Violence Against Paramedics: Protocol for Evaluating 2 Years of Reports Through a Novel, Point-of-Event Reporting Process (Preprint) DOI
Justin Mausz, Elizabeth Donnelly

Опубликована: Фев. 28, 2022

BACKGROUND Violence against paramedics has been described as a serious public health problem with the potential for significant physical and psychological harm, but organizational culture within profession encourages to consider violence just “part of job.” Therefore, most incidents are never formally documented. This limits ability researchers policy makers develop strategies that mitigate risk enhance paramedic safety. OBJECTIVE Following development implementation novel, point-of-event reporting process in February 2021, our objectives (1) estimate prevalence generate descriptive profile reported violence; (2) identify potentially high-risk service calls based on characteristics generally known responding at point dispatch; (3) explore underpinning themes, including intolerance gender, race, sexual orientation, contribute violence. METHODS Our work is situated single Ontario, Canada. Using convergent parallel mixed methods approach, we will retrospectively review 2 years quantitative qualitative data gathered from External Incident Report (EVIR) system 1 2021 through 28, 2023. The EVIR mechanism embedded electronic patient care record (ePCR) developed an extensive stakeholder engagement process. When completing ePCR, prompted file if they experienced call. include using statistics describe (Objective 1), logistic regression modeling 2), content analysis incident report narratives themes 3). RESULTS As January 1, 2023, 377 paramedics—approximately 5 active-duty service—have filed total 975 reports. Early suggests 40% reports involved assault paramedic. team continuing collect more fulsome analyses beginning March findings provide much-needed epidemiological service, its contributing factors. CONCLUSIONS growing body literature demonstrating complex requires nuanced understanding scope, factors, circumstances. Collectively, research inform larger, multisite prospective studies already planning stage harm INTERNATIONAL REGISTERED REPORT DERR1-10.2196/37636

Язык: Английский

Peer Support for Public Safety Personnel in Canada: Towards a Typology DOI Open Access
Jill A. B. Price, Adeyemi Ogunade, Amber J. Fletcher

и другие.

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(9), С. 5013 - 5013

Опубликована: Апрель 20, 2022

Public safety personnel (PSP) are frequently exposed to potentially psychologically traumatic events (PPTEs) which can impact mental health. To help mitigate the negative effects of PPTEs, PSP commonly rely on peer support. Peer support generally refers a wide variety health resources that offer social or emotional assistance peer, and in some cases professional assistance. Despite use demand for support, there is relatively little empirical evidence regarding effectiveness. The gaps effectiveness may be due, part, inadequate guidelines standards practice publicly supported by consensus among providers. current study was designed explore conceptualization implementation Canadian using document analysis. results indicate conceptualized via three models (i.e., peer-enabled, peer-led, peer-partnership) implemented two delivery methods program, service). research team proposed novel diagram towards typology highlight diversity provide foundation development mutually agreed-upon language shared framework. Overall, inform within beyond communities.

Язык: Английский

Процитировано

8
Effect of selected factors related to emotions and general health on the health behaviours of paramedics DOI Creative Commons
Agnieszka Gonczaryk, Jarosław Chmielewski, Agnieszka Strzelecka

и другие.

Annals of Agricultural and Environmental Medicine, Год журнала: 2022, Номер 29(3), С. 424 - 432

Опубликована: Июль 5, 2022

1. Spring B, King AC, Pagoto SL, Van Horn L, Fisher JD. Fostering multiple healthy lifestyle behaviors for primary prevention of cancer. Am Psychol. 2015; 70(2): 75–90. https://doi.org/10.1037/a00388.... CrossRef Google Scholar

Язык: Английский

Процитировано

8
Paramedic Willingness to Report Violence Following the Introduction of a Novel, Point-of-Event Reporting Process in a Single Canadian Paramedic Service DOI Open Access
Justin Mausz,

Michael-Jon Braaksma,

Mandy Johnston

и другие.

