Assessment of salivary cortisol as stress marker in ambulance service personnel: comparison between shifts working on mobile intensive care unit and patient transport ambulance

Backé, Eva; Kaul, Gerlinde; Klußmann, André; Liebers, Falk; Thim, Carmen; Maßbeck, Peter; Steinberg, Ulf

doi:10.1007/s00420-009-0428-3

Cited by 17 publications

(18 citation statements)

References 21 publications

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“…All these constraints create physical, physiological and psychological demands before, during and after an emergency call-out. In accordance with Selye's theory,3 persistent exposure to stressors may progressively lead to overactivity of autonomic nervous system, resulting in various maladaptive outcomes, such as the development of mental health impairments, cardiovascular diseases (CVD), metabolic syndrome and obesity 4 5. Obesity may also be a risk factor for CVD in paramedics.…”

Section: Introductionmentioning

confidence: 82%

“…Also, higher secretion of cortisol in the morning was reported on days in emergency service than on days in patient transport, suggesting adjustment to forthcoming demanding tasks 4. It has been reported that paramedics who complained the most about pain and health problems had higher cortisol levels at work in the morning, than those with few complaints 6.…”

Section: Occupational Stress Indicatorsmentioning

confidence: 97%

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Current state of knowledge of post-traumatic stress, sleeping problems, obesity and cardiovascular disease in paramedics

et al. 2013

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Section: Introductionmentioning

confidence: 82%

Section: Occupational Stress Indicatorsmentioning

confidence: 97%

Current state of knowledge of post-traumatic stress, sleeping problems, obesity and cardiovascular disease in paramedics

et al. 2013

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“…We did not exclude non-menopausal women because basal cortisol levels do not differ during the menstrual cycle [31]. In addition, studies involving work stress and cortisol levels in acute care settings have mainly involved women [36,37,38,39]. …”

Section: Methodsmentioning

confidence: 99%

Stress and salivary cortisol in emergency medical dispatchers: A randomized shifts control trial

Bedini

Bart

Weibel³

et al. 2017

PLoS ONE

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Stress at work is a public health concern. Phone operators in emergency medical dispatch centers are particularly at risk. We aimed to demonstrate that the most stressful time for emergency medical dispatchers is the shift when they receive emergency incoming calls, with cortisol as a biomarker of stress. For each emergency medical dispatcher, we measured outcomes over a control day and during three types of shift: Incoming emergency call, Dispatch and Re-assessment. The pattern of shifts was randomized. Saliva was sampled every 15 minutes for 2 hours, i.e. 6 consecutive times, starting 15 minutes after the first life-and-death incoming emergency call between 2 and 5 pm during three types of shift. We measured saliva cortisol every 2 hours over a control day, from 7am to 9pm. Perceived stress was assessed by a visual analog scale. We recruited 22 phone operators aged 36.4+/-10.8 years old (14 women and 8 men). Cortisol values were higher during the Incoming emergency call shift than during the Dispatch (p = .04) and Re-assessment (p = .04) shifts. The increase in cortisol levels was greater in men than in women (p = .009). There were no differences between control values and those of the three shifts. The kinetics of cortisol increased with greater perceived stress overall (p < .001) and for each type of shift (Incoming emergency call, p = .02; Dispatch p = .03; Re-assessment: p < .001). The kinetics of cortisol in response to incoming emergency calls was greater when the call was an absolute emergency (p = .03), and also tended to further increase when a subsequent absolute incoming emergency call was received (p = 0.07). In conclusion, the incoming emergency call shift carries particular risk for dispatchers, who have greater perceived stress and a greater increase in cortisol levels.

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“…Wskazuje to na potrzebę dalszych analiz tego zagadnienia (25). Specyfika kierowania pojazdem uprzywilejowanym odbiega od zasad prowadzenia pojazdów prywatnych, a uczestnictwo w ruchu drogowym zespołów medycznych wiąże się z ogromnym ryzykiem i przeżywanym napięciem (26). Dotyczy to zarówno operatora pojazdu, jak i otoczenia, oraz obejmuje szereg konsekwencji prawnych, społecznych i zdrowotnych.…”

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DETERMINANTS OF PERSONALITY AND RISKY ROAD BEHAVIORs AT WORK IN DRIVERS OF MEDICAL TRANSPORT VEHICLES IN THE WIELKOPOLSKA (GREATER POLAND) VOIVODESHIP

