Barriers and Facilitators of Nurses’ and Physicians’ Willingness to Work during a Respiratory Disease Outbreak: A Mixed-Methods Systematic Review

Abstract

This review was undertaken to identify the perceived barriers and facilitators of nurses’ and physicians’ willingness to work during a respiratory disease outbreak. This mixed-methods systematic review involved the extraction of data from the electronic databases PubMed, Web of Science, CINAHL, and PsycINFO and from a manual search of articles published between 2003 and April 2021. The quality of the included studies was assessed using a mixed-method appraisal tool. A total of 29 studies were eligible for inclusion: 21 quantitative and 8 qualitative. Using the Integrated Behavioral Model, perceived barriers and facilitators were identified under seven categories: demographics, attitude, perceived norm, personal agency, knowledge and skills to perform the behavior, environmental constraints, and habit. The results of this study broaden the understanding of various factors that affect nurses’ and physicians’ willingness to work during a respiratory disease outbreak. These findings will facilitate the modification of current pandemic workplace staffing strategies and practices and will inform preparedness planning for similar situations in the future.

Nurses' coping strategies caring for patients during severe viral pandemics: A mixed‐methods systematic review

“…Many challenges are inherent to the nursing role (Botha et al, 2015), but prolonged or intense challenge from a pandemic generates fear and an atmosphere of unease while caring for infected patients (Vizheh et al, 2020). Relevant and current information, resources and disaster‐based training (Al Thobaity & Alshammari, 2020; Lee et al, 2021), better preparedness and building healthcare professionals' resilience prior to pandemics (Aiello et al, 2011) may off‐set this fear.…”

Understanding the dynamics of non-clinical staff reallocation to clinical practice during the first wave of COVID-19—a qualitative study

“…This paper primarily describes the qualitative part of the study. We chose a qualitative approach as it could provide more in-depth knowledge and help us explore meanings and experiences influencing the dynamics of reallocation (6,14).…”

“…Previous research has studied barriers to reallocation and identified features of successful staff reallocation plans (2,3,(5)(6)(7)(8). Especially, staff's ability and willingness to work have been perceived as important determinants of working behavior during a pandemic (2,6).…”

“…Previous research has studied barriers to reallocation and identified features of successful staff reallocation plans (2,3,(5)(6)(7)(8). Especially, staff's ability and willingness to work have been perceived as important determinants of working behavior during a pandemic (2,6). Strategies to successful staff reallocation include continued tailored training programmes that meet staff's individual learning needs and securing of a psychologically and physically safe work environment (3,5,(9)(10)(11).…”