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AJN, American Journal of Nursing:
doi: 10.1097/01.NAJ.0000438866.29660.88
Feature Articles

CE Test 2.5 Hours: Predictors of Nurses’ Intentions to Work During the 2009 Influenza A (H1N1) Pandemic

Contrada, Emily

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Continued Education
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TEST INSTRUCTIONS

* To take the test online, go to our secure Web site at http://www.nursingcenter.com/ce/ajn .

* To use the form provided in this issue, record your answers in the test answer section of the CE enrollment form below. Each question has only one correct answer. You may make copies of the form.

* Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee to:Lippincott Williams and Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. You will receive your certificate in four to six weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.

* Registration deadline is December 31, 2015.

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DISCOUNTS AND CUSTOMER SERVICE

* Send in together two or more tests from any nursing journal published by Lippincott, Williams and Wilkins (LWW), and deduct $0.95 from the price of each test.

* We also offer CE accounts for hospitals and other health care facilities online at www.nursingcenter.com. Call 1-800-787-8985 for details.

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PROVIDER ACCREDITATION

LWW, publisher of AJN, will award the number of contact hours indicated for each continuing nursing education activity. LWW is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center (ANCC).

These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LWW is also an approved provider of continuing nursing education by the District of Columbia and Florida #50-1223. Your certificate is valid in all states.

The ANCC's accreditation status of the LWW Department of Continuing Education refers to its continuing nursing educational activities only and does not imply Commission on Accreditation approval or endorsement of any commercial product.

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CE TEST QUESTIONS

GENERAL PURPOSE:

To present the details of a study done to examine potential predictors of nurses’ intentions to work during the 2009 influenza A (H1N1) pandemic.

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LEARNING OBJECTIVES:

* After reading this article and taking this test, you will be able to

* recognize the background information helpful in understanding the need for the authors’ study.

* identify the findings and limitations of this study and the implications for practice.

1. Researchers investigating terrorism and catastrophic events in the 1990s found that what percentage of health care workers reported being unable or unwilling to work during some emergencies?

a. about 67%

b. nearly 79%

c. about 85%

d. up to 96%

2. The highest unwillingness-to-work rates have been associated with

a. infectious diseases for which treatment or vaccination is lacking.

b. family members or loved ones already sick at home.

c. fear that family members would become sick.

d. anxiety associated with being quarantined at work.

3. An example of a barrier that reflects an inability to work is

a. having to stay home to care for a sick child.

b. having planned time off for traveling.

c. having an injury that prevents working.

d. needing to take care of personal business.

4. According to Dillman and colleagues, in a cognitive interview, the subject

a. does not complete the questionnaire.

b. verbally expresses all thoughts.

c. does not see the researcher.

d. uses a recording device.

5. What percentage of respondents to the authors’ questionnaire initially reported an intention to work during a flu pandemic?

a. 80%

b. 85%

c. 90%

d. 95%

6. The level of threat from pandemic flu perceived by respondents was

a. high, consistent with the impression that the 2009 pandemic was mild.

b. inversely related to willingness to work.

c. directly related to willingness to work.

d. lowest among those working as advanced practice nurses.

7. Respondents were significantly more likely to work during a flu pandemic if they were provided with a gown, gloves, and

a. goggles.

b. N-95 mask.

c. face shield.

d. hair and shoe covers.

8. Respondents were significantly less likely to work if

a. they were not provided with a gown.

b. their family members already had pandemic flu.

c. they were assigned the direct care of a patient with pandemic flu.

d. they had previously worked during an infectious disease epidemic.

9. A negative predictor of willingness to work was

a. the provision of ample personal protective equipment (PPE).

b. an expectation that the nurse would work rotating shifts during the pandemic.

c. an assignment to a clinical area outside the nurse's usual unit or specialty.

d. a report that a young health care worker had died of workplace-acquired pandemic flu.

10. Various studies have indicated that which of the following factors might positively affect willingness to work?

a. being female

b. holding a master's degree

c. being between 25 and 35 years old

d. being Asian American

11. A significant drop in willingness to work without PPE has been noted during outbreaks of pandemic flu and

a. meningitis.

b. tuberculosis.

c. smallpox.

d. measles.

12. Research has indicated that offers of double or triple pay may not increase willingness to work in some health care workers. The authors speculate that this is because

a. health care workers feel an ethical duty to provide care.

b. pay is less important than workers’ reasons for not working.

c. workers might feel obligated to accept more shifts than they can manage.

d. no amount of pay can suffice if the workers become ill and unable to work.

13. Of the following, which was identified in earlier studies as adversely affecting ability to work, but was not a significant predictor in the authors’ study?

a. having child care responsibilities

b. having to undergo quarantine

c. having transportation issues

d. having to provide elder care

14. In the authors’ study, among respondents who initially reported no intent to work during a flu pandemic, which factors increased their willingness or ability to do so?

a. none

b. being offered free room and board

c. being provided with antiviral medications or vaccines

d. having adequate PPE

15. The authors recommend that in any emergency situation, managers should

a. focus on reducing the required nursing care hours.

b. expect to encounter some absenteeism.

c. excuse only those nurses who are physically ill.

d. compel all nurses to work.

16. Limitations of this study included

a. a lack of diversity in the sample.

b. the small sample size.

c. the statistical methods used.

d. possible researcher bias.

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