Bedeutung der Einfluss- und protektiven Faktoren bei der psychischen Belastung von medizinischem Personal in Zeiten der SARS-CoV-2-Pandemie

Thielmann, Beatrice; Schumann, Heiko; Ulbrich, Ruben; Böckelmann, Irina

doi:10.1055/a-1557-9088

Cited by 6 publications

(9 citation statements)

References 32 publications

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“…Providing emergency care during the COVID-19 pandemic came with an extraordinary burden for health care workers. The massive increase in workload among paramedics [ 32 , 33 ] might have contributed to a lower response rate of questionnaires. As LGP patients were identified by these questionnaires, a number of cases were probably missed.…”

Section: Discussionmentioning

confidence: 99%

Overcoming Language Barriers in Paramedic Care With an App Designed to Improve Communication With Foreign-Language Patients: Nonrandomized Controlled Pilot Study

Müller¹,

Schröder²,

Noack³

2023

JMIR Form Res

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Background Communication across language barriers is a particular challenge for health care providers. In emergency medical services, interpreters are mostly not available on rescue scenes, which jeopardizes safe and high-quality medical care. In a cocreative process together with paramedics and software designers, we developed a fixed-phrase translation app with 600 phrases and 18 supported languages that supports paramedics when providing care to foreign-language patients. This paper reports on the results of a pilot study to evaluate the app’s effect on paramedic-patient communication. Objective This study aims to gain insights into the efficacy and feasibility of a multilingual app that helps paramedics to communicate with patients who are not proficient in the local language. Methods A 3-armed nonrandomized interventional pilot study was conducted in 4 rescue stations in the German Federal State of Lower Saxony: 3 rural areas and 1 in urban environment. The intervention group comprised rescue missions with patients with limited German language proficiency (LGP) with whom the app was used; control group 1 comprised LGP patients without app usage; and control group 2 consisted of rescue missions with German-speaking patients. For each rescue operation with LGP patients, paramedics filled out questionnaires about the communications with patients. From standardized Rescue Service Case Protocols, we extracted information on patient demographics (age and sex), clinical aspects (preliminary diagnosis and Glasgow Coma Scale), and rescue operation characteristics (time spent on emergency scene and additional dispatch of emergency physicians). The primary outcome was the paramedics’ perceived quality of communication with LGP patients. The secondary outcome was the ability to obtain necessary information from patients and the ability to provide important information to patients. A linear regression model was applied to assess the impact of the app on perceived communication, controlling demographic factors, and severity of illness. Results A total of 22 LGP patients were recruited into the intervention group and 122 into control group 1. The control group 2 included 27,212 German-speaking patients. LGP patients were more than 2 decades younger than German-speaking patients. App usage among LGP patients was associated with higher perceived overall quality of communication (0.7 points on a 5-point Likert scale, P=.03). Applying a linear regression model controlling for age, sex, and Glasgow Coma Scale, the quality of communication was associated with an increase of 0.9 points (95% CI 0.2-1.6, P=.01). Compared to either German-speaking patients or LGP patients, paramedics spent 6-7 minutes longer on an emergency scene when the app was used (P=.24). Conclusions The use of the app suggests a relevant improvement in communication with patients with limited proficiency in the locally spoken language in paramedic care. The small sample size and the lack of randomization reduce the generalizability of the findings. Trial Registration German Clinical Trials Register DRKS00016719; https://drks.de/search/de/trial/DRKS00016719

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Section: Discussionmentioning

confidence: 99%

Overcoming Language Barriers in Paramedic Care With an App Designed to Improve Communication With Foreign-Language Patients: Nonrandomized Controlled Pilot Study

Müller¹,

Schröder²,

Noack³

2023

JMIR Form Res

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“…This study focused on subjective perceptions of recovery and stress among full-time control center dispatchers during the first two waves of SARS-CoV‑2 pandemic. The pandemic is associated with an increase in stress and strain on healthcare workers, including emergency service workers [ 8 , 19 ]. Data on the recovery and strain of CCDs are limited to date.…”

Section: Discussionmentioning

confidence: 99%

“…It can be surmised that these reduced call-outs could also mean that there was additional work for CCDs, as emergency physicians who might have been prealerted were 14.5% reordered. Here, a role conflict may also emerge as a strain, as the best possible care for a patient could not be guaranteed [ 19 ]. This role conflict can lead to negative thoughts about oneself or others, as well as intense feelings of guilt or shame [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Recovery and stress of control center dispatchers in the first waves of the SARS-CoV-2 pandemic

Schumann

Thielmann

Botscharow

et al. 2023

Wien Klin Wochenschr

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SummaryControl center dispatchers (CCDs) are exposed to high levels of work-related mental stress, which are exacerbated by the current severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. The aim of this study was to comparatively analyze the recovery and stress state of CCDs during the first and second waves of the SARS-CoV‑2 pandemic. A total of 490 CCDs (n = 440, t1 and n = 50, t2) with a mean age of 42.26 ± 8.79 years participated directly at the end of the first wave from June to August 2020 (t1) and during the second wave between January and February 2021 (t2) of the SARS-CoV‑2 pandemic. The short form (EBF-24/A; test form S2) of the Kallus recovery-stress questionnaire (EBF) was applied. Over the course of the two survey phases, the dimensions strain significantly increased (t1: 2.47 ± 1.08 vs. t2: 3.12 ± 0.93 points, p < 0.001) and recovery significantly decreased (t1: 3.03 ± 0.94 vs. t2: 2.50 ± 0.81 points, p < 0.001). Significant to highly significant differences were present in the EBF dimensions of the two waves in the majority of cases, even when taking the waves into account. For the variable “recovery in the social field”, a medium effect was noticeable in the corrected model (η2 = 0.064). The SARS-CoV‑2 pandemic illustrates that the stress experience increased from the first to the second waves, and the recovery of CCDs decreased. These data provide a directional trend as the pandemic is ongoing, and stress and strain situations in control centers may continue to worsen. Immediate health promotion and prevention measures are essential.

