Navigating ‘riskscapes’: The experiences of international health care workers responding to the Ebola outbreak in West Africa
This paper draws on interview data to examine how international health care workers navigated risk during the unprecedented Ebola outbreak in West Africa. It identifies the importance of place in risk perception, including how different spatial localities give rise to different feelings of threat or...
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Veröffentlicht in: | Health & place 2017-05, Vol.45, p.173-180 |
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description | This paper draws on interview data to examine how international health care workers navigated risk during the unprecedented Ebola outbreak in West Africa. It identifies the importance of place in risk perception, including how different spatial localities give rise to different feelings of threat or safety, some from the construction of physical boundaries, and others mediated through aspects of social relations, such as trust, communication and team dynamics. Referring to these spatial localities as ‘riskscapes’, the paper calls for greater recognition of the role of place in understanding risk perception, and how people navigate risk.
•We explore how international health care workers perceived and navigated risk during the 2013-2016 Ebola outbreak.•Perceptions of risk in health care workers were shaped by both physical and relational factors.•‘Riskscapes’ are the structures, people, relationships and policies that shape, and are shaped by, perceptions of risk.•Limited resources and occupational safety protections for staff resulted in a reduction in the quality of care that was able to be provided to patients.•Constructing places of safety was necessary to allow mental reprieve from fears of infection.•Interpersonal and institutional trust arose as key factors in attenuating perceptions of risk in health care workers. |
doi_str_mv | 10.1016/j.healthplace.2017.03.016 |
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•We explore how international health care workers perceived and navigated risk during the 2013-2016 Ebola outbreak.•Perceptions of risk in health care workers were shaped by both physical and relational factors.•‘Riskscapes’ are the structures, people, relationships and policies that shape, and are shaped by, perceptions of risk.•Limited resources and occupational safety protections for staff resulted in a reduction in the quality of care that was able to be provided to patients.•Constructing places of safety was necessary to allow mental reprieve from fears of infection.•Interpersonal and institutional trust arose as key factors in attenuating perceptions of risk in health care workers.</description><identifier>ISSN: 1353-8292</identifier><identifier>EISSN: 1873-2054</identifier><identifier>DOI: 10.1016/j.healthplace.2017.03.016</identifier><identifier>PMID: 28391128</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Africa, Western ; Communication ; Ebola ; Ebola virus ; Epidemics ; Female ; Global Health ; Health care ; Health care workers ; Health Personnel - psychology ; Health risks ; Health technology assessment ; Hemorrhagic Fever, Ebola - therapy ; Humans ; International Cooperation ; Interviews as Topic ; Male ; Medical personnel ; Middle Aged ; Outbreaks ; Perception ; Perceptions ; Place ; Protective Clothing - utilization ; Qualitative Research ; Risk ; Risk Assessment ; Risk perception ; Riskscapes ; Safety ; Spatial discrimination ; Teams ; Viral diseases ; Viruses ; West Africa</subject><ispartof>Health & place, 2017-05, Vol.45, p.173-180</ispartof><rights>2017 Elsevier Ltd</rights><rights>Copyright © 2017 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. May 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-d347ebb6b04e62ab6f2627d337b8614be6e692885e75dbf088a3f522311743c63</citedby><cites>FETCH-LOGICAL-c456t-d347ebb6b04e62ab6f2627d337b8614be6e692885e75dbf088a3f522311743c63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.healthplace.2017.03.016$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28391128$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gee, Stephanie</creatorcontrib><creatorcontrib>Skovdal, Morten</creatorcontrib><title>Navigating ‘riskscapes’: The experiences of international health care workers responding to the Ebola outbreak in West Africa</title><title>Health & place</title><addtitle>Health Place</addtitle><description>This paper draws on interview data to examine how international health care workers navigated risk during the unprecedented Ebola outbreak in West Africa. It identifies the importance of place in risk perception, including how different spatial localities give rise to different feelings of threat or safety, some from the construction of physical boundaries, and others mediated through aspects of social relations, such as trust, communication and team dynamics. Referring to these spatial localities as ‘riskscapes’, the paper calls for greater recognition of the role of place in understanding risk perception, and how people navigate risk.
