Distribution of Number, Location of Pain and Comorbidities, and Determinants of Work Limitations among Firefighters

Rehabilitation Research and Practice, Journal Year: 2020, Volume and Issue: 2020, P. 1 - 9

Published: Nov. 8, 2020

The unique demands of firefighting results in acute, recurrent, or chronic pain complications. We aimed to describe the percentage distribution number and location painful sites among FFs determine whether work limitations differed based on sites, age, and/or sex.

Language: Английский

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The role of organizational culture in normalizing paramedic exposure to violence

Journal of Aggression Conflict and Peace Research, Journal Year: 2021, Volume and Issue: 14(2), P. 112 - 122

Published: Dec. 6, 2021

Purpose Violence against paramedics is a complex – but underreported problem. Extant research suggests organizational culture may play role in sustaining cultural norms that downplay the significance and limit reporting. The purpose of this paper to qualitatively explore paramedics’ experience with violence, particular emphasis on understanding how contributes under-reporting. Design/methodology/approach authors surveyed from single, large, urban service Ontario, Canada, asking participants describe their experiences including whether why or not incidents were reported. Within constructivist epistemology, we used inductive thematic analysis successive rounds coding identify then define features Findings A total 196 (33% eligible) completed survey. Fully 98% disclosed having experienced some form violence; however, only minority (40%) reported management, police (21%). defined framework within which lack support consequences for offenders, implicitly positions ability “brush off” violent encounters as an expected professional competency. Disclosing emotional psychological distress response invited questions individual personally suited paramedic work. Originality/value While extant has indicated underreporting problem, findings shed light critical first step addressing what been described serious public health

Language: Английский

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Prevalence and Characteristics of Violence against Paramedics in a Single Canadian Site

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(17), P. 6644 - 6644

Published: Aug. 24, 2023

Violence against paramedics has been described as a 'serious public health problem' but one that remains 'vastly underreported', owing to an organizational culture stigmatizes reporting-hindering efforts at risk mitigation in addition creating gap research. Leveraging novel reporting process developed after extensive stakeholder consultation and embedded within the electronic patient care record, our objective was provide descriptive profile of violence single paramedic service Ontario, Canada. Between 1 February 2021 31 January 2023, total 374 Peel Region (48% workforce) generated 941 reports, which 40% documented physical (n = 364) or sexual 19) assault. The typically perpetrated by patients (78%) primarily took place scene 9-1-1 call (47%); however, violent behavior frequently persisted recurred while transit hospital arrival. Collectively, mental health, alcohol, drug use were listed contributing circumstances 83% reports. In all, 81 physically harmed because On average, data correspond filing report every 18 h, being assaulted 46 injured 9 days.

Language: Английский

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Identifying Features of a System of Practice to Inform a Contemporary Competency Framework for Paramedics in Canada

Published: March 26, 2024

Introduction Paramedic practice is highly variable, occurs in diverse contexts, and involves the assessment management of a range presentations varying acuity across lifespan. As result, attempts to define paramedic have been challenging incomplete. This has led inaccurate or under-representations that can ultimately affect education, assessment, delivery care. In this study, we outline our efforts better identify, explore, represent professional when revising national competency framework for paramedics Canada. Methods We used systems thinking approach identify settings, features, influences on makes use role influence system features at microsystem, mesosystem, exosystem, macrosystem, supra-macro system, chronosystem levels ways provide new insights. methods such as rich pictures, diagramming, mapping explore relationships between these contexts features. Findings When examine paramedicine, multiple layers become evident within them start see details ought be considered any future development work. Our exploration highlights considers person-receiving care, caregivers, paramedics. It collaboration co-located dispersed teams are composed other health social care professionals, public safety personnel, others. Practice enacted geographical, cultural, social, technical subject policy, regulatory, legislative influence. Conclusion Using approach, developed detailed map inform initial stages more representative, comprehensive, contemporary

Language: Английский

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A qualitative application of the Job Demand-Control-Support (JDCS) to contextualize the occupational stress correctional workers experience

Journal of Crime and Justice, Journal Year: 2021, Volume and Issue: 45(2), P. 135 - 151

Published: March 4, 2021

Correctional workers are at increased risk for a variety of mental disorders relative to the general population. The appears associated with frequent exposures potentially psychologically traumatic events; however, Job Demand-Control model and Demand-Control-Support posit operational (job content) organizational context) stressors as increasing risks health challenges. In current study, we explore potential impact stress on correctional worker health, identifying specific that might be modifiable. Data were drawn from reports provided by 158 participants completing large survey elected respond either two open text boxes inviting feedback related their health. Qualitatively mapping our results onto indicates perceive themselves experiencing iso-strain function being in high demand, low control, social support work environment complicated under-recognized caregiving. Participant suggest consultation management training may help mitigate perceived negative workplace

Language: Английский

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Mental Disorder Symptoms and the Relationship with Resilience among Paramedics in a Single Canadian Site

