An exploration of emotional labour and emotion work in emergency pre-hospital care DOI Open Access

Angela Williams

Published: Jan. 1, 2021

This thesis explores emotional labour and emotion work in the context of emergency ambulance service. The medical service (EMS) provides constant response to life threatening situations complex health care issues pre-hospital setting. challenges this type high demand is a crucial, though somewhat neglected area research attention. Hochschild’s theory on (1983, 2003) Goffman’s (1959) dramaturgical concepts front stage backstage are utilised, supplemented with features discourse conversational analysis. An ethnographic approach involving 280 hours participant observation over 10-month period 24 in-depth interviews EMS crews one busy, urban, inner city station serving large geographical UK has been utilised explore local ways dealing these. study findings suggest that appraise categorise their positive negative ways. Positive calls expressed through descriptors such being able ‘make difference’ perceived ‘genuine’ need for appear alongside emotions as excitement which some suggested helped them deal more mundane types work. Negative call appraisal was associated questions legitimacy assistance predicated normative ideologies. Crews constructed populated categories displaying identity work, moral “negotiated order” (Strauss, Schatzman, Ehrlich, Bucher, & Sabshin, 1963), mobilizing perceptions role kind they should be doing. categorisation frustration necessitating by disguise suppression appeared influence interactions between patients. setting form crew room central, regular, social gathering point where frontline frustrations were shared processed moaning, complaining, talking humour. talk each other about difficult calls; reflection verbalized questioning if had done ‘right’ thing reassurance sought from colleagues. reflexivity displayed emphasise affirmations rather than challenge contributed sense group identity. offers new understandings role, drawing observation, tentative implications these have crews’ those who use behaviours represent managed perspective directly involved it. offer unique contributions context. These inclusion pre- post-registration paramedic curricula, organisational recognition demands staff support further into

Language: Английский

Rethinking paramedic occupational injury surveillance: A systems approach to better understanding paramedic work-related injury DOI Creative Commons
Jason Kearney, Carlyn Muir, Paul M. Salmon

et al.

Safety Science, Journal Year: 2024, Volume and Issue: 172, P. 106419 - 106419

Published: Jan. 13, 2024

Paramedic work occurs in complex, dynamic, uncontrolled, and unpredictable environments which increase their risk of occupational injury. The complex multi-factorial nature paramedic injury requires a holistic systems-based approach to identify understand contributory factors Systems thinking methods are useful for understanding responding issues, however these have never been applied the surveillance injuries. Through narrative review literature, this paper aims establish currently known contributors injury, examine extent systems has context, outline how could be integrated into current systems. A search Ovid Medline between years 2004–2021. In total, 120 literature works were used develop maps models presented paper. These included: social-ecological model; an ActorMap; AcciMap; PreventiMap. findings illustrate complexity diversity contributing occurrence at work. However, thinking-based approaches like those not substitute traditional epidemiological surveillance, rather should incorporated together improve protective factor identification, facilitating development implementation targeted interventions.

Language: Английский

Citations

2
Job burnout on subjective wellbeing among clinicians in China: the mediating role of mental health DOI Creative Commons
Yingjie Fu, Derong Huang, Shuo Zhang

et al.

Frontiers in Psychology, Journal Year: 2023, Volume and Issue: 14

Published: Sept. 15, 2023

Background Although job burnout and mental health difficulties are prevalent negative influences on clinicians’ subjective wellbeing (SWB), there few investigations into their relationships. This research investigates the mediating role of illness in association between SWB China. Methods study used data collected from a cross-sectional survey conducted Using convenience sampling, we face-to-face questionnaire among clinicians tertiary hospital Shandong Province August to September 2019. The 22-item Maslach Burnout Inventory-Human Service Survey (Chinese version) Personal Wellbeing Index-Adult assessed SWB. Chinese short version Depression, Anxiety Stress Scale (DASS-C21) health. We also participants’ sociodemographic characteristics job-related factors. Structural equation modeling (SEM) was applied examine associations variables. Results Among 422 participants, 80.8% participants reported at least one symptom burnout, whereas 5.7% all three symptoms burnout. prevalence rates depression, anxiety, stress were 40.3, 41.7, 24.9%, respectively. Only 12.8% had high level In mediation analysis, is positively associated with (β = 0.809, P < 0.001), significant −0.236, 0.013), −0.377, 0.002). Mental played partially mediated (indirect effect −0.191, 95% CI: −0.361∼−0.017), can explain 33.6% total Conclusion provides evidence that by Medical administration departments administrators should pay close attention clinicians, so as effectively improve clinicians.

