Patriotism, organizational commitment and nurses’ intention to report for work in emergencies

Kagan, Ilya; Itzhaki, Michal; Melnikov, Semyon

doi:10.1111/inr.12395

Cited by 10 publications

(19 citation statements)

References 22 publications

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“…We wonder, however, if this is not also a result of a specific Israeli national ethos responding to outside threat, or whether this might be true for other countries as well. Our results confirm those of others (Kagan et al., ) who found a statistically significant correlation between willingness to work in the event of an emergency, organizational commitment, and patriotism. In addition, Israeli workers who had a regular work routine were found to be less stressed and had lower threat appraisals associated with war (Biron & Link, ).…”

Section: Discussionsupporting

confidence: 92%

“…Of those who were previously asked to report to work in an emergency, 53% refused. Similar results were reported in a more recent study (Kagan, Itzhaki, & Meknikov, ) where 152 Israeli nurses working in hospitals and the community rated their willingness to work at a mean of 3.86 out of 5, and 60% of those who were previously asked to work during an emergency refused to do so. The most significant barrier to reporting to work was responsibility for children (71%) and parents (37%; Melnikov et al., )…”

Section: Review Of the Literaturesupporting

confidence: 86%

“…A lack of willingness to report to work by Israeli nurses was also reported by Melnikov et al. () and Kagan, Itzhaki, and Melnikov ().…”

Section: Discussionsupporting

confidence: 55%

“…While the vast majority of nurses were willing to care for patients with a dangerous infection, very few were willing to come to work during a natural disaster, and the majority reported not willing to come to work during a terrorist threat. A lack of willingness to report to work by Israeli nurses was also reported by Melnikov et al (2014) and Kagan, Itzhaki, and Melnikov (2017).…”

Section: Discussionmentioning

confidence: 90%

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A Conflict of Values: Nurses’ Willingness to Work Under Threatening Conditions

Ganz

Margalith

Benbenishty

et al. 2019

J of Nursing Scholarship

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Purpose The purpose of this study was to determine the willingness of Israeli registered nurses to work under threatening conditions, their perceived level of threat, and perceptions of peer willingness to report to work. Design This descriptive study was based on a convenience sample of registered nurses working in four hospitals throughout Israel from internal medicine, surgical, emergency, and intensive care units. Methods A questionnaire designed by the investigators was administered to registered nurses while on duty. The questionnaire consisted of three sections: personal characteristics, perceived level of personal threat from five situations (caring for a patient with a dangerous infection, terror attack, war, radiation or chemical disaster, or natural disaster), and perceived personal and peer willingness to work under these threats. Findings A convenience sample of 249 registered nurses from four hospitals responded. The highest level of perceived threat was a natural disaster (earthquake; M = 2.15, SD = 0.9). Terror (M = 0.83, SD = 0.6) and war (M = 1.01, SD = 0.6) received the lowest mean perceived threat scores. Most respondents were not willing to work during a natural disaster but were willing to care for patients with dangerous infections and during times of war. Weak positive statistically significant correlations were found between the level of perceived threat and willingness to work for all of the threats, except for terror (Spearman rank correlation = .16–.35). Conclusions Local culture, perceptions of the level of threat, and perceived peer responsiveness are associated with registered nurses’ willingness to work under threat. Clinical Relevance When faced with a threat to personal safety or security, many registered nurses might not be willing to work as usual. What is perceived as threatening is influenced by the local culture and environment. Therefore, managers should be aware of potential cultural and peer influences on this possible conflict of values.

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Section: Discussionsupporting

confidence: 92%

Section: Review Of the Literaturesupporting

confidence: 86%

“…A lack of willingness to report to work by Israeli nurses was also reported by Melnikov et al. () and Kagan, Itzhaki, and Melnikov ().…”

Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 90%

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A Conflict of Values: Nurses’ Willingness to Work Under Threatening Conditions

Ganz

Margalith

Benbenishty

et al. 2019

J of Nursing Scholarship

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“…These findings are in line with previous research on the willingness of Israeli nurses' to work in times of emergencies. 20,21 The American Nurses Association acknowledges nurses' right not to volunteer and respond during pandemics in the following circumstances: If they belong to a vulnerable group; if they feel physically unsafe due to lack of personal protective equipment or inadequate testing, if there is inadequate support for nurses' personal and family needs, or if they are concerned about their professional, ethical, and legal protection when providing care during the pandemic. 22 In this research, the participants did not refer to such exceptions and were strongly dedicated to providing care.…”