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“…Gerade in dieser pandemischen Lage verschärft sich das Belastungserleben für das Rettungsdienstpersonal stark [ 24 ]. Neben der körperlichen Belastung durch das Tragen von umfangreicher persönlicher Schutzausrüstung (PSA) führten in der ersten Pandemiewelle fehlende Forschungserkenntnisse zur Ansteckungsfähigkeit und zu Übertragungswegen einer neuen, bis dato noch unbekannten Infektion sowie zum COVID-19-Verlauf zu großen Unsicherheiten und zu einer überdurchschnittlichen psychischen Belastung [ 3 , 6 , 27 ]. In der zweiten Pandemiewelle wurden diese Belastungen zusätzlich durch die hohe Anzahl der Infektionen, die strengen Quarantäneregelungen und den anhaltenden Personalmangel verstärkt.…”

Section: Hintergrund Und Fragestellungunclassified

“…Diese beruflichen Belastungen können die Erholungsprozesse beeinträchtigen. Außerdem ist gerade in der Zeit der ersten Pandemiewellen für viele Beschäftigte mit den im Haushalt lebenden Schulkindern eine neue Situation eingetreten, da aufgrund von Homeschooling und Ganztagsversorgung der Kinder die Erholungs- und Regenerationszeit reduziert war [ 27 ].…”

Section: Hintergrund Und Fragestellungunclassified

Erholungs-Beanspruchungs-Zustand im Rettungsdienst während der ersten beiden Wellen der SARS-CoV-2-Pandemie

Schumann

Botscharow

Thielmann

et al. 2022

Notfall Rettungsmed

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Zusammenfassung Hintergrund Die Balance zwischen Belastungsempfinden und Erholung der Einsatzkräfte im Rettungsdienst während des Diensts und in der Freizeit ist ein wesentlicher Indikator für die psychische und physische Gesundheit. Sie gewährleistet Erfolg in der notfallmedizinischen Versorgung und ist gleichzeitig auch ein gesundheitspolitischer, ökonomischer Faktor für jede Organisation. Das Ziel der Studie war es, den Erholungs-Beanspruchungs-Zustand des Rettungsdienstpersonals während der ersten und zweiten Welle der SARS-CoV-2-Pandemie zu analysieren. Material und Methoden Die quantitative Querschnittstudie umfasst 1936 Datensätze von Einsatzkräften (334 Frauen und 1602 Männer, Durchschnittsalter 34,9 ± 10,5 Jahre). Die Onlinebefragung während der SARS-CoV-2-Pandemie erfolgte während der ersten Welle 2020 (t1) und der zweiten Welle 2021 (t2). Es wurde die Kurzform EBF-24/A (Testform S2) des Erholungs-Belastungs-Fragebogens (EBF) nach Kallus angewendet. Ergebnisse Im Verlauf der beiden Erhebungsphasen nahm die Dimension Beanspruchung signifikant zu (t1: 2,52 ± 0,98 und t2: 2,88 ± 1,04 Punkte, p < 0,001) und die Erholung signifikant ab (t1: 2,98 ± 0,90 und t2: 2,64 ± 0,89 Punkte, p < 0,001). Ähnliches bot sich auch für die dazugehörigen Subskalen mit Ausnahme der Subskala „erholsamer Schlaf“ der Dimension Erholung (t1: 2,81 ± 1,36 und t2: 2,72 ± 1,36 Punkte). Schlussfolgerung Die seit Anfang 2020 bestehende SARS-CoV-2-Pandemie verdeutlicht, dass das Belastungserleben von der ersten zur zweiten Welle zugenommen und das Empfinden der Erholung für Einsatzkräfte im Rettungsdienst abgenommen hat. Die Studie bietet eine Einordnung zur gegenwärtigen Situation des Erholungs-Beanspruchungs-Zustands im deutschen Rettungsdienst und erlaubt Prognosen über Leistung und Gesundheit in Pandemiesituationen. Dabei ist davon auszugehen, dass die Verschlechterung des Ist-Zustands nicht einzig nur aus dem Arbeitskontext resultiert, sondern gleichzeitig ein Spiegelbild der Ressourcenausstattung darstellt, die sich aus der Gesamtheit der Einflüsse des Individuums ableitet.

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Bedeutung der Einfluss- und protektiven Faktoren bei der psychischen Belastung von medizinischem Personal in Zeiten der SARS-CoV-2-Pandemie

Cited by 6 publications

References 32 publications

Overcoming Language Barriers in Paramedic Care With an App Designed to Improve Communication With Foreign-Language Patients: Nonrandomized Controlled Pilot Study

Overcoming Language Barriers in Paramedic Care With an App Designed to Improve Communication With Foreign-Language Patients: Nonrandomized Controlled Pilot Study

Recovery and stress of control center dispatchers in the first waves of the SARS-CoV-2 pandemic

Erholungs-Beanspruchungs-Zustand im Rettungsdienst während der ersten beiden Wellen der SARS-CoV-2-Pandemie

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