•We explore how international health care workers perceived and navigated risk during the 2013-2016 Ebola outbreak.•Perceptions of risk in health care workers were shaped by both physical and relational factors.•‘Riskscapes’ are the structures, people, relationships and policies that shape, and are shaped by, perceptions of risk.•Limited resources and occupational safety protections for staff resulted in a reduction in the quality of care that was able to be provided to patients.•Constructing places of safety was necessary to allow mental reprieve from fears of infection.•Interpersonal and institutional trust arose as key factors in attenuating perceptions of risk in health care workers.</description><subject>Adult</subject><subject>Africa, Western</subject><subject>Communication</subject><subject>Ebola</subject><subject>Ebola virus</subject><subject>Epidemics</subject><subject>Female</subject><subject>Global Health</subject><subject>Health care</subject><subject>Health care workers</subject><subject>Health Personnel - psychology</subject><subject>Health risks</subject><subject>Health technology assessment</subject><subject>Hemorrhagic Fever, Ebola - therapy</subject><subject>Humans</subject><subject>International Cooperation</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Middle Aged</subject><subject>Outbreaks</subject><subject>Perception</subject><subject>Perceptions</subject><subject>Place</subject><subject>Protective Clothing - utilization</subject><subject>Qualitative Research</subject><subject>Risk</subject><subject>Risk Assessment</subject><subject>Risk perception</subject><subject>Riskscapes</subject><subject>Safety</subject><subject>Spatial discrimination</subject><subject>Teams</subject><subject>Viral diseases</subject><subject>Viruses</subject><subject>West Africa</subject><issn>1353-8292</issn><issn>1873-2054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkc9u1DAQxi0EoqXwCsiIC5cE_0kch1u1KhSpopcijpbtTLrezcbBdlq4lbegr9cnwUtKhThxGkvzm-8bz4fQK0pKSqh4uynXoIe0ngZtoWSENiXhZe48QodUNrxgpK4e5zeveSFZyw7Qsxg3hBAhK_oUHTDJW0qZPEQ_Pukrd6mTGy_x3c3P4OI2Wj1BvLu5fYcv1oDh2wTBwWghYt9jNyYIYx7wox7wsge2OgC-9mELIeIAcfJjt1dMHqcscWL8oLGfkwmgt1kCf4GY8HEfnNXP0ZNeDxFe3Ncj9Pn9ycXqtDg7__BxdXxW2KoWqeh41YAxwpAKBNNG9EywpuO8MVLQyoAA0TIpa2jqzvRESs37mjFOaVNxK_gRerPoTsF_nbO_2rloYRj0CH6OikopeCXyFTP6-h904-f86SFTLaeiFpyQTLULZYOPMUCvpuB2OnxXlKh9Tmqj_spJ7XNShKvF4eW9w2x20D1M_gkmA6sFgHySKwdBRfs7hM4FsEl13v2HzS_T66yH</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Gee, Stephanie</creator><creator>Skovdal, Morten</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T2</scope><scope>8BJ</scope><scope>C1K</scope><scope>FQK</scope><scope>JBE</scope><scope>7X8</scope></search><sort><creationdate>201705</creationdate><title>Navigating ‘riskscapes’: The experiences of international health care workers responding to the Ebola outbreak in West Africa</title><author>Gee, Stephanie ; Skovdal, Morten</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-d347ebb6b04e62ab6f2627d337b8614be6e692885e75dbf088a3f522311743c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Africa, Western</topic><topic>Communication</topic><topic>Ebola</topic><topic>Ebola virus</topic><topic>Epidemics</topic><topic>Female</topic><topic>Global Health</topic><topic>Health care</topic><topic>Health care workers</topic><topic>Health Personnel - psychology</topic><topic>Health risks</topic><topic>Health technology assessment</topic><topic>Hemorrhagic Fever, Ebola - therapy</topic><topic>Humans</topic><topic>International Cooperation</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Middle Aged</topic><topic>Outbreaks</topic><topic>Perception</topic><topic>Perceptions</topic><topic>Place</topic><topic>Protective Clothing - utilization</topic><topic>Qualitative Research</topic><topic>Risk</topic><topic>Risk Assessment</topic><topic>Risk perception</topic><topic>Riskscapes</topic><topic>Safety</topic><topic>Spatial discrimination</topic><topic>Teams</topic><topic>Viral diseases</topic><topic>Viruses</topic><topic>West Africa</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gee, Stephanie</creatorcontrib><creatorcontrib>Skovdal, Morten</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>MEDLINE - Academic</collection><jtitle>Health & place</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gee, Stephanie</au><au>Skovdal, Morten</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Navigating ‘riskscapes’: The experiences of international health care workers responding to the Ebola outbreak in West Africa</atitle><jtitle>Health & place</jtitle><addtitle>Health Place</addtitle><date>2017-05</date><risdate>2017</risdate><volume>45</volume><spage>173</spage><epage>180</epage><pages>173-180</pages><issn>1353-8292</issn><eissn>1873-2054</eissn><abstract>This paper draws on interview data to examine how international health care workers navigated risk during the unprecedented Ebola outbreak in West Africa. It identifies the importance of place in risk perception, including how different spatial localities give rise to different feelings of threat or safety, some from the construction of physical boundaries, and others mediated through aspects of social relations, such as trust, communication and team dynamics. Referring to these spatial localities as ‘riskscapes’, the paper calls for greater recognition of the role of place in understanding risk perception, and how people navigate risk.
•We explore how international health care workers perceived and navigated risk during the 2013-2016 Ebola outbreak.•Perceptions of risk in health care workers were shaped by both physical and relational factors.•‘Riskscapes’ are the structures, people, relationships and policies that shape, and are shaped by, perceptions of risk.•Limited resources and occupational safety protections for staff resulted in a reduction in the quality of care that was able to be provided to patients.•Constructing places of safety was necessary to allow mental reprieve from fears of infection.•Interpersonal and institutional trust arose as key factors in attenuating perceptions of risk in health care workers.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28391128</pmid><doi>10.1016/j.healthplace.2017.03.016</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Africa, Western Communication Ebola Ebola virus Epidemics Female Global Health Health care Health care workers Health Personnel - psychology Health risks Health technology assessment Hemorrhagic Fever, Ebola - therapy Humans International Cooperation Interviews as Topic Male Medical personnel Middle Aged Outbreaks Perception Perceptions Place Protective Clothing - utilization Qualitative Research Risk Risk Assessment Risk perception Riskscapes Safety Spatial discrimination Teams Viral diseases Viruses West Africa |
title | Navigating ‘riskscapes’: The experiences of international health care workers responding to the Ebola outbreak in West Africa |
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