Section: Discussionmentioning

confidence: 99%

Ethical dilemmas, perceived risk, and motivation among nurses during the COVID-19 pandemic

2020

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Background: Positioned at the frontlines of the battle against COVID-19 disease, nurses are at increased risk of contraction, yet as they feel obligated to provide care, they also experience ethical pressure. Research question and objectives: The study examined how Israeli nurses respond to ethical dilemmas and tension during the COVID-19 outbreak, and to what extent this is associated with their perceived risk and motivation to provide care? Research design: The study implemented a descriptive correlative study using a 53-section online questionnaire, including 4 open-ended questions. Participants and research context: The questionnaire was complete by 231 registered and intern nurses after being posted on nurses’ Facebook and WhatsApp groups, and through snowball sampling. Ethical considerations: The research was pre-approved by the ethics committee of the Faculty of Social Welfare and Health Sciences at the University of Haifa, Israel. Findings: In all, 68.8% of the respondents had received some form of training about COVID-19. Respondents positioned themselves at perceived high risk levels for contracting the virus. About one-third feared going to work because of potential contraction and due to feeling inadequately protected. While 40.9% were scared to care for COVID-19 patients, 74.7% did not believe they have the right to refuse to treat certain patients. When asked about defining an age limit for providing patients with scarce resources (such as ventilation machines) in cases of insufficient supplies, respondents stated that the maximum age in such scenarios should be 84 (standard deviation (SD = 19) – yet most respondents (81.4%) believed that every patient has the right to receive optimal treatment, regardless of their age and medical background. Discussion: Correlating with their strong commitment to care, nurses did not convey intention to leave the profession despite their stress, perceived risk, and feelings of insufficient support and protection at work. The nurses did not hold a utilitarian approach to resource allocation, thereby acknowledging the value of all people and their entitlement to care, regardless of optimal outcomes. Conclusion: While experiencing significant personal risk and emotional burden, nurses conveyed strong dedication to providing care, and did not regret working in the nursing profession, yet they did seek a supportive climate for their needs and ethical concerns.

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Frontline nurses’ willingness to work during the COVID‐19 pandemic: A mixed‐methods study

Chan

Kong³

et al. 2021

Journal of Advanced Nursing

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Aim Frontline nurses’ willingness to work has significant implications for maintaining workforce stability and quality of care during the COVID‐19 pandemic; however, few studies have investigated their willingness and the corresponding reasons. This study aims to examine frontline nurses’ willingness to work, identify its predictors and explore its corresponding reasons. Design A mixed‐methods design was conducted. Methods Based on a multilevel behavioural‐diagnostic model, a questionnaire survey was used to collect quantitative and qualitative data concurrently from 13 February to 24 February 2020 to explore frontline nurses’ willingness to work and the corresponding reasons in two hospitals in Wuhan, China. One was a designated hospital which only received COVID‐19 patients, and the other was built up temporarily for COVID‐19 patients. Results Of the 2014 participants, most (n = 1950, 96.8%) indicated their willingness to work, and a few (n = 64, 3.2%) expressed their unwillingness. Binary logistic regression analysis identified five predictors of participants’ willingness to work, including monthly family income, average working hours per shift, belief in their colleagues’ preparedness, belief in their hospitals’ preparedness and levels of depression. These indicators explained 27% of the variance (p < .05). Frontline nurses’ willingness to work mainly arose from professional commitment, patriotism and faith, while unwillingness to do so primarily stemmed from safety concerns and family responsibility. Conclusion Most frontline nurses were willing to work and showed great professional commitment. Impact Professional commitment and patriotism were two important individual‐level factors affecting frontline nurses’ willingness to work during a pandemic. Strategies should be implemented, such as appreciating and acknowledging their contribution, rewarding their valuable work, arranging reasonable working hours, enhancing colleagues’ and hospitals’ preparedness, and providing emotional support. Moreover, adequate personal protective equipment, self‐protection training and social support should be ensured to address frontline nurses’ safety concerns and family responsibility.

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Patriotism, organizational commitment and nurses’ intention to report for work in emergencies

Cited by 10 publications

References 22 publications

A Conflict of Values: Nurses’ Willingness to Work Under Threatening Conditions

A Conflict of Values: Nurses’ Willingness to Work Under Threatening Conditions

Ethical dilemmas, perceived risk, and motivation among nurses during the COVID-19 pandemic

Frontline nurses’ willingness to work during the COVID‐19 pandemic: A mixed‐methods study

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