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Stress in emergency services workers

Ulrika Baker, Farida Hassan, Claudia Hanson, Fatuma Manzi, Tanya Marchant, Stefan Swartling Peterson, Ingrid Hylander
BACKGROUND: Health workers are the key to realising the potential of improved quality of care for mothers and newborns in the weak health systems of Sub Saharan Africa. Their perspectives are fundamental to understand the effectiveness of existing improvement programs and to identify ways to strengthen future initiatives. The objective of this study was therefore to examine health worker perspectives of the conditions for maternal and newborn care provision and their perceptions of what constitutes good quality of care in rural Tanzanian health facilities...
February 6, 2017: BMC Pregnancy and Childbirth
Harald De Cauwer, Francis Somville, Marc Sabbe, Luc J Mortelmans
In recent years, the world has been rocked repeatedly by terrorist attacks. Arguably, the most remarkable were: the series of four coordinated suicide plane attacks on September 11, 2001 on buildings in New York, Virginia, and Pennsylvania, USA; and the recent series of two coordinated attacks in Brussels (Belgium), on March 22, 2016, involving two bombings at the departure hall of Brussels International Airport and a bombing at Maalbeek Metro Station located near the European Commission headquarters in the center of Brussels...
February 2017: Prehospital and Disaster Medicine
JianLi Wang, Scott B Patten, Raymond W Lam, Mark Attridge, Kendall Ho, Norbert Schmitz, Alain Marchand, Bonnie M Lashewicz
BACKGROUND: Major depression (MDE) is prevalent in men and affects men's health and productivity. Because of the stigma against depression and social/gender norms, men are less likely to seek help for emotion and stress-related issues. Therefore, innovative solutions tailored for men are needed. With rapid development of the Internet and information technologies, one promising solution that has drawn considerable attentions is electronic mental (e-mental) health programs and services...
November 15, 2016: JMIR Research Protocols
Ailsa Munns, Robin Watts, Desley Hegney, Roz Walker
BACKGROUND: Designing child and family health services to meet the diverse needs of contemporary families is intended to minimize impacts of early disadvantage and subsequent lifelong health and social issues. Innovative programs to engage families with child and family support services have led to interest in the potential value of peer-led home visiting from parents in local communities. There is a range of benefits and challenges identified in a limited number of studies associated with home visiting peer support...
October 2016: JBI Database of Systematic Reviews and Implementation Reports
Nina Ogińska-Bulik
BACKGROUND: The purpose of the research was to investigate the role of personal resources, such as optimism and sense of selfefficacy in both negative (posttraumatic stress disorder (PTSD) symptoms) and positive (posttraumatic growth - PTG) effects of experienced trauma in a group of emergency service representatives. MATERIAL AND METHODS: Data of 100 medical rescue workers, mostly men (59%) who have experienced traumatic events in their worksite were analyzed. The age of the participants ranged from 24 to 60 years (mean = 37...
2016: Medycyna Pracy
D Leguay
This article attempts to identify and put into perspective the different approaches that could globally prevent the suffering induced by schizophrenia, from the detection of early psychosis to the impact on individual and family functioning and emotional health. Schizophrenia causes, at the community level, a number of difficult consequences and associated costs, which likely could be reduced if specific strategies, already known and documented internationally, were applied. Two areas not explored in this article: the role of medication and the issue of suicide prevention...
October 2016: L'Encéphale
Christiane Prüßmann, Daniela Stindt, Jana Brunke, Ursula Klinkhammer, Ute Thyen
BACKGROUND: The perception of patients' needs of support and sensitive communication about psychosocial stress all represent new, exacting tasks for nursing staff, midwives, social workers and physicians in obstetrics. As part of Good Start into the Family (GuStaF), a learning and teaching project in a university hospital, we were able to interview parents about their experiences with the intervention. OBJECTIVE: Evaluation of the process of establishing contacts, the communication with professionals in obstetrics and the support offered from the perspective of parents...
October 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
H Í Çıkrıklar, Y Yürümez, B Güngör, R Aşkın, M Yücel, C Baydemir
INTRODUCTION: This study was conducted to evaluate the occurrence of violent incidents in the workplace among the various professional groups working in the emergency department. We characterised the types of violence encountered by different occupation groups and the attitude of individuals working in different capacities. METHODS: This cross-sectional study included 323 people representing various professional groups working in two distinct emergency departments in Turkey...
October 2016: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Fiona Cocker, Nerida Joss
Compassion fatigue (CF) is stress resulting from exposure to a traumatized individual. CF has been described as the convergence of secondary traumatic stress (STS) and cumulative burnout (BO), a state of physical and mental exhaustion caused by a depleted ability to cope with one's everyday environment. Professionals regularly exposed to the traumatic experiences of the people they service, such as healthcare, emergency and community service workers, are particularly susceptible to developing CF. This can impact standards of patient care, relationships with colleagues, or lead to more serious mental health conditions such as posttraumatic stress disorder (PTSD), anxiety or depression...
2016: International Journal of Environmental Research and Public Health
Khampasong Theppanya, Outavong Phathammavong, Arie Rotem
The purpose of this health workforce plan is to provide guidance for the staffing of the Bolikhamxay. Province health services and the training of health service personnel to the year 2020. It must be stressed, however, that this plan is in its first iteration and does not provide all the solutions. Rather, it identifies issues that need to be further investigated and resolved at the local level. For example, the provincial health department (PHD) will need to further investigate the reasons for the significant variability in the utilization of services in different facilities and in the different ratios of staff in relation to the activities performed...
