scholarly journals Prehospital Emergency Nurses’ coping strategies associated to traumatic experiences

2021 ◽  
Vol 59 ◽  
pp. 101083
Author(s):  
Veronica Vicente ◽  
Janna Jansson ◽  
Madeleine Wikström ◽  
Emil Danehorn ◽  
Rebecka Rubenson Wahlin
2013 ◽  
Vol 39 (2) ◽  
Author(s):  
Masefako A. Gumani ◽  
Mattheus E. Fourie ◽  
Martin J. Terre Blanche

Orientation: Identification of the inner coping strategies used by South African Police Service (SAPS) officers who do operational work is something the SAPS should consider to ensure the officers’ management of trauma and efficiency at work.Research purpose: The objective of this study was to describe inner coping strategies used by officers in the Vhembe district (South Africa) to reconstruct stressful and traumatic experiences at work.Motivation for the study: Most studies on coping amongst SAPS officers focus on organisational stress and not on the impact of the officers’ operational work.Research design, approach and method: An exploratory design was used and 20 SAPS officers were selected through purposive sampling. In-depth face-to-face and telephone interviews, as well as diaries were used to collect data, which were analysed using content thematic data analysis.Main findings: The results showed that the main categories of coping strategies that led to management of the impact of operational work amongst the selected sample were centred around problem-focused and emotion-focused strategies, with some use of reappraisal and minimal use of avoidance. Considering the context of the officers’ work, the list of dimensions of inner coping strategies amongst SAPS officers should be extended.Practical/managerial implications: Intervention programmes designed for the SAPS, including critical incident stress debriefing, should take the operational officers’ inner strategies into account to improve the management of the impact of their work.Contribution/value-add: This study contributes to the body of knowledge on the inner coping strategies amongst SAPS officers, with special reference to operational work in a specific setting.


Author(s):  
Kristoffer Wibring ◽  
Markus Lingman ◽  
Johan Herlitz ◽  
Lina Blom ◽  
Otto Serholt Gripestam ◽  
...  

Abstract Background The emergency medical services (EMS) use guidelines to describe optimal patient care for a wide range of clinical conditions and symptoms. The intent is to guide personnel to provide patient care in line with best practice. The aim of this study is to describe adherence to such guidelines among prehospital emergency nurses (PENs) when caring for patients with chest pain. Objective To describe guideline adherence among PENs when caring for patients with chest pain. To investigate whether guideline adherence is associated with patient age, sex or final diagnosis of acute myocardial infarction on hospital discharge. Methods Guideline adherence in terms of patient examination and pharmaceutical treatment was analysed in a cohort of 2092 EMS missions carried out in 2018 in Region Halland, Sweden. Multivariate regression was used to describe how guideline adherence is associated with patient age, sex and diagnosis on hospital discharge. Results Guideline adherence was high regarding examination of vital signs (93%) and electrocardiogram (ECG) registration (96%) but lower in terms of pharmaceutical treatment (ranging from 28 to 90%). Adherence was increased in cases in which the patient ended up with acute myocardial infarction (AMI) as diagnosis on discharge. Patients with AMI were given acetylsalicylic acid by PENs in 50% of cases. Women were less likely than men to receive treatment with acetylsalicylic acid and oxycodone. Conclusions Guideline adherence among PENs when caring for patients with chest pain is satisfactory in terms vital signs and ECG registration. Regarding pharmaceutical treatment guideline adherence is defective. Improved adherence is mainly associated with male sex in patients and a diagnosis of AMI on hospital discharge. Defective adherence excludes measures known to improve patients’ prognoses such as treatment with acetylsalicylic acid.


Resuscitation ◽  
2014 ◽  
Vol 85 ◽  
pp. S28
Author(s):  
Alexandre Gamelin ◽  
Romain Myller ◽  
David Fontaine ◽  
Didier Briemant ◽  
Sébastien Duseau ◽  
...  

2017 ◽  
Vol 41 (S1) ◽  
pp. S210-S210
Author(s):  
G. Serafini ◽  
C. Conigliaro ◽  
F. Pittaluga ◽  
M. Pompili ◽  
P. Girardi ◽  
...  

