Nurses' ability and willingness to work during pandemic flu

Aim The present study reports factors affecting nurses' ability and willingness to work during pandemic flu (PF). Background Previous studies suggest some nurses may be unable or unwilling to work during PF. Method A questionnaire was mailed to nurses during October to December 2009, the second wave of the 2009 A/H1N1 flu pandemic. Results Most (90.1%) reported they would work. Willingness decreased primarily as personal protective equipment (PPE) dwindled, family or nurse were perceived to be at risk and when vaccine or antiviral medication was not provided to both nurse and family although many other factors also affected willingness to work. Ability decreased primarily when the nurse was sick, a loved one needed care at home or transportation problems existed although many other factors also affected ability to work. Conclusion Certain factors can decrease willingness and ability of nurses to work during a flu pandemic. Implications for nursing management Managers can anticipate factors that may decrease nurse's ability and willingness to work during pandemic flu. Preparing for staffing during emergencies can retain the health care workforce when it is needed most.