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burnout in paramedics

S G Pogosian
The article presents results of sociological survey of 650 paramedical personnel. It is established that 37% out ofthem suffer from chronic diseases. The given indicator is reliably higher in patients of elder age having three and more children and low income. The relationship is established between health level and opinions ofparamedicalpersonnel about public significance ofprofession availability of conflicts with physicians and labor loads. The signs of emotional burnout syndrome have 77.8-83.3% of respondents according different techniques...
November 2015: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
Soazic Dréano-Hartz, Wadih Rhondali, Mathilde Ledoux, Murielle Ruer, Julien Berthiller, Anne-Marie Schott, Léa Monsarrat, Marilène Filbet
OBJECTIVE: Burnout syndrome is a work-related professional distress. Palliative care physicians often have to deal with complex end-of-life situations and are at risk of presenting with burnout syndrome, which has been little studied in this population. Our study aims to identify the impact of clinical settings (in a palliative care unit (PCU) or on a palliative care mobile team (PCMT)) on palliative care physicians. METHOD: We undertook a cross-sectional study using a questionnaire that included the Maslach Burnout Inventory (MBI), and we gathered sociodemographic and professional data...
August 2016: Palliative & Supportive Care
Mike Brady
Death anxiety, or 'thanatophobia', is a state in which people experience negative emotional reactions in recognition of their own mortality. Emergency and unscheduled healthcare workers, such as emergency nurses and paramedics, are constantly reminded of death and therefore of their own mortality, and this makes them susceptible to death anxiety. This article introduces the concept of death anxiety, and highlights the need for staff, employers and universities to recognise its signs and symptoms. It also suggests some interventions that could prevent the debilitating effects of death anxiety, to improve staff's mental health and the care they provide to patients...
July 2015: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
David B King, Anita DeLongis
Previous research has highlighted the importance of examining the interpersonal context of stress and coping. How individuals in a relationship respond to one another and cope with stress together have important outcomes on both individual and dyadic levels. The current study sought to examine 2 deleterious coping responses, rumination and interpersonal withdrawal, as they relate to occupational stress and interact in the home setting. An intensive longitudinal design was employed in a sample of 87 couples in which 1 partner was working as a paramedic...
August 2014: Journal of Family Psychology: JFP
Janice Halpern, Robert G Maunder, Brian Schwartz, Maria Gurevich
Effective workplace-based interventions after critical incidents (CIs) are needed for emergency medical technicians (EMT)/paramedics. The evidence for a period out of service post-CI (downtime) is sparse; however it may prevent posttraumatic stress disorder (PTSD) and burnout symptoms. We examined the hypothesis that downtime post-CI is associated with fewer symptoms of four long-term emotional sequelae in EMT/paramedics: depression, PTSD, burnout, and stress-related emotional symptoms (accepted cut-offs defined high scores)...
2014: BioMed Research International
Jessica L Paterson, Sarah Sofianopoulos, Brett Williams
OBJECTIVE: Paramedic fatigue is associated with burnout, attrition, sick leave, work disability, physical and mental health complaints and impaired performance. However, no studies have addressed how fatigue is understood by paramedics. The present study addresses this shortcoming by exploring factors paramedics recognise as contributors to fatigue. METHODS: Forty-nine (12F; 38 years ± 9.7 years) Australian paramedics completed a survey on perceived causes of performance impairing fatigue...
April 2014: Emergency Medicine Australasia: EMA
W O Chakroun, I Rejeb, L Kammoun, A Nasri, T Ghnainia, A Chaari, H Ksibi, A Chaari, M Bouaziz, N Rekik
OBJECTIVES: The objectives of this work were to make an inventory of the stress level, to detect various stressors and to describe the working conditions as perceived by staff to pinpoint the factors that might be changed. STUDY DESIGN: This survey was conducted from July to August 2012 in all sectors of the emergency department. We used the Karasek model. Collected data were demographic and professional. RESULTS: We included 107 participants, which represent 61...