July 5, 2016: Journal of Epidemiology
Carol Coohey, Scott D Easton
Depression is a common problem among homeless men that may interfere with functional tasks, such as securing stable housing, obtaining employment, and accessing health services. Previous research on depression among homeless men has largely focused on current psychosocial resources, substance abuse, and past victimization. Guided by Ensel and Lin's life course stress process model, the authors examined whether distal stressors, including victimization and exposure to parent problems in childhood, contributed to men's depression above and beyond current (or proximal) stressors, such as substance abuse and health problems, and social resources...
May 2016: Health & Social Work
Nina Ogińska-Bulik, Zygfryd Juczyński
BACKGROUND: Emergency service workers are exposed to experienced traumatic events related to the nature of their work. The study aimed at identifying the role of cognitive processes, namely different forms of ruminations, as predictors of consequences of experienced trauma. MATERIAL AND METHODS: The data on 120 medical rescuers (80 men, 40 women) who had experienced in their worksite at least 1 traumatic event in the last 5 years, were analyzed. The age of the participants ranged from 25 to 61 years (mean (M) = 38...
2016: Medycyna Pracy
Rachel White, Jennifer Wild
Emergency service workers, military personnel, and journalists working in conflict zones are regularly exposed to trauma as part of their jobs and suffer higher rates of posttraumatic stress compared with the general population. These individuals often know that they will be exposed to trauma and therefore have the opportunity to adopt potentially protective cognitive strategies. One cognitive strategy linked to better mood and recovery from upsetting events is concrete information processing. Conversely, abstract information processing is linked to the development of anxiety and depression...
May 2016: Behavior Therapy
Masebeo Veronica Koto, Pranitha Maharaj
Sub-Saharan Africa is most affected by the AIDS pandemic and Lesotho is no exception. In many countries, healthcare workers are at the forefront of the fight against AIDS. This study explores the difficulties facing healthcare workers in Lesotho using a combination of qualitative methods--focus group discussions and in-depth interviews. The findings suggest that healthcare workers are afraid of contracting HIV from their patients and this affects their delivery of services. In addition, the results revealed that poor infrastructure and shortage of supplies at the facilities hinder healthcare workers from performing their duties effectively...
2016: SAHARA J: Journal of Social Aspects of HIV/AIDS Research Alliance
Lieke Lammerts, Frederieke G Schaafsma, Willem van Mechelen, Johannes R Anema
BACKGROUND: A process evaluation of a participatory supportive return to work program, aimed at workers without a (permanent) employment contract who are sick-listed due to a common mental disorder, revealed that this program was executed less successfully than similar programs evaluated in earlier studies. The program consisted of a participatory approach, integrated care and direct placement in competitive employment. Aim of this study was to get a better understanding of the execution of the program by evaluating stakeholders' perceptions...
April 14, 2016: BMC Public Health
Tamar Tadmor, Niva Dolev, Dina Attias, Ayalla Reuven-Lelong, Amnon Rofe
During the last decade, medical organizations have undergone major changes worldwide and these continue to evolve at a rapid pace. Today the medical profession faces many new challenges that will eventually have an impact on almost every aspect of daily hospital routine. To a large extent, these issues arise from emerging new technologies, the entry of a new generation of trained workers who have different views and characteristics than previous generations, and the introduction of stricter regulations and accreditation procedures in recent years...
January 2016: Harefuah
Julia Morphet, Debra Lee Griffiths, Kimberley Crawford, Allison Williams, Tamsin Jones, Belinda Berry, Kelli Innes
The demand for emergency department (ED) services has increased significantly, due to our increasingly ageing population and limited access to primary care. This article reports outcomes from a transprofessional model of care in an ED in Victoria, Australia. Nurses, physiotherapists, social workers, and occupational therapists undertook additional education to increase the range of services they could provide and thereby expedite patient flow through the ED. One hundred patients who received this service were matched against 50 patients who did not...
2016: Journal of Interprofessional Care
Yì-Xiáng J Wáng, Yáo T L
BACKGROUND: The medical workforce constitutes the foundation of the provision of health services in all countries. The effectiveness of health systems and the quality of health services are directly related to the performance of health workers. Satisfaction level of the job affects the quality of care for patients. An anonymous on-line survey was conducted with the aim to obtain a better understanding of the current morale of Chinese medical professionals. METHODS: An online cross-sectional questionnaire based survey was conducted during the period of Sep 10-23, 2015, via the platform provided by DXY (www...
October 2015: Quantitative Imaging in Medicine and Surgery
Samuel B Harvey, Josie S Milligan-Saville, Helen M Paterson, Emily L Harkness, Annabel M Marsh, Mark Dobson, Richard Kemp, Richard A Bryant
OBJECTIVE: Emergency workers, such as fire-fighters, are routinely exposed to potentially traumatic events. While a number of studies have examined the occurrence of post-traumatic stress disorder, the role of multiple traumas on other mental health sequelae, such as depression and alcohol misuse, among emergency workers remains unclear. This study aimed to assess the prevalence of post-traumatic stress disorder, depression and alcohol misuse in a sample of current and retired fire-fighters and examine their relationship with cumulative trauma exposure...
July 2016: Australian and New Zealand Journal of Psychiatry
Deanne Armstrong, Jane Shakespeare-Finch, Ian Shochet
RATIONALE: Previous research with emergency service workers has examined the relationship between operational and organizational stress and negative indicators of mental health, and generally found that organizational stress is more strongly related to pathology than operational stress. METHOD: The current study aimed to create and test a model predicting both posttraumatic stress disorder (PTSD) symptoms and posttraumatic growth (PTG) simultaneously in a sample of firefighters (N = 250)...
May 2016: Psychological Trauma: Theory, Research, Practice and Policy
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