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(8), P. 4879 - 4879

Published: April 17, 2022

There is growing recognition in research and policy of a mental health crisis among Canada's paramedics; however, despite this, epidemiological surveillance the problem its infancy. Just weeks before emergence COVID-19 pandemic, we surveyed paramedics from single, large, urban paramedic service Ontario, Canada to assess for symptom clusters consistent with post-traumatic stress disorder (PTSD), major depressive disorder, generalized anxiety identify potential risk factors each. In total, received 589 completed surveys (97% completion rate) found that 11% screened positive PTSD, 15% one four active-duty screening any three as recently February 2020. adjusted analyses, screen varied function employment classification, gender, self-reported resilience, previous experience member service's peer support team. Our findings position disorders at high rates-a likely have worsened since onset pandemic. We echo calls researchers policymakers urgent action Canada.

Language: Английский

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Associations of Police Officer Health Behaviors and Subjective Well-Being

European Journal of Health Psychology, Journal Year: 2020, Volume and Issue: 27(3), P. 98 - 108

Published: July 1, 2020

Abstract. Background: Law enforcement officers (LEOs) are responsible for maintaining public order and safety within communities. As a consequence of this obligation, LEOs repeatedly exposed to myriad unavoidable occupational stressors, known affect health behaviors well-being. Importantly, LEO well-being has implications as those reporting higher exhibit more equitable police behavior relative lower Aims: The present study aimed identify factors that may be leveraged enhance by investigating the indirect relation through psychological flexibility. Method: Path-analytic regression models were used analyze cross-sectional data provided recruited from three geographically dispersed agencies ( N = 459; Male 84.7%, White 64.2%). Results: Results indicated flexibility accounted relations chronic pain quality sleep Regular exercise largest proportion variance, though effect was not significant. Limitations: Inclusion comprehensive measures further clarify strength reported herein. Conclusion: Enhancing flexible response styles support high in populations who report poor pain.

Language: Английский

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Prevalence of musculoskeletal symptoms among Canadian firefighters

Work, Journal Year: 2020, Volume and Issue: 67(1), P. 185 - 191

Published: Sept. 22, 2020

BACKGROUND: Musculoskeletal symptoms (MSSs) remain the most frequently reported type of injuries sustained during fire-ground operations in firefighters. However, there is a paucity reports concerning prevalence estimates MSSs among female firefighters and different fire services across Canada. OBJECTIVES: To assess point self-reported MSSs, stratified by age sex cohort active duty from Canada, to determine whether age, or length service can be used predict likelihood number sustained. METHODS: We recruited 390 (272 males, 118 females). identify rates were asked complete standardized 11-item questionnaire that asked, “Please indicate you have experienced pain any body region within last week”, with response options included “Yes”, “No”, “Head”, “Neck”, “Shoulder”, “Arm/Elbow/Hand”, “Back”, “Stomach/Abdomen”, “Upper Thigh”, “Knee”, “Lower Leg”, “Foot”, “Other, please specify”. RESULTS: Among full-time firefighters, 212 (54%) indicated some week. The prevalent region-specific included, 123 (32%) back region, 92 (24%) shoulder 74 (19%) neck 70 (18%) knee region. In addition, women 1.6 times greater sustaining ≥2 when controlling for individual differences years service. CONCLUSIONS: was 54% (55% males; 53% Women 1.4–1.6

Language: Английский

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The relationship between role identity and mental health among paramedics

Journal of Workplace Behavioral Health, Journal Year: 2021, Volume and Issue: 37(1), P. 31 - 46

Published: Oct. 10, 2021

Role identity theory describes the beneficial effects on health as a result of purpose and meaning from occupying social roles. Amid high rates mental illness among paramedics, we surveyed 589 (97%) paramedics single site in Ontario, Canada evaluated for relationships between four dimensions previously validated paramedic role scale symptoms various disorders. Although did not observe relationship disorder symptoms, note with interest differences across demographic categories that challenge previous characterizations profession warrant further investigation.

Language: Английский

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Chronic Pain in Spanish Wildland Firefighters

Journal of Clinical Medicine, Journal Year: 2022, Volume and Issue: 11(4), P. 989 - 989

Published: Feb. 14, 2022

The work performed by wildland firefighters (WFFs) is very demanding owing to the conditions in which they have operate. It has been reported that these professionals walk long distances over unstable and steep terrain carrying heavy loads, handle tools manually repeatedly are subject a high level of thermal stress. Under such conditions, risk developing chronic pain (CP) high, although despite this, there no available data pertaining CP among WFFs, best our knowledge. As such, aim this study describe Spanish helitack crews, for purpose 221 WFFs (203 men 18 women) completed an online self-report questionnaire. Approximately 60% suffering from CP, 45.5% had more than one body region at same time. Age length service were associated with probability CP. Likewise, age height weight protective equipment used increased prevalence Lastly, gender job position affected location, women forepersons reporting greater lower limbs. To conclude, results obtained suggest major current suggesting turn importance age, stature, gender, service, on location

Language: Английский

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