What causes stress in the fire brigade? Primary prevention of health impairments from the perspective of work organization

Hering, Thomas; Schulze, Dirk; Sonnenberg, Debra; Beerlage, Irmtraud

doi:10.1007/s10049-005-0758-y

Cited by 10 publications

(4 citation statements)

References 8 publications

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“…Distinctions must be made between the operational stress of emergency medical employees (eg, daily stress from banal emergencies), rare, extreme situations, and general conditions related to the emergency medical service and organizations 2–4 . Additionally, the combination of several types of strains can result in a high level of overall strain 5,6 . Whether strain in operations is more prominent than strain in daily routines at rescue stations is undetermined and has scarcely been examined, with no consensus in the literature.…”

Section: Objectivementioning

confidence: 99%

“…2 -4 Additionally, the combination of several types of strains can result in a high level of overall strain. 5,6 Whether strain in operations is more prominent than strain in daily routines at rescue stations is undetermined and has scarcely been examined, with no consensus in the literature. Gorißen believes that the health of emergency workers is mainly affected by the daily routines of rescue stations.…”

Section: Objectivementioning

confidence: 99%

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Work-Related Behavior and Experience Patterns Among Ambulance Service Personnel of Different Organizational Structures in Urban and Rural Regions

Thielmann

Böckelmann²,

Schumann³

2021

Journal of Occupational &Amp; Environmental Medicine

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The aim of this study was to identify work-related experience and behavior patterns among rescue workers in different urban and rural organizational structures. Methods: The subjects included 276 paramedics from Germany (average age 39.3 AE 8.04 years) in three groups (professional fire department, aid organization in urban or rural regions). Work-related behavior and experience patterns (AVEM) were examined. Influences of age, gender, professional qualifications, frequency of operation, and organization were analyzed. Results: AVEM risk patterns were detectable in 44.3% of professional fire department personnel and in 20% of both aid organization groups. There were differences in the various AVEM dimensions. Age had a strong influence on the AVEM dimension work-related ambition. Conclusions: There is a need for workplace health promotion and prevention measures, which are especially useful for employees in professional fire departments. Aid organizations in urban and rural regions should also attend to these measures.

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Section: Objectivementioning

confidence: 99%

Section: Objectivementioning

confidence: 99%

Work-Related Behavior and Experience Patterns Among Ambulance Service Personnel of Different Organizational Structures in Urban and Rural Regions

Thielmann

Böckelmann²,

Schumann³

2021

Journal of Occupational &Amp; Environmental Medicine

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“…Physiologische Faktoren beinhalten z. B. Schwierigkeiten aufgrund der Verkehrslage zum Einsatzort zu gelangen [4], die Dauer des Einsatzes und fehlende Pausen [3]. Psychologische Belastungsfaktoren umfassen u. a. Einsätze in komplexen Schadenslagen, die Bergung von Kindern, Bekannten oder Angehörigen, Zeitdruck, mangelnde Informationen im Vorfeld des Einsatzes [3] und das Erleben eines Kontrollverlustes währenddessen [3,5].…”

Section: Introductionunclassified

Validierung des Fragebogens „Sources of Occupational Stress in Firefighters & Paramedics (SOOS-11)“

Kleine

Kröger

2020

Psychother Psychosom Med Psychol

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ZusammenfassungBislang existiert kein deutschsprachiges Instrument zur Ermittlung von einsatzbezogener Belastung bei Mitgliedern der Freiwilligen Feuerwehr (MFF). Das Ziel der vorliegenden Studie war die Evaluation des Sources of Occupational Stress in Firefighters & Paramedics (SOOS-11). In Zusammenarbeit mit der Feuerwehr-Unfallkasse Niedersachsen wurden MFF zu 3 verschiedenen Messzeitpunkten (MZP) befragt. Beim ersten MZP (November 2016–Februar 2017) handelte es sich um eine Fragebogenerhebung, die diverse Selbstbeurteilungsinstrumente umfasste (N=475). Am zweiten MZP (Mai 2017 – November 2017) nahmen N = 117 MFF (davon n=55 vom ersten MZP) an einem Interview teil, das die Module des Strukturierten Klinischen Interviews für DSM-IV (SKID-I; Wittchen, Wunderlich, Gruschwitz & Zaudig, 1997) zur Erfassung einer Depression und Posttraumatischen Belastungsstörung beinhaltete. Im Zuge des dritten MZP (November 2017–Mai 2018) wurden von einer Teilstichprobe des zweiten MZP (n=58) verschiedene Selbstbeurteilungsinstrumente erneut beantwortet. Es konnten für den SOOS-11 zufriedenstellende Werte zur Internen Konsistenz (α=0,73–0,76) geschätzt werden. Die 6-Monats-Test-Retest-Reliabilität betrug r=0,60. Eine exploratorische sowie eine konfirmatorische Faktorenanalyse ergaben für eine ein – und auch eine 2-faktorielle Struktur des Fragebogens einen adäquaten Modell-Fit. Hoch signifikante Korrelationen ergaben sich zwischen der Ausprägung des Wohlbefindens, dem Organisationsklima und dem SOOS-11. Somit stellt der SOOS-11 eine gute Möglichkeit dar, einsatzbezogene Belastung von MFF zu messen. Der Fragebogen sollte noch an einer weiteren Stichprobe, wie bspw. der Berufsfeuerwehr, erprobt werden.