IntroductionIndividuals with a history of childhood traumatic experiences may exert maladaptive coping strategies and impaired adult quality of life.ObjectivesThe present study explored the association between childhood traumatic experiences, coping strategies, and quality of life.AimsWe aimed to evaluate whether childhood traumatic experiences or specific coping strategies may significantly predict quality of life.MethodsThis is a cross-sectional study including 276 patients (19.9% men, 81.1% women; mean age: 48.1 years, SD: 16.9), of which most with major affective disorders, who were recruited at the psychiatric unit of the university of Genoa (Italy). All participants were assessed using the Childhood Trauma Questionnaire (CTQ), Coping Orientation to Problems Experienced (Cope), and Short Form 12 Health Survey version 2 (SF-12).ResultsSubjects with a history of emotional abuse were more likely to have an earlier age of onset of their psychiatric conditions, an earlier age of their first treatment/hospitalization, higher recurrent episodes and days of hospitalization, longer illness duration and non-psychiatric treatments at intake when compared with those who did not present any history of abuse. Based on regression analyses, only positive reinterpretation and growth, focus on and venting of emotions, and substance abuse, but not childhood traumatic experiences, resulted positive predictors of physical quality of life. Moreover, focus on and venting of emotions was able to predict mental quality of life.ConclusionsWhile traumatic experiences did not predict quality of life, specific coping strategies were significant predictors of quality of life. Further studies are requested to test these preliminary results.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Author(s):  
Georgia Libera Finstad ◽  
Gabriele Giorgi ◽  
Lucrezia Ginevra Lulli ◽  
Caterina Pandolfi ◽  
Giulia Foti ◽  
...  

The COVID-19 pandemic represents a traumatic event that has profoundly changed working conditions with detrimental consequences for workers’ health, in particular for the healthcare population directly involved in addressing the emergency. Nevertheless, previous research has demonstrated that traumatic experiences can also lead to positive reactions, stimulating resilience and feelings of growth. The aim of this narrative review is to investigate the positive aspects associated with the COVID-19 pandemic and the possible health prevention and promotion strategies by analyzing the available scientific evidence. In particular, we focus on the constructs of resilience, coping strategies and posttraumatic growth (PTG). A literature search was performed on the PubMed, EMBASE, Scopus, Web of Science, Google Scholar and Psycinfo databases. Forty-six articles were included in the literature synthesis. Psychological resilience is a fundamental variable for reducing and preventing the negative psychological effects of the pandemic and is associated with lower levels of depression, anxiety and burnout. At the individual and organizational level, resilience plays a crucial role in enhancing wellbeing in healthcare and non-healthcare workers. Connected to resilience, adaptive coping strategies are essential for managing the emergency and work-related stress. Several positive factors influencing resilience have been highlighted in the development of PTG. At the same time, high levels of resilience and positive coping strategies can enhance personal growth. Considering the possible long-term coexistence and consequences of COVID-19, organizational interventions should aim to improve workers’ adaptive coping skills, resilience and PTG in order to promote wellbeing.


2018 ◽  
Vol 7 (2) ◽  
pp. 111-123
Author(s):  
M.M. Reshetnikov ◽  
T. Ulasen

The paper presents the results of a comprehensive study of aggressive and hostile tendencies among pupils of socio-protective institutions. In adolescents living in families, but found themselves in a difficult life situation, the prevalence of physical, verbal and indirect aggressiveness, significantly more frequently encountered irritability was revealed. In adolescents, orphans (true and social), on the contrary, the prevalence of negativism and the significantly more frequent suspicion are determined. The conducted research allows us to speak about two different reaction profiles in a collision with a new stressful situation in pupils of social protection institutions, depending on their belonging to the group. In one case, we are talking about the prevalence of the "aggressiveness index" (adolescents from families), in the case of orphanhood, the prevalence of hostile tendencies attracts attention. The data obtained are consistent with the results of the evaluation of traumatic experiences on the PIVIPSD questionnaire and the results of the determination of coping strategies of behavior, which is reflected in the article. It was concluded that there is a need for a differentiated approach in studying the issues of psychotraumatology in pupils of socio-protective institutions, one of the aspects of which should be a detailed study of aggressive and hostile tendencies at the affective, cognitive and behavioral levels. This approach explains the need to develop an appropriate algorithm for clinical, psychological and social assistance, depending on who belongs to the group.


Author(s):  
Busra Acar ◽  
İbrahim H. Acar ◽  
Omar A. Alhiraki ◽  
Ola Fahham ◽  
Yesim Erim ◽  
...  

