Barriers and facilitators to influenza-like illness absenteeism among healthcare workers in a tertiary-care healthcare system, 2017–2018 influenza season

• DOI: 10.1017/ice.2020.1396
• Publication Date: 2021-03-02T10:37:48Z
• Authors: Diep Hoang Johnson; Fauzia Osman; Jero Bean; Linda Stevens; Daniel Shirley; Julie A. Keating; Shabvon Johnson; Nasia Safdar
• Keywords: Sore throat; Influenza-like illness; Attendance

Abstract Objective: Influenza can be introduced and propagated in healthcare settings by workers (HCWs) working while ill with influenza. However, reasons driving this behavior are unclear. In study, we examined barriers to facilitators of absenteeism during the influenza season. Design: Cross-sectional mixed methods study. Setting: Ambulatory inpatient a large, tertiary-care system. Methods: An anonymous electronic survey was sent HCWs between June 11 July 13, 2018, asking participants self-report influenza-like illness (ie, ILI symptoms fever, chills, cough, or sore throat) 2017–2018 We conducted logistical regression analysis identify factors associated absenteeism. Results: Of 14,250 HCWs, 17% responded survey. Although 1,180 respondents (51%) reported ILI, 575 (43%) did not stay home ill. The most commonly perceived included being understaffed (odds ratio [OR], 1.78; P = .04), unable find replacement for work (OR, 2.26; .03), desiring use time off 2.25; .003), paid hour afford absent 2.05; .02). Common support from coworkers management, clearer policy, better sick days availability, lower threat disciplinary action. Conclusions: Reporting is common among HCWs. Most related systems. Addressing system factors, such as policies regarding leave ensuring adequate backup staffing, likely facilitate