Organizational factors impacting job strain and mental quality of life in emergency and critical care units

Bellagamba, Gauthier; Gionta, Guillaume; Senergue, Julie; Bèque, Christine; Lehucher-Michel, Marie-Pascale

doi:10.13075/ijomeh.1896.00121

Cited by 22 publications

(28 citation statements)

References 35 publications

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“…Results revealed that 39.7% of the individuals had high levels of mental stress; which were in line with the inferences of Alexander and Klein who examined the effects of accident and emergency activities on mental health and emotional wellbeing among EMS staff in the UK (32%) [33]. Moreover, 54.5% of the emergency department and intensive care unit nurses showed low scores for mental quality of life [34]. Pyper and Paterson also demonstrated that rural and district EMS staff in Australia experienced varying degrees of low-to-high fatigue and emotional trauma [35].…”

Section: Discussionsupporting

confidence: 81%

Prevalence and Correlates of Mental Health Status Among Pre-Hospital Healthcare Staff

Abbaspour

Tajik

Atif

et al. 2020

CPEMH

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Introduction:Mental stress amongst pre-hospital Emergency Medical Services (EMS) workers is an iceberg phenomenon; owing to unique occupational stressors faced by them. This study was aimed to examine the mental health status of pre-hospital EMS workers and its correlation with Post-Traumatic Stress Disorder (PTSD) and Work Environment Scale (WES). Methods:This cross-sectional study incorporated 224 emergency EMS members from urban and road EMS bases in eastern Iran in 2018. General Health Questionnaire (GHQ-28), Post-Traumatic Stress Disorder Checklist-Civilian version (PTSD-C), and Work Environment Scale (WES) were used as research instruments. Data were analyzed via SPSS Statistics software (version 21); while p<0.05 was considered significant. Results:The mean age of participants was 31.91±6.9 years; 36(16.1%) had PTSD ≥50, which increased with age (p-0.01), number of offspring (p-0.022) and time working at the EMS (p-0.002). Mean WES scores were 73.41±12.27; with a significant impact of marital status (p-0.007), the number of offspring (p-0.023), qualification (p-0.019) and less time working at the EMS (p-0.008). Mental distress was recorded in 89(39.7%) individuals. Multivariate logistic regression revealed that members at higher risk of mental distress were; those with associate's degree (adjusted OR 3.192; 95% CI, 1.456-6.998), individuals with 1 or 2 offspring (adjusted OR 2.03; 95% CI, adjusted OR 3.380; 95% CI, respectively), and those with PTSD equal or higher than 50 (adjusted OR 2.504; 95% CI, 1.063-5.903), with a reverse impact of WES (p>0.05). Conclusion:PTSD adversely affected mental health and clinical performance of the subjects; while work-place environment augmented working spirit as well as psychological resilience. Strategies aiming at stress-dilution and improvements in a professional environment cannot be over-emphasized.

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Section: Discussionsupporting

confidence: 81%

Prevalence and Correlates of Mental Health Status Among Pre-Hospital Healthcare Staff

Abbaspour

Tajik

Atif

et al. 2020

CPEMH

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“…Emergency medicine is a field where stress is constant [5,6,7]. An emergency, by definition, requires a rapid response with no possibility of predicting the workload [8,9]. Phone operators in emergency medical dispatch centers are particularly at risk because they must assess the gravity of the situation without seeing patients, a judgement that requires experience [10].…”

Section: Introductionmentioning

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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“…30 In previous work, organizational constraints such as team relationships had a significant link with the levels of psychosocial job characteristics and perceived health. 31 We documented 33.1% of IS within the relocated group, while it was 22.5% within the control group. These figures are higher than the approximate 15% within the overall French population.…”

Section: Population Characteristicsmentioning

confidence: 64%

The Relocation of a Health Care Department's Impact on Staff

Bellagamba¹,

Michel

Alacaraz-Mor

et al. 2016

Journal of Occupational &Amp; Environmental Medicine

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Organizational factors impacting job strain and mental quality of life in emergency and critical care units

Cited by 22 publications

References 35 publications

Prevalence and Correlates of Mental Health Status Among Pre-Hospital Healthcare Staff

Prevalence and Correlates of Mental Health Status Among Pre-Hospital Healthcare Staff

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

The Relocation of a Health Care Department's Impact on Staff

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