Work Related Burden of Stress among Emergency Medical Service Personnel
Iranian Journal of Emergency Medicine,
Vol. 5 No. 1 (2018),
8 February 2018
,
Page e2
https://doi.org/10.22037/ijem.v2i1.18550
Abstract
Introduction: The staff of pre-hospital emergency medical service experience many stresses daily in the frontline of emergency responses. Critical conditions and trying to save patients’ lives make operation difficult for emergency medical technicians. The burden of stress in this job group is related with critical incidents, and functional and emotional problems that are the result of the rate of exposure and the intensity of the stressor. Methods: In this descriptive-correlation study, 320 technicians working in pre-hospital emergency bases participated. To gather data, stress burden evaluation questionnaire, which was the result of rate of exposure to stressors, was used. Data were analyzed using SPSS statistical software and descriptive and inferential statistics. Results: In the present study, the most important causes of burden of stress were reported to be environmental occupational factors and patient-related factors. Mean and standard deviation of stress burden was 8.70 ± 3.61. Working with trauma patients, unrealistic expectations of the patient or their relatives, and driving in critical conditions and resuscitation of patients inflicted the highest burden of stress upon the staff. In this study, the mean score of stressor intensity was higher than the mean score of exposure to stressors and a significant correlation was seen between the rate of stress burden with number of operations, educational degree, emergency bases, and status of employment. Conclusion: Proper identification of stressors in terms of prevalence and intensity, leads to better understanding of these factors in pre-hospital emergency and can be of great help in prevention and control of stress burden among emergency medical service staff.- تکنسین فوریت پزشکی؛ پرسنل اورژانس پیش بیمارستانی؛ استرس
How to Cite
References
Donnelly E. Work-related stress and posttraumatic stress in emergency medical services. Prehospital Emergency Care. 2011;16(1):76-85.
Aehlert B. Paramedic practice today: Above and beyond: Jones & Bartlett Publishers; 2011.
Minnie L, Goodman S, Wallis L. Exposure to daily trauma: The experiences and coping mechanism of Emergency Medical Personnel. A cross-sectional study. African Journal of Emergency Medicine. 2015;5(1):12-8.
Rybojad B, Aftyka A, Baran M, Rzońca P. Risk Factors for Posttraumatic Stress Disorder in Polish Paramedics: A Pilot Study. The Journal of emergency medicine. 2016;50(2):270-6.
Fjeldheim CB, Nöthling J, Pretorius K, Basson M, Ganasen K, Heneke R, et al. Trauma exposure, posttraumatic stress disorder and the effect of explanatory variables in paramedic trainees. BMC emergency medicine. 2014;14(1):11.
Jonsson A, Halabi J. Work related post-traumatic stress as described by Jordanian emergency nurses. Accident and emergency nursing. 2006;14(2):89-96.
Heydari A, Rad M, Ghasemi MR, Sabzevari MT, Rad M. Challenges Ahead of Emergency Medical Technician Graduates in the Workplace in Iran: A Qualitative Study. Journal of allied health. 2014;43(2):19E-24E.
Sofianopoulos S, Williams B, Archer F, Thompson B. The exploration of physical fatigue, sleep and depression in paramedics: a pilot study. Australasian Journal of Paramedicine. 2011;9(1).
Halpern J, Gurevich M, Schwartz B, Brazeau P. Interventions for critical incident stress in emergency medical services: a qualitative study. Stress and health. 2009;25(2):139-49.
Osborne A, Taylor L, Reuber M, Grünewald RA, Parkinson M, Dickson JM. Pre-hospital care after a seizure: evidence base and United Kingdom management guidelines. Seizure. 2015;24:82-7.
Johnson S, Cooper C, Cartwright S, Donald I, Taylor P, Millet C. The experience of work-related stress across occupations. Journal of managerial psychology. 2005;20(2):178-87.
França SPdS, De Martino MMF, Aniceto EVdS, Silva LL. Predictors of Burnout Syndrome in nurses in the prehospital emergency services. Acta Paulista de Enfermagem. 2012;25(1):68-73.
Bohström D, Carlström E, Sjöström N. Managing stress in prehospital care: Strategies used by ambulance nurses. International Emergency Nursing. 2016.