Language: Английский

Citations

5
First look at emergency medical technician wellness in India: Application of the Maslach Burnout Inventory in an unstudied population DOI Creative Commons
Kathryn W. Koval, Benjamin Lindquist,

Christine Gennosa

et al.

PLoS ONE, Journal Year: 2020, Volume and Issue: 15(3), P. e0229954 - e0229954

Published: March 10, 2020

Introduction Professional wellness is critical to developing and maintaining a health care workforce. Previous work has identified burnout as significant challenge professional facing emergency medical technicians (EMTs) in many countries worldwide. Our study fills gap by assessing the prevalence of among India. Methods This was cross-sectional survey EMTs within largest prehospital organization We used Maslach Burnout Inventory (MBI) measure wellness. All presenting for continuing education between July-November 2017 from states Gujarat, Karnataka, Telangana were eligible. Trained, independent staff administered anonymous MBI-Medical Personnel Surveys local languages. Results Of 327 eligible, 314 (96%) consented participate, 296 (94%) surveys scorable. The 28.7%. Compared other countries, Indian had higher levels personal accomplishment but also emotional exhaustion moderate depersonalization. In multivariate regression, determinants included younger age, perceived lack respect colleagues administrators, sense physical risk. who experienced four times likely plan quit their jobs one year. Conclusion first assessment India adds limited body literature low- middle-income country (LMIC) providers strongly associated with an EMT's intention year, potential implications employee turnover healthcare workforce shortages. should be key focus further possible intervention achieve internationally recognized targets, including Sustainable Development Goal 3C WHO's 2030 Milestone Human Resources.

Language: Английский

Citations

13
Ergonomic assessment of musculoskeletal risk among a sample of Portuguese emergency medical technicians DOI

Constança Davison,

Teresa Cotrim, Susana Gonçalves

et al.

International Journal of Industrial Ergonomics, Journal Year: 2021, Volume and Issue: 82, P. 103077 - 103077

Published: Jan. 19, 2021

Language: Английский

Citations

11
Is Gender an Antecedent to Workplace Stressors? A Systematic Review and an Empirical Study Using a Person-Centred Approach DOI Open Access
Roberta Fida, David Watson, Valerio Ghezzi

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(8), P. 5541 - 5541

Published: April 17, 2023

Objective: Work is a key domain of life in which gender inequality can manifest, yet rarely the explicit focus research seeking to understand exposure stressors. We investigated this gap two studies. Methods: Study 1 was systematic review relationship between and stressors (e.g., high demands, poor support, lack clarity control). From total 13,376,130 papers met our inclusion criteria. 2 cross-sectional study that included 11,289 employees nested within 71 public organisations (50.6% men). Through latent profile analysis, we profiles separately from men women. Results: The revealed that, for all stressors, significant proportion studies found no differences, mixed evidence greater both results genders could be optimally represented by three psychosocial risk reflecting medium, low also showed while shape similar genders, had higher probability than women being virtuous (i.e., stressors) profile, opposite pattern emerged average medium levels stressors). Men displayed same likelihood classified at-risk Conclusion: Gender differences are inconsistent. Although literature on role theory gendering work suggests different exposures women, find little empirical support this.

Language: Английский

Citations

3
Psychological distress Management in Iranian emergency prehospital providers DOI Creative Commons
Maryam Azizi, Reza Bidaki, Abbas Ebadi

et al.

Journal of Education and Health Promotion, Journal Year: 2021, Volume and Issue: 10(1), P. 442 - 442

Published: Jan. 1, 2021

Emergency prehospital providers (EPHP) who are constantly providing medical care in threatening conditions more at risk of displaying psychological distress presentations disaster situations. Problem-solving strategies essential for effective and efficient management event position. Therefore, the present study aimed to explore promotion Iranian EPHP.

Language: Английский

Citations

7
How medical transport service professionals perceive risk/protective factors with regard to occupational burnout syndrome: Differences and similarities between an Anglo-American and Franco-German model DOI
P. Navarro Moya,

Esperanza Villar Hoz,

Mònica González Carrasco

et al.