Cybulski¹,

Strzelecki²,

Grzymisławska-Cybulska³

et al. 2014

Med Pr

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StreszczenieWstęp: Istotnym predyktorem zachowań drogowych kierowców są determinanty temperamentalno-osobowościowe. Głównym celem pracy było określenie zależności między determinantami temperamentalno-osobowościowymi (neurotyzm, ekstrawersja, poziom lęku jako cechy) a drogowymi zachowaniami ryzykownymi przejawianymi przez kierowców transportu medycznego. Materiał i metody: Badaniu poddano 106 mężczyzn z terenu województwa wielkopolskiego -kierowców pracujących w opiece zdrowotnej, mających uprawnienia do prowadzenia pojazdów uprzywilejowanych. Do realizacji celów badawczych pracy zastosowano ankietę własnego autorstwa dotyczącą drogowych zachowań ryzykownych wśród kierowców transportu medycznego. W celu określenia predyspozycji temperamentalno-osobowościowych zastosowano metody kwestionariuszowe oparte na samoocenie: Kwestionariusz Osobowości Eysencka (Eysenck Personality Questionnaire -Revised -EPQ-R) oraz polską wersję Inwentarza Stanu i Cechy Lęku (State-Trait Anxiety Inventory -STAI). Wyniki: Wykazano, że kierowcy o cechach introwertywnych częściej niż osoby ekstrawertywne deklarują prowadzenie pojazdów o obniżonej sprawności technicznej. Poziom lęku jako cechy może wpływać na przejawianie zachowań rozpraszających, podejmowanie decyzji o jeździe niesprawnym pojazdem, a także na prowadzenie pojazdu w złym stanie psychofizycznym oraz utrzymywanie zbyt małej odległości od pojazdu poprzedzającego. Im wyższe natężenie cechy lęku, tym wyższe natężenie ww. danych zachowań. Wnioski: Na podstawie przeprowadzonych badań można przyjąć, że istnieje zależność między determinantami temperamentalno-osobowościowymi a deklarowanymi przez kierowców transportu medycznego zachowaniami ryzykownymi na drodze. W myśl uzyskanych wyników cechami różnicującymi badane osoby są wymiary ekstrawersji i lęk jako cecha. Med. Pr. 2014;65(4):485-496 Słowa kluczowe: ratownik medyczny, drogowe zachowania ryzykowne, ekstrawersja, introwersja, neurotyzm, lęk Abstract Background: Personality determinants are an important predicator of road behaviors in drivers. The main objective of the study was to determine the relationship between personality determinants (neuroticism, extraversion, level of anxiety -features) and distinguishable risky behaviors of drivers of medical transport vehicles. Material and Methods: The study covered 106 male drivers from the Wielkopolskie Voivodeship, working in health care, having a license to drive emergency vehicles. To achieve the research objectives a questionnaire was developed and applied. It concerned risky road behaviors among drivers of medical transport. The personality suitability was determined using the questionnaire methods on self-assessment: Polish versions of Eysenck Personality Questionnaire -Revised (EPQ-R) and the State-Trait Anxiety Inventory (STAI) questionnaire. Results: It was shown that drivers with introverted characteristics declare driving vehicles of reduced technical efficiency more often than extroverts. The level of the anxiety as a trait A-characteristic affects the display of distra...

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Assessment of salivary cortisol as stress marker in ambulance service personnel: comparison between shifts working on mobile intensive care unit and patient transport ambulance

Abstract: Ambulance service personnel seem to be used to critical situations. There was few awareness of the "physiological" stress response indicating that stress is probably not perceived in work situations characterised by routines.

Cited by 17 publications

References 21 publications

Current state of knowledge of post-traumatic stress, sleeping problems, obesity and cardiovascular disease in paramedics

Current state of knowledge of post-traumatic stress, sleeping problems, obesity and cardiovascular disease in paramedics

Stress and salivary cortisol in emergency medical dispatchers: A randomized shifts control trial

DETERMINANTS OF PERSONALITY AND RISKY ROAD BEHAVIORs AT WORK IN DRIVERS OF MEDICAL TRANSPORT VEHICLES IN THE WIELKOPOLSKA (GREATER POLAND) VOIVODESHIP

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