Guise J-M, Hansen M, O'Brien K, Dickinson C, Meckler G, Engle P, et al. Emergency medical services responders’ perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study. BMJ open. 2017;7(2):e014057.
Iranmanesh S, Tirgari B, Bardsiri HS. Post-traumatic stress disorder among paramedic and hospital emergency personnel in south-east Iran. World journal of emergency medicine. 2013;4(1):26.
MOTIE MR, Kalani M, SAMADI A, ESHAGHI H, Ghobadi P. PREVALENCE OF JOB STRESSORSIN MALE PRE-HOSPITAL EMERGENCY TECHNICIANS. 2010.
Moshtagh Eshgh Z, Peyman A, Amirkhani A, Taghinejad F. The relationship between occupational stresses with job burnout in pre-hospital emergency staff. jorjani. 2014;2(2):41-33.
Deniz T, Saygun M, EROĞLU O, Ülger H, Azapoğlu B. Effect of exposure to violence on the development of burnoutsyndrome in ambulance staff. Turkish journal of medical sciences. 2016;46(2):296-302.
Khashaba EO, El-Sherif MAF, Ibrahim AA-W, Neatmatallah MA. Work-related psychosocial hazards among emergency medical responders (EMRS) in Mansoura city. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2014;39(2):103.
Langan-Fox J, Cooper CL. Handbook of Stress in the Occupations: Edward Elgar Publishing; 2011.
Beaton R, Murphy S, Johnson C, Pike K, Corneil W. Exposure to duty‐related incident stressors in urban firefighters and paramedics. Journal of traumatic stress. 1998;11(4):821-8.
King DB. Daily dynamics of stress in canadian paramedics and their spouses: UNIVERSITY OF BRITISH COLUMBIA (Vancouver; 2013.
Maguire BJ, O’Meara PF, Brightwell RF, O’Neill BJ, Fitzgerald GJ. Occupational injury risk among Australian paramedics: an analysis of national data. Med J Aust. 2014;200(8):477-80.
Nia RG. Evaluating the Degree of Stress, Anxiety, and Depression among the Emergency Personnel in Kerman University of Medical Sciences. 2016.
Sterud T, Ekeberg Ø, Hem E. Health status in the ambulance services: a systematic review. BMC Health Services Research. 2006;6(1):1.
Suzuki A, Yoshioka K, Ito S, Naito Y. Assessment of stress and autonomic nervous activity in Japanese female ambulance paramedics working 24-hour shifts. Journal of occupational health. 2015(0).
Takeyama H, Tachi N, Sakamura O, Niwa S, Suzumura H, Itani T. Job stress and fatigue of ambulance paramedics and fire fighters. Job Stress Res. 2001;8:223-31.
Delpasand M, Raeissi P, Begdeli F, Shahabi M. The impact of job rotation on nurses burnout in Ayatollah Kashani hospital, Tehran: A case study. Iran Occupational Health. 2011;7(4):2-0.
Crampton DJ. Comparison of PTSD and compassion fatigue between urban and rural paramedics: THE UNIVERSITY OF THE ROCKIES; 2014.
Hebrani P, Behdani F, Mobtaker M. Evaluation of stress factors in nurses of different hospital wards. 2008.
Helm M, Castner T, Lampl L. Environmental temperature stress on drugs in prehospital emergency medical service. Acta anaesthesiologica scandinavica. 2003;47(4):425-9.
Regehr C. Bringing the trauma home: Spouses of paramedics. Journal of Loss and Trauma. 2005;10(2):97-114.
Svensson A, Fridlund B. Experiences of and actions towards worries among ambulance nurses in their professional life: a critical incident study. International Emergency Nursing. 2008;16(1):35-42.
Seyedjavadi M, Samadi N, Mohammadi R, Osmani A, BAKHTIARI KF, Seyedjavadi M. Assessment of Stress in Medical Emergency Staff in Ardabil Province, Iran. 2014.
- Abstract Viewed: 1352 times
- PDF (فارسی) Downloaded: 739 times
- HTML (فارسی) Downloaded: 148 times