Work, Journal Year: 2020, Volume and Issue: 67(2), P. 295 - 312

Published: Oct. 9, 2020

BACKGROUND: Several studies show that professionals in the two main models of pre-hospital care (Franco-German (FG) and Anglo-American (AA)) are exposed to different psychosocial risk factors, with consequences such as burnout syndrome. Few provide information on protective nor there any results risk/protective factors from perspective comparing both (FG AA). OBJECTIVE: From medical transport (MT) professionals, we aimed identify may be involved occupational syndrome (OBS), Franco-German (AA) models, well emergency (EMT) non-emergency (non-EMT) services. METHOD: This was a qualitative research, through 12 semi-structured, in-depth interviews participants chosen intentional snowball sampling. Content analysis coding carried out based Bronfenbrenner’s ecological model supported by N-VIVO computer program. RESULTS: Our illustrate multi-causal nature OBS, interacting at levels model. Among data found levels, some provoking OBS most commonly cited are: work overload, schedules, coordinating centre, relationships managers, lack work-life balance, institutional model, privatization companies bureaucratization management. The acting protectors include stress services, colleagues, other or users, social recognition. DISCUSSION: In general, conclude more similarities than differences terms how workers each perceive factors.

Language: Английский

Citations

5
Access, Engagement, and Experiences with Critical Incident Response Resources in Athletic Training DOI Creative Commons

Karen Holmes,

Elizabeth R. Neil,

Kelcey Granger

et al.

Internet Journal of Allied Health Sciences and Practice, Journal Year: 2022, Volume and Issue: unknown

Published: March 31, 2022

Purpose: Experiencing an event that involves actual or threatened death serious injury is a critical incident and produces emotional responses. Athletic trainers (ATs) experience incidents in their day-to-day work. The purpose of this study was to explore how ATs during the course clinical practice. Methods: We used one-on-one, web-based, semi-structured interviewing with criterion sample who experienced any response resources last year (n=17; age=32±8; years experience=9±7; current position=4±5). 3-person team multi-phase process identify emerging domains categories. Results: Two emergent were identified from study. External support referenced multiple personnel available after occurred, specifically, trained mental health professionals, untrained personnel, trusted colleagues/coworkers. Coping included debriefing, spirituality, complementary strategies. Conclusion: In preparation for incidents, emergency action planning after-action healthcare delivery are both essential. Many do not have formal training, but continuing education courses, community-based resources, promotion professional organization can assist management.

Language: Английский

Citations

3
Analysis of Socio-Demographic, Lifestyle and Psychosocial Risk Factors Among a Sample of Portuguese Emergency Medical Technicians DOI

Constança Davison,

Teresa Cotrim, Susana Gonçalves

et al.

Advances in intelligent systems and computing, Journal Year: 2019, Volume and Issue: unknown, P. 63 - 72

Published: Jan. 1, 2019

Language: Английский

Citations

3
Cognitive social capital as a health-enabling factor for STI testing among young men in Stockholm, Sweden: A cross-sectional population-based study DOI Creative Commons
Ana Paula Finatto Canabarro, Malin Eriksson, Anna Nielsen

et al.

Heliyon, Journal Year: 2023, Volume and Issue: 9(10), P. e20812 - e20812

Published: Oct. 1, 2023

ObjectiveTo assess whether different forms of cognitive social capital increased the relative probability testing for sexually transmitted infections (STIs) among young men living in Stockholm, Sweden.MethodsA population-based cross-sectional study was conducted 2017 with aged 20–29 years Stockholm County, Sweden (n = 523). The main outcome STI patterns (never tested, tested only within a 12-month period, beyond repeatedly tested). exposure were two capital: support (having received help, having someone to share inner feelings with) and institutionalized trust (in school, healthcare, media). Data analyzed using weighted multivariate multinomial logistic regression obtain adjusted ratio (aRPR).ResultsAfter adjusting confounding factors, receiving help (aRPR: 5.2, 95 % CI: 1.7–16.2) 3.1, 1.2–7.7) probabilities STIs, but those period. Trust media period 2.6, 1.1–6.1) 3.6, 1.5–8.8).ConclusionYoung County exhibit distinct patterns. Social factors that being this effect varying according men's pattern. Further studies are required explore how might promote population.

Language: Английский

Citations

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