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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 Jul; 43(7):676-82.MC

Abstract

INTRODUCTION

Healthcare workers (HCWs) were at the frontline during the battle against Severe Acute Respiratory Syndrome (SARS). Understanding their fears and anxieties may hold lessons for handling future outbreaks, including acts of bioterrorism.

METHOD

We measured risk perception and impact on personal and work life of 15,025 HCWs from 9 major healthcare institutions during the SARS epidemic in Singapore using a self-administered questionnaire and Impact of Events Scale and analyzed the results with bivariate and multivariate statistics.

RESULTS

From 10,511 valid questionnaires (70% response), we found that although the majority (76%) perceived a great personal risk of falling ill with SARS, they (69.5%) also accepted the risk as part of their job. Clinical staff (doctors and nurses), staff in daily contact with SARS patients, and staff from SARS-affected institutions expressed significantly higher levels of anxiety. More than half reported increased work stress (56%) and work load (53%). Many experienced social stigmatization (49%) and ostracism by family members (31%), but most (77%) felt appreciated by society. Most felt that the personal protective measures implemented were effective (96%) and that the institutional policies and protocols were clear (93%) and timely (90%).

CONCLUSION

During epidemics, healthcare institutions have a duty to protect HCWs and help them cope with their personal fears and the very stressful work situation. Singapore's experience shows that simple protective measures based on sound epidemiological principles, when implemented in a timely manner, go a long way to reassure HCWs.

Authors+Show Affiliations

Department of Community, Occupational and Family Medicine (MD3), Faculty of Medicine, National University of Singapore, Singapore. cofhead@nus.edu.sgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15970782

Citation

Koh, David, 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?" Medical Care, vol. 43, no. 7, 2005, pp. 676-82.
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):676-82.
Koh, D., Lim, M. K., Chia, S. E., Ko, S. M., Qian, F., Ng, V., Tan, B. H., Wong, K. S., Chew, W. M., Tang, H. K., Ng, W., Muttakin, Z., Emmanuel, S., Fong, N. P., Koh, G., Kwa, C. T., Tan, K. B., & Fones, C. (2005). Risk perception and impact of Severe Acute Respiratory Syndrome (SARS) on work and personal lives of healthcare workers in Singapore: what can we learn? Medical Care, 43(7), 676-82.
Koh D, 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):676-82. PubMed PMID: 15970782.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk perception and impact of Severe Acute Respiratory Syndrome (SARS) on work and personal lives of healthcare workers in Singapore: what can we learn? AU - Koh,David, AU - Lim,Meng Kin, AU - Chia,Sin Eng, AU - Ko,Soo Meng, AU - Qian,Feng, AU - Ng,Vivian, AU - Tan,Ban Hock, AU - Wong,Kok Seng, AU - Chew,Wuen Ming, AU - Tang,Hui Kheng, AU - Ng,Winston, AU - Muttakin,Zainal, AU - Emmanuel,Shanta, AU - Fong,Ngan Phoon, AU - Koh,Gerald, AU - Kwa,Chong Teck, AU - Tan,Keson Beng-Choon, AU - Fones,Calvin, PY - 2005/6/23/pubmed PY - 2005/8/5/medline PY - 2005/6/23/entrez SP - 676 EP - 82 JF - Medical care JO - Med Care VL - 43 IS - 7 N2 - INTRODUCTION: Healthcare workers (HCWs) were at the frontline during the battle against Severe Acute Respiratory Syndrome (SARS). Understanding their fears and anxieties may hold lessons for handling future outbreaks, including acts of bioterrorism. METHOD: We measured risk perception and impact on personal and work life of 15,025 HCWs from 9 major healthcare institutions during the SARS epidemic in Singapore using a self-administered questionnaire and Impact of Events Scale and analyzed the results with bivariate and multivariate statistics. RESULTS: From 10,511 valid questionnaires (70% response), we found that although the majority (76%) perceived a great personal risk of falling ill with SARS, they (69.5%) also accepted the risk as part of their job. Clinical staff (doctors and nurses), staff in daily contact with SARS patients, and staff from SARS-affected institutions expressed significantly higher levels of anxiety. More than half reported increased work stress (56%) and work load (53%). Many experienced social stigmatization (49%) and ostracism by family members (31%), but most (77%) felt appreciated by society. Most felt that the personal protective measures implemented were effective (96%) and that the institutional policies and protocols were clear (93%) and timely (90%). CONCLUSION: During epidemics, healthcare institutions have a duty to protect HCWs and help them cope with their personal fears and the very stressful work situation. Singapore's experience shows that simple protective measures based on sound epidemiological principles, when implemented in a timely manner, go a long way to reassure HCWs. SN - 0025-7079 UR - https://www.unboundmedicine.com/medline/citation/15970782/Risk_perception_and_impact_of_Severe_Acute_Respiratory_Syndrome__SARS__on_work_and_personal_lives_of_healthcare_workers_in_Singapore:_what_can_we_learn L2 - https://doi.org/10.1097/01.mlr.0000167181.36730.cc DB - PRIME DP - Unbound Medicine ER -