Опубликована: Фев. 13, 2024

Violence against paramedics is increasingly recognized as an important occupational health problem, but pervasive and institutionalized underreporting hinders efforts at risk mitigation. Earlier research has shown that the organizational culture within paramedicine may contribute to researchers have recommended involving in development of violence prevention policies, including reporting systems. Eighteen months after launch a new comprehensive system Peel Region, Ontario, Canada, we surveyed about their willingness report violent encounters. A total 204 (33% eligible) chose participate, whom 67% (N=137) had experienced since process, with 83% (N=114) incidents least some time. In choosing report, participants cited accessibility process desire promote accountability among perpetrators while contributing safer workplace motivating factors. Their decisions file however, could be influenced by perceived ‘volitionality’ severity encounters, particularly context (un)supportive co-workers supervisors. Ultimately, participants’ belief would lead meaningful change service was key driver behavior.

Язык: Английский

Процитировано

1
Mental Health of Royal Canadian Mounted Police Cadets Completing Training DOI
R. Nicholas Carleton, Taylor A. Teckchandani, Shannon Sauer‐Zavala

и другие.

Journal of Police and Criminal Psychology, Год журнала: 2024, Номер unknown

Опубликована: Дек. 20, 2024

Язык: Английский

Процитировано

1
Violence Against Paramedics: Protocol for Evaluating 2 Years of Reports Through a Novel, Point-of-Event Reporting Process DOI Creative Commons
Justin Mausz, Elizabeth Donnelly

JMIR Research Protocols, Год журнала: 2022, Номер 12, С. e37636 - e37636

Опубликована: Дек. 9, 2022

Violence against paramedics has been described as a serious public health problem with the potential for significant physical and psychological harm, but organizational culture within profession encourages to consider violence just "part of job." Therefore, most incidents are never formally documented. This limits ability researchers policy makers develop strategies that mitigate risk enhance paramedic safety.Following development implementation novel, point-of-event reporting process in February 2021, our objectives (1) estimate prevalence generate descriptive profile reported violence; (2) identify potentially high-risk service calls based on characteristics generally known responding at point dispatch; (3) explore underpinning themes, including intolerance gender, race, sexual orientation, contribute violence.Our work is situated single Ontario, Canada. Using convergent parallel mixed methods approach, we will retrospectively review 2 years quantitative qualitative data gathered from External Incident Report (EVIR) system 1 2021 through 28, 2023. The EVIR mechanism embedded electronic patient care record (ePCR) developed an extensive stakeholder engagement process. When completing ePCR, prompted file if they experienced call. Our include using statistics describe (Objective 1), logistic regression modeling 2), content analysis incident report narratives themes 3).As January 1, 2023, 377 paramedics-approximately 5 active-duty service-have filed total 975 reports. Early suggests 40% reports involved assault paramedic. team continuing collect more fulsome analyses beginning March findings provide much-needed epidemiological service, its contributing factors.Our growing body literature demonstrating complex requires nuanced understanding scope, factors, circumstances. Collectively, research inform larger, multisite prospective studies already planning stage harm violence.DERR1-10.2196/37636.

Язык: Английский

Процитировано

7
Adherence to Psychological First Aid after Exposure to a Traumatic Event at Work among EMS Workers: A Qualitative Study DOI Open Access
Marine Tessier, Josianne Lamothe, Steve Geoffrion

и другие.

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(21), С. 11026 - 11026

Опубликована: Окт. 20, 2021

Managing post-traumatic stress reactions in the first few days after exposure to a potentially traumatic event course of one’s work remains challenge for responder organizations such as Emergency Medical Services (EMS). Psychological First Aid (PFA) is an evidence-informed approach reducing initial distress and promoting short- long-term coping strategies among staff aftermath exposure. PFA provided by peer helpers considered promising solution organizations. Unfortunately, responders may encounter stigma barriers mental health care. Therefore, deeper investigation needed regarding adherence over time implemented intervention. The purpose this study qualitatively explore factors that influence intervention recipients helpers. EMS workers (n = 11), working one year, participated semi-structured interviews. Data were analyzed using thematic analysis; intercoder reliability (κ 0.91) was also used. Researchers identified four themes 11 subthemes influencing intervention: (1) individual perceptions attitudes about pfa intervention; (2) perceived impacts on recipients; (3) organizational support (4) congruence with occupational culture. Study findings herein suggest it conceivable act various improve within organization. This could lead enhanced understanding challenges involved sustaining led program responders.