September 2013: Annales Françaises D'anesthèsie et de Rèanimation
L Chennoufi, F Ellouze, W Cherif, M Mersni, M F M'rad
INTRODUCTION: Burnout, or professional exhaustion syndrome, is defined as a state of emotional, mental and physical exhaustion caused by excessive and prolonged stress at work. Despite the fact that it is not a recognized disorder in the DSM-IV, burnout has been widely described among medical and paramedical staff. In Tunisia, all the studies about this syndrome have only considered populations of doctors. However, professional exhaustion syndrome is not only limited to the medical sector, but can also be seen in any profession involving a relation of help...
December 2012: L'Encéphale
Janice Halpern, Robert G Maunder, Brian Schwartz, Maria Gurevich
BACKGROUND: Emergency medical technicians (EMTs) and paramedics experience critical incidents which evoke distress and impaired functioning but it is unknown which aspects of incidents contribute to their impact. We sought to determine these specific characteristics by developing an inventory of critical incident characteristics and testing their relationship to protracted recovery from acute stress, and subsequent emotional symptoms. METHODS: EMT/paramedics (n = 223) completed a retrospective survey of reactions to an index critical incident, and current depressive, posttraumatic and burnout symptoms...
2012: BMC Emergency Medicine
Willem Stassen, Benjamin Van Nugteren, Christopher Stein
OBJECTIVES: To establish the prevalence of burnout among advanced life support (ALS) paramedics in Johannesburg, South Africa and assess the relationship between burnout and a number of demographic characteristics of the sampled ALS paramedics. DESIGN: Cross-sectional internet-based survey. METHOD: Survey invitations were sent via email to 98 registered ALS paramedics in the Johannesburg area. The survey questionnaire was created by combining the Copenhagen Burnout Inventory (CBI) with numerous distractor questions...
April 2013: Emergency Medicine Journal: EMJ
Janice Halpern, Robert G Maunder, Brian Schwartz, Maria Gurevich
For paramedics, critical incidents evoke intense emotions and may result in later psychological difficulties. We examined 2 ways to deal with emotions after critical incidents: (a) identifying emotions, and (b) describing and expressing emotions, and their association with recovery from acute stress and psychological symptoms. We surveyed 190 paramedics, examining how impaired capacity to identify and describe emotions (alexithymia) and voluntary expression of emotions during contacts with others in the first 24 hours after the incident were associated with recovery from acute stress and current symptoms of PTSD, depression, burnout, and somatization...
February 2012: Journal of Traumatic Stress
Robert G Maunder, Janice Halpern, Brian Schwartz, Maria Gurevich
BACKGROUND: Mental and physical symptoms are common in paramedics, which may relate to high work stress, including critical incidents. As previous trauma is a risk factor for psychological symptoms after exposure to critical incidents, the prevalence of childhood experiences with abuse and neglect and paramedics' adaptation to critical incidents may be important. METHODS: 635 paramedics were surveyed regarding childhood experiences of physical, sexual or emotional abuse as well an index critical incident from the past, acute stress responses to that event and current mental and physical symptoms...
March 2012: Emergency Medicine Journal: EMJ
Florian Popa, Arafat Raed, Victor Lorin Purcarea, Adrian Lală, George Bobirnac
INTRODUCTION: The specificity of the emergency medical act strongly manifests itself on account of a wide series of psycho-traumatizing factors augmented both by the vulnerable situation of the patient and the paroxysmal state of the act. Also, it has been recognized that the physical solicitation and distress levels are the highest among all medical specialties, this being a valuable marker for establishing the quality of the medical act. MATERIAL AND METHODS: We have surveyed a total of 4725 emergency medical workers with the MBI-HSS instrument, receiving 4693 valid surveys (99...