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“…Moreover, the amalgamation of cardiovascular risk factors with extreme physical workloads precipitates cardiovascular complications such as sudden cardiac death, myocardial infarction, and stroke 12 . Research indicates that high physical and psychological demands are placed on FFs and POs 11 , 13 – 16 . Their shift-based working conditions also pose health hazards 17 .…”

mentioning

confidence: 99%

Structural and functional cardiac parameters across occupations: a cross-sectional study in differing work environments

Leischik,

Foshag,

Krittanawong

et al. 2024

Sci Rep

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Previous investigations have highlighted notable variations in cardiovascular risk indicators associated with various professional categories. However, only a few studies have examined structural and functional cardiac parameters using echocardiography within distinct occupational groups. Hence, this study endeavored to assess cardiac structural and functional parameters in three additional occupations: firefighters (FFs), police officers (POs), and office workers (OWs). This prospective study encompassed 197 male participants (97 FFs, 54 POs, and 46 OWs) from Germany. All participants underwent 2D and Doppler echocardiography in resting conditions; standard parasternal and apical axis views were employed to evaluate structural (diastolic and systolic) and functional (systolic and diastolic function, and strain) cardiac parameters. All three occupational groups exhibited a tendency towards septal hypertrophy. Notably, OWs exhibited the largest diastolic interventricular septum diameter (IVSd), at 1.33 ± 0.25 cm. IVSd significantly varied between POs and OWs (p = 0.000) and between POs and FFs (p = 0.025). Additionally, during diastole a substantially larger left ventricular posterior wall diameter (LVPWd) was observed in OWs compared to FFs (p = 0.001) and POs (p = 0.013). The left ventricular diastolic cavity diameter (LVIDd) and the left ventricular systolic cavity diameter (LVIDs) were significantly higher in POs than they were in FFs (LVIDd: p = 0.001; LVIDs: p = 0.009), and the LVIDd was notably higher in FFs (p = 0.015) and POs compared to OWs (p = 0.000). FFs exhibited significantly better diastolic function, indicated by higher diastolic peak velocity ratios (MV E/A ratio) and E/E’ ratios, compared to POs (E/A ratio: p = 0.025; E/E’ ratio: p = 0.014). No significant difference in diastolic performance was found between OWs and FFs. Significantly higher E’(lateral) values were noted in POs compared to FFs (p = 0.003) and OWs (p = 0.004). Ejection fraction did not significantly differ among FFs, POs, and OWs (p > 0.6). The left ventricular mass (LV Mass) was notably higher in POs than it was in FFs (p = 0.039) and OWs (p = 0.033). Strain parameter differences were notably improved in two- (p = 0.006) and four-chamber (p = 0.018) views for FFs compared to POs. Concentric remodeling was the predominant change observed in all three occupational groups. Significant differences in the presence of various forms of hypertrophy were observed in FFs, POs, and OWs (exact Fisher test p-values: FFs vs. OWs = 0.021, POs vs. OWs = 0.002). OWs demonstrated notably higher rates of concentric remodeling than FFs did (71.77% vs. 47.9%). This study underscores disparities in both functional and structural parameters in diverse occupational groups. Larger prospective studies are warranted to investigate and delineate differences in structural and functional cardiac parameters across occupational groups, and to discern their associated effects and risks on the cardiovascular health of these distinct professional cohorts.

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What causes stress in the fire brigade? Primary prevention of health impairments from the perspective of work organization

Cited by 10 publications

References 8 publications

Work-Related Behavior and Experience Patterns Among Ambulance Service Personnel of Different Organizational Structures in Urban and Rural Regions

Work-Related Behavior and Experience Patterns Among Ambulance Service Personnel of Different Organizational Structures in Urban and Rural Regions

Validierung des Fragebogens „Sources of Occupational Stress in Firefighters & Paramedics (SOOS-11)“

Structural and functional cardiac parameters across occupations: a cross-sectional study in differing work environments

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