Язык: Английский

Процитировано

7
Prevalence and Characteristics of Violence Against Paramedics in a Single Canadian Site DOI Open Access
Justin Mausz,

Mandy Johnston,

Dominique Arseneau-Bruneau

и другие.

Опубликована: Июль 17, 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 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 February 1, 2021, through January 31, 2023, total 374 Peel Region (48% workforce) generated 941 reports, which 40% documented physical (n=364) or sexual (n=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 hours, being assaulted 46 injured 9 days.

Язык: Английский

Процитировано

2
Operational Stress Injury DOI Creative Commons
Abraham Rudnick,

Andrea Shaheen,

Sarah Lefurgey

и другие.

Encyclopedia, Год журнала: 2023, Номер 3(4), С. 1332 - 1344

Опубликована: Окт. 24, 2023

An operational stress injury (OSI) is a term used most often to describe mental disorders which result from, or are exacerbated by, military police service. In the Canadian context, this refers active former members of Armed Forces (CAF) Royal Mounted Police (RCMP). The common diagnoses within include post-traumatic disorder (PTSD), anxiety disorders, depression, and substance use disorders.

Язык: Английский

Процитировано

2
Exogenous melatonin alleviates hemorrhagic shock‑induced hepatic ischemic injury in rats by inhibiting the NF‑κB/IκBα signaling pathway DOI Creative Commons

Hai‐Wei Li,

Ying Pan, Qiqi Cai

и другие.

Molecular Medicine Reports, Год журнала: 2021, Номер 23(5)

Опубликована: Март 9, 2021

Melatonin (MT) is an indoleamine hormone that can counteract ischemia‑induced organ injury through its antioxidant effects. The aim of the present study was to investigate protective effects exogenous MT against hemorrhagic shock (HS)‑induced hepatic ischemic in rats, and role nuclear factor (NF)‑κB signaling pathway this process. A rat model HS‑induced established. serum levels alanine aminotransferase (ALT), aspartate (AST), lactate dehydrogenase (LDH), glutamate (GDH), tumor necrosis (TNF)‑α, interferon (IFN)‑γ, interleukin (IL)‑6 IL‑1β were measured every 6 h, 24‑h survival rate rats analyzed. All surviving sacrificed after 24 h. Pathological changes liver hepatocyte apoptosis observed by hematoxylin eosin staining TUNEL assay, respectively, expression NF‑κB p65 inhibitor α (IκBα) analyzed reverse transcription‑quantitative PCR analysis western blotting. results demonstrated ALT, AST, LDH, GDH, TNF‑α, IFN‑γ, IL‑6 gradually increased HS compared with those subjected a sham procedure, but increase attenuated MT. Furthermore, group significantly higher group. degree pathological injury, rate, decreased In addition, mRNA IκBα protein cytosol nucleus, while phosphorylated Therefore, it may be inferred alleviates via inhibition activation phosphorylation.

Язык: Английский

Процитировано

4
Mental Disorder Symptoms among Paramedics in a Single Canadian Site DOI Open Access
Justin Mausz, Elizabeth Donnelly, Sandra Moll

и другие.

Опубликована: Янв. 27, 2022

There is growing recognition in research and policy of a mental health crisis among Canada’s paramedics but despite this, epidemiological surveillance the problem its infancy. Just weeks before emergence COVID-19 pandemic, we surveyed 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 disorder identify potential risk factors each. In total, received 589 completed surveys (a 97% completion rate) found that 11% screened positive PTSD, 15% depression, anxiety, 1 4 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 – likely have worsened since onset pandemic. We echo calls researchers policymakers urgent action Canada.

Язык: Английский

Процитировано

2