Why are emergency medical technicians’ coping strategies dysfunctional? Direct and indirect effects of resilience and perceived stress

Fonseca, Sílvia Monteiro; Cunha, Sónia; Faria, Sara; Campos, Rui C.; Queirós, Cristina

doi:10.1016/j.ienj.2021.100995

Cited by 10 publications

(31 citation statements)

References 39 publications

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“…Further, this is consistent with previous findings reporting that healthcare workers showed a high level of stress during the pandemic and employed avoidant coping strategies ( Sharma et al, 2020 ). ER did not show a significant mediating effect between stress and avoidant coping strategies, which is in line with the results of previous studies ( Fonseca, Cunha, Faria, Campos, & Queirós, 2021 ; Li, Eschenauer, & Persaud, 2018 ; Sinclair, Adams, & Dietrich, 2020 ; Ziarko et al, 2020 ). In a study of 502 emergency medical technicians, perceived stress had a mediating effect between resilience and dysfunctional coping strategies, but the direct effect of resilience on dysfunctional coping strategies was not observed ( Fonseca et al, 2021 ).…”

Section: Discussionsupporting

confidence: 92%

“…ER did not show a significant mediating effect between stress and avoidant coping strategies, which is in line with the results of previous studies ( Fonseca, Cunha, Faria, Campos, & Queirós, 2021 ; Li, Eschenauer, & Persaud, 2018 ; Sinclair, Adams, & Dietrich, 2020 ; Ziarko et al, 2020 ). In a study of 502 emergency medical technicians, perceived stress had a mediating effect between resilience and dysfunctional coping strategies, but the direct effect of resilience on dysfunctional coping strategies was not observed ( Fonseca et al, 2021 ). This suggests that more focus should be placed on controlling stress rather than ER for individuals who use dysfunctional or avoidant coping strategies when facing critical situations.…”

Section: Discussionsupporting

confidence: 92%

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Stress, and coping strategy of university students during COVID-19 in Korea: The mediating role of ego-resiliency

Park

Kim

2022

Acta Psychologica

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Stress, and coping strategy of university students during COVID-19 in Korea: The mediating role of ego-resiliency

Park

Kim

2022

Acta Psychologica

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“…The COVID-19 pandemic has caused great damage to the global industry, including tourism and hospitality industry. It is considered to be a global health, social, and economic emergency ( Fonseca et al, 2021 ). Tourism and hospitality industry suffered a major decline during the pandemic of the last 2 years in the world and in Serbia.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 certificate as a cutting-edge issue in changing the perception of restaurants’ visitors—Illustrations from Serbian urban centers

et al. 2022

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As one of the first European cases of the introduction of COVID-19 certificates, the Serbian Government initiated the measure of limited working hours of restaurants for unvaccinated visitors. Due to such actions and frequent bans on working during the pandemic, many restaurants in Serbia had to lay off workers or close. At the end of October 2021, the certificate for entering restaurants and all catering facilities for all the visitors became mandatory. It is interesting to note that earlier findings suggested that some personality characteristics determine the specific behaviors during the pandemic, but there is still a small number of results related to restaurants’ visitors. This study aimed to investigate the predictive strength of the Big Five Factors (BFF) to attitudes toward visits to restaurants in Serbia during the pandemic, depending on the attitudes toward accepting COVID-19 certificates. A survey was conducted on a total sample of 953 visitors of restaurants in three major cities in Serbia. The results of hierarchical regression analysis showed that Openness and Extraversion positively predict attitudes toward visits to facilities during a pandemic, while Conscientiousness and Neuroticism were negative predictors. However, in the second step of hierarchical regression analysis, attitudes toward a COVID-19 certificate as a mediator variable significantly reduced the negative effect of Neuroticism on the attitudes toward visits. It seems that, by obtaining the certificate, the fear of unsafe stays in restaurants can be reduced, and that making decisions about (no) visiting restaurants during the pandemic does not necessarily have to be compromised by emotional lability.

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“…Regarding the workplace and exposure to traumatic events, Moskola, et al; 31 Minnie, et al; 32 Boland, et al; 33 Dowdall-Thomae, et al; 34 Pisarski, et al; 35 Shakespeare-Finch, et al; 36 and Halpern, et al 37 presented the coping strategies used by this population after these events. Fonseca, et al; 38 Iwasaki, et al; 39 Pi ñar-Navarro, et al; 40 and Völker, et al 41 examined coping strategies related to stress. Sattler, et al 42 and Yang, et al 43 evaluated how coping strategies contributed to posttraumatic growth in these professionals.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…Dysfunctional coping was explained by perceived stress after exposure to critical incidents, increasing the level of threat and cancelling the protective role of self-acceptance and life. 38 According to Alghamdi, et al, 20 emergency personnel presented passive coping strategies such as behavioral disconnection, substance abuse, and self-blame, but showed significant positive changes after the use of narrative exposure therapy.…”

Section: Nonadaptive Coping Strategiesmentioning

confidence: 99%

Coping Strategies for Exposure to Trauma Situations in First Responders: A Systematic Review

Díaz-Tamayo

Escobar-Morantes

García‐Perdomo

2022

Prehosp. Disaster med.

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Objective: The objective of the present work was to characterize the coping strategies used by first responders to emergencies in the face of exposure to traumatic events. Methods: A systematic search was performed in the databases MEDLINE (Ovid), EMBASE, LILACS (Latin American and Caribbean Literature in Health Sciences), and the Cochrane Central Registry of Controlled Clinical Trials (CENTRAL) from their inception through February 2022. First responders to emergencies with training in the prehospital area and who used validated measurement instruments for coping strategies were included. Results: First responders to emergencies frequently used nonadaptive coping strategies, with avoidance or disconnection being one of the main strategies, as a tool to avoid confronting difficult situations and to downplay the perceived stressful event. The nonadaptive coping strategies used by these personnel showed a strong relationship with posttraumatic stress disorder (PTSD) symptoms, burnout syndrome, psychiatric morbidity, and chronic stress. As part of the adaptive strategies, active coping was found, which includes acceptance, positive reinterpretation, focusing on the problem, self-efficacy, and emotional support, either social or instrumental, as protective strategies for these personnel. Conclusions: Developing adaptive coping strategies, whether focused on problems or seeking emotional support, can benefit emergency personnel in coping with stressful situations. These coping strategies should be strengthened to help prevent people from experiencing long-term negative effects that could arise from the traumatic events to which they are exposed. Active coping strategies instead of avoidance strategies should be promoted.

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Why are emergency medical technicians’ coping strategies dysfunctional? Direct and indirect effects of resilience and perceived stress

Cited by 10 publications

References 39 publications

Stress, and coping strategy of university students during COVID-19 in Korea: The mediating role of ego-resiliency

Stress, and coping strategy of university students during COVID-19 in Korea: The mediating role of ego-resiliency

COVID-19 certificate as a cutting-edge issue in changing the perception of restaurants’ visitors—Illustrations from Serbian urban centers

Coping Strategies for Exposure to Trauma Situations in First Responders: A Systematic Review

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