession. At the individual, collective, and institutional levels, six strategies were evoked to minimize presenteeism: encouraging professionals’ self-knowledge; creating a positive work atmosphere; facilitating communication channels; developing a positive organizational culture; implementing preventive/curative institutional interventions; identifying and documenting situations linked to presenteeism. Nurses’ perceptions and experiences provided a deeper understanding of their presenteeism and revealed underused pathways toward preventing and minimizing presenteeism via bottom-up approaches.
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Affiliation(s)
- Filipa Pereira
- School of Health Sciences, HES-SO Valais/Wallis, 1950 Sion, Switzerland
- Correspondence:
| | - Ana Querido
- School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal
- Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Campus 5, Rua de Santo André-66-68, 2410-541 Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, 4200-450 Porto, Portugal
| | - Henk Verloo
- School of Health Sciences, HES-SO Valais/Wallis, 1950 Sion, Switzerland
- Service of Old Age Psychiatry, Lausanne University Hospital, Route de Cery 60, CH-1008 Prilly, Switzerland
| | - Marion Bieri
- School of Health Sciences, HES-SO Valais/Wallis, 1950 Sion, Switzerland
| | - Carlos Laranjeira
- School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal
- Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Campus 5, Rua de Santo André-66-68, 2410-541 Leiria, Portugal
- Research in Education and Community Intervention (RECI I&D), Piaget Institute, 3515-776 Viseu, Portugal
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The impact of a comprehensive coronavirus disease 2019 (COVID-19) infection prevention bundle on non–COVID-19 hospital-acquired respiratory viral infection (HA-RVI) rates. Infect Control Hosp Epidemiol 2022:1-3. [DOI: 10.1017/ice.2022.137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Abstract
After implementing a coronavirus disease 2019 (COVID-19) infection prevention bundle, the incidence rate ratio (IRR) of non–severe acute respiratory coronavirus virus 2 (non–SARS-CoV-2) hospital-acquired respiratory viral infection (HA-RVI) was significantly lower than the IRR from the pre–COVID-19 period (IRR, 0.322; 95% CI, 0.266–0.393; P < .01). However, HA-RVIs incidence rates mirrored community RVI trends, suggesting that hospital interventions alone did not significantly affect HA-RVI incidence.
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