July 2010: Journal of Medicine and Life
G Prati, L Pietrantoni
OBJECTIVE: Fire-fighters, paramedics and civil protection volunteers routinely confront potentially traumatic events in the course of their jobs. The frequency of exposure to critical incidents and the relationship between critical incident exposure and quality of life (Professional Quality of Life Scale, PROQOL, Stamm, 2005) SUBJECTS: A sample of 586 Italian emergency workers. RESULTS: The data indicated that the most frequent critical incidents were incidents involving multiple casualties (65% three or more times), prolonged extrication of trapped victim with life-threatening injuries (64% three or more times), verbal or physical threat by public while on duty (41% three or more times), and victims known to fire-emergency worker (40% three or more times)...
July 2009: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Gabriele Prati, Luca Pietrantoni, Elvira Cicognani
Rescue workers are frequently exposed to highly stressful situations during their everyday work activity. Stress and coping theory emphasizes the interaction between primary and secondary appraisal in determining coping responses to stressful events and quality of life. According to Social Cognitive Theory, stress reactions depend on self-appraisal of coping capabilities. The present study investigated whether self-efficacy moderates the relationship between stress appraisal and professional quality of life...
July 2010: Anxiety, Stress, and Coping
Nurit Nirel, Rachel Goldwag, Zvi Feigenberg, David Abadi, Pinchas Halpern
INTRODUCTION: The number of paramedics in Israel is increasing. Despite this growth and important role, the emergency medical organizations lack information about the characteristics of their work. OBJECTIVE: The objective of this study was to examine the characteristics of the paramedics' work, the quality of their working lives, the factors that keep them in the profession, or conversely, draw them away from it. METHODS: Cross-sectional study conducted through telephone interviews of a random sample of 50% of the graduates of paramedic courses in Israel (excluding conscripted soldiers)...
November 2008: Prehospital and Disaster Medicine
Mehmet Taner
PURPOSE: The purpose of this study is to show how the principles of Six Sigma can be applied to the high turnover problem of doctors in medical emergency services and paramedic backup. DESIGN/METHODOLOGY/APPROACH: Six Sigma's define-measure-analyse-improve-control (DMAIC) is applied for reducing the turnover rate of doctors in an organisation operating in emergency services. Variables of the model are determined. Explanatory factor analysis, multiple regression, analysis of variance (ANOVA) and Gage R&R are employed for the analysis...
2009: International Journal of Health Care Quality Assurance
Karine Barrau-Baumstarck, Eva Rebeschini, Geneviève Dalivoust, Dominique Durand-Bruguerolle, Ghislaine Gazazian, Françoise Martin
BACKGROUND: The need to reorganize hospital care in view of the inadequate number of staff available has led some departments to change shift hours to two 12-hour shifts daily. The impact of this organization on the quality of life (QoL) and daily life of caregivers has not been studied sufficiently. OBJECTIVE: The objective of our study was to document the role of the type of schedule worked on QoL, fatigue, and burnout among critical care nursing and paramedical staff...
March 2009: La Presse Médicale
Sharon Einav, Yoel Donchin, Charles Weissman, Benjamin Drenger
PURPOSE OF REVIEW: This manuscript provides a critical review of the literature regarding the staffing of emergency medical services, with particular emphasis on anesthesiologists. RECENT FINDINGS: Significant anesthesiology contributions to prehospital care include introduction of new airway management tools and improved physiological monitoring. Contributions to quality of care include patient benefit in terms of life years gained and a specific reduction in mortality from acute myocardial infarction...
December 2003: Current Opinion in Anaesthesiology
Thomas R Gadacz
In summary it is essential that we improve our interpersonal and communication skills. We can learn and be taught better skills. We will be evaluated on these skills in the future, and it is important for us to establish ourselves as good role models for the future surgeons who will be entering our profession. It is of benefit to our patients and will give them a better understanding of their disease and elevate their level of healthcare. It is also important to us to help reduce our stress and to eliminate burnout...
June 2003: American Surgeon
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