Interventions Targeting Resistance and Resilience Among Emergency Medical Service Clinicians: A Systematic Review

Prehospital Emergency Care, Год журнала: 2025, Номер unknown, С. 1 - 9

Опубликована: Фев. 12, 2025

To systematically review the effectiveness and harms of interventions to promote resistance resilience regarding mental health occupational stress issues among emergency medical service (EMS) clinicians. We registered systematic prospectively on PROSPERO (CRD42023465325). searched Medline, Embase, CENTRAL, CINAHL, ClinicalTrials.gov, journals, websites for studies published from January 1, 2001, through June 30, 2024. conducted duplicate screening titles abstracts followed by full texts potentially relevant abstracts. included EMS clinicians in high-income countries that evaluated targeting or issues. assessed risk bias strength evidence (SoE) using standard methods. seven (one randomized controlled trial, one trial with a waitlist control, four pre-post studies, prospective cohort [single group] study) total 425 deemed five have high bias, moderate risk, low risk. No meta-analysis was feasible because heterogeneity across studies. Mindfulness-building were associated reduced burnout at up 6 months follow-up (low SoE). The insufficient impacts both anxiety depression. conclusions are possible resistance-only resilience-only interventions. reported any reducing hospitalizations, post-traumatic disorder, substance use, suicidality, withdrawals workforce. unintended Given sparse identified this review, evidence-based options improve outcomes very limited. Future research is urgently needed inform strategies address many face clinician

Язык: Английский

Evaluation of Posttraumatic Stress Disorder Screening Measures of Emergency Medical Services Clinicians in Urban and Suburban New York During the Coronavirus Disease 2019 Pandemic

Air Medical Journal, Год журнала: 2024, Номер 43(4), С. 340 - 344

Опубликована: Апрель 10, 2024

Язык: Английский