The Syrian conflict has led to a mass migration of Syrians to other countries and exposed them to many possible traumatic events and stressors in their country of origin and in the resettlement process. The possibility of positive psychological effects of adverse life events is less documented among Syrian refugees. Thus, the current study aimed to develop preliminary evidence for the identifying factors: traumatic experiences, post-migration stressors and coping strategies that are associated with post-traumatic growth (PTG) of Syrian refugees residing in Turkey. Structural equation modeling (SEM) was used in the current study to assess the associations among these factors. Data were obtained from Syrian refugees residing in the governorates of Hatay and Mardin. A total of 528 Syrians, aged between 18–77 years (M = 35.60, SD = 11.65) participated in this cross-sectional study. Results from the SEM indicated that past traumatic experiences and post-migration stressors were indirectly related to PTG. The results from the current study provide support for that the association between refugees’ traumatic experiences, post-migration stressors and PTG appear to be explained through the presence of coping strategies which could be addressed in the psychotherapies and psychosocial interventions for refugees to promote positive psychological change. Future studies should address the effects of post-migration stressors on PTG in detail.


2021 ◽  
Vol 30 ◽  
Author(s):  
Thiago da Silva Santana ◽  
Maria Lúcia Silva Servo ◽  
Anderson Reis de Sousa ◽  
Elaine Guedes Fontoura ◽  
Rebeca Maria Oliveira de Góis ◽  
...  

ABSTRACT Objective: to analyze the Coping Strategies used by hospital emergency nurses. Method: qualitative study with a descriptive exploratory approach, conducted with 15 nurses from an emergency hospital department in the public healthcare network of a municipality in the state of Bahia, Brazil. The semi-structured in-depth interview was used. Data were collected from April to June 2017. The findings are based on the collective subject discourse method, supported by the theoretical Coping framework. Results: the presence of stress generating situations is significant in the work of hospital emergency nurses, causing social, labor and psychosomatic repercussions to emerge emotional or psychiatric disorders that affect the body's functionality, including physical repercussions. The development of Coping Strategies arises in the face of the need to cope with stressors. They involve the use of personal, social and spiritual resources, and reveal themselves in positive and/or negative responses. The discourse revealed that, when focused on the problem (management of the stressor), they seek to strengthen social support, plan their daily activities and establish a dialogic and mutual help relationship with the team; when centered on emotion (regulation of emotions or distress), they exercise the search and maintenance of emotional control, practice self-control, move away from the stressor element and invest in physical activity and leisure practices. Conclusion: the nurse employs different Coping Strategies which are essential and indispensable to avoid increasing stress levels and triggering negative repercussions. The strategies undertaken are now centered on the problem, or emotion.


2020 ◽  
Author(s):  
◽  
sulaiman Kakooza ◽  
ZAITUNE NANYUNJA ◽  
KIZITO MUWONGE ◽  
FRANK KIYINGI

Background: The study assessed the effect of psychological correlates of traumatic experiences on coping strategies of post-amputation basing on evidence from Mulago specialized national hospital, Kampala-Uganda. It specifically analyzed the personality styles that enhance coping among amputees, assessed the psychological consequences among amputees, and examined the psychological interventions among amputees. Methodology: The study adopted a hospital-based prospective post-treatment design employing a quantitative research approach. The quantitative data were collected using questionnaires from 72 patients who were admitted for amputations and attending weekly amputee clinics and those using prostheses and orthosises. The data was processed at both the descriptive and inferential levels using SPSS version 20.0. Results: The study found extraversion as a statistically positive correlate with the confrontational form of coping style (r = 0.279, p = 0.031 < 0.05). It found a significantly positive correlate that enhanced planful problem solving (r =0.278, p =0.032< 0.05) and positive reappraisal (r = 0.301, p = 0.019 < 0.05) compared to conscientiousness as a negative correlate of coping styles particularly self-control (r =-0.326, p = 0.011< 0.05) and escape avoidance (r =-0.263, p =0.043 < 0.05). Results showed abnormal depression (46.7%), suffering abnormal anxiety (45.0%) alongside demonstrating symptoms of at least 2 Post-Traumatic Stress Disorders (46.7%) as the psychological consequences. The psychological interventions study found included specialized physician services (60.0%), primary care provision (45.0%) and financial assistance (46.7 among others Conclusion and discussion: Personality styles of extraversion, agreeableness, and conscientiousness are crucial in the coping styles among amputees and therefore need to be well established and aligned with supporting initiatives. The administrative staff of specialized units needs to put in place workable measures like avoiding unfair self-blame and inculcating a belief that they are still worth as to help amputees to improve their self-esteem thereby minimizing adverse psychological consequences.


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