Patient Care and Daily Stress Among Emergency Medical Technicians

1996 ◽  
Vol 11 (3) ◽  
pp. 188-193 ◽  
Author(s):  
Edwin Boudreaux ◽  
Glenn N. Jones ◽  
Cris Mandry ◽  
Phillip J. Brantley

AbstractIntroduction:There is conflicting research regarding the extent to which patient care is a source of stress for emergency medical technicians (EMTs). Some research indicates that it is important, whereas other studies suggest that it takes a “back seat” to administrative and organizational problems. This study sought to explore this issue further by investigating the relationship between caring for patients, daily workday stress, and daily nonworkday stress among EMTs.Methods:All EMTs employed by East Baton Rouge Parish Emergency Medical Services were eligible for participation. After the study was described, subjects completed a demographic information sheet and informed consent was obtained. Participants then completed 30 days of monitoring with a standardized measure of daily stress (the Daily Stress Inventory) and a measure of patient-care stress designed for use in this study (Emergency Call Questionnaire).Results:A very large portion of the variance in the EMTs' overall daily workday stress was associated with patient care (r = 0.677, p <0.001). Additionally, patient care stress on workdays significantly predicted overall daily stress on the following nonworkday (i.e., post-workday) (r = 0.633, p <0.001). Finally, EMTs who had stressful pre-workdays rated their patient care as more stressful on the following workday (r = 0.512, p <0.01).Conclusions:Results suggest that patient care is a critical factor in daily stress among EMTs, both on workdays and post-workdays, providing preliminary evidence for a carryover effect. Evidence also suggests that stress on the day before work may influence EMTs' perceptions of their patients on workdays.

1999 ◽  
Vol 4 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Barbara S Bayne ◽  
Anita D Stuart ◽  
H Gertie Pretorius

The purpose of this study was twofold. The first aim was to clarify the relationship between psychological stress and lrritable Bowel Syndrome (IBS) by establishing whether individuals suffering from IBS experience minor stress differently from healthy individuals in terms of its frequency or intensity. The second aim was more general and concerns theory building in a field filled with ambiguity and confusion. Two groups, one comprising IBS sufferers and the other healthy controls, completed the Daily Stress lnventory and the Occupational Stress lnventory - questionnaires designed to measure minor daily and occupational stress respectively. The findings indicate that IBS sufferers do not experience more stress than healthy individuals, but they experience the stressors with greater intensity.OpsommingDie doel van die studie was tweeledig. Eerstens is daar gepoog om duidelikheid te kry oor die verband tussen sielkundige stres en Prikkelbare Dermsindroom (PDS), deur te bepaal of individue wat aan PDS ly geringe stres anders ervaar as gesonde individue in terme van gereeldheid of intensiteit. Die tweede doelwit was meer algemeen en spreek die kwessie van teorie ontwikkeling aan in 'n veld gevul met dubbelsinningheid en verwarring. Twee groepe, een bestaande uit PDS lyers en die ander 'n gesonde kontrolegroep, het die "Daily Stress Inventory'' en die "Occupational Stress Inventory" voltooi. Die vraelyste is ontwerp om onderskeidelik daaglikse stres en werkstres te meet. Die resultate dui daarop dat PDS lyers nie meer stres ervaar as die gesonde individue nie, maar dat hulle wel die stressors ervaar met groter intensiteit.


1997 ◽  
Vol 12 (2) ◽  
pp. 31-37 ◽  
Author(s):  
Edward Kalinowski ◽  
Frederick M. Burkle

AbstractEach Emergency Medical Services (EMS) system is unique in its development and scope of practice. In many instances, incorporates components of other models, It is important to the intellectual growth of the Emergency Medical Technicians that they visualize EMS design from an international perspective. This article describes the EMS system that exists in Hong Kong. It explores the changes that are occurring, defines the relationship between Hong Kong and China, and considers the influence that this evolving model might have on China after 1997.


2021 ◽  
Author(s):  
◽  
Brenda-Joyce Markert-Green

Problem Private sector Emergency Medical Technicians (EMTs) are first responders who respond to traumatic incident scenes along with firefighters and police officers. However, news agencies and the public do not acknowledge private sector EMTs with the same vigor or accolade as public sector EMTs, nor are the risks to life, health, and mental well-being recognized among this population. Thus, the research literature has been sparse regarding how private sector EMTs experience PTSD, and what unique risk factors and needs may be present. Purpose Statement The purpose of this study was to examine the relationship between PTSD symptoms and coping skills, emotional intelligence, attachment, and resilience among private sector EMT workers. Method Utilizing a mixed-methods design, 50 private sector EMTs recruited through social media, word of mouth, and Michigan State DHHS completed the: PTSD Checklist (PCL-5), Brief COPE, Schutte Emotional Intelligence Scale (SEIS), Measure of Attachment Qualities (MAQ), and Connor Davidson-Resilience Scale (CD-RISC) to explore the relationship between PTSD and coping skills, emotional intelligence, attachment, and resiliency among private sector EMTs. Three private sector EMTs participated in qualitative interviews to identify their experiences, risk factors, and needs as private sector EMTs. Results Thirty percent of the EMTs (21% of EMT-Basics; 40% of EMT-Paramedics) met PCL-5 criteria for PTSD. Based on DSM-5 criteria, 36% of the EMTs (40% of EMT-Basics; 30% of EMT-Paramedics) meeting criteria for PTSD. Results showed no difference in the severity in which EMT- Basics and EMT- Paramedics experience PTSD. Both EMT- Basics and EMT- Paramedics use Positive Thinking as their primary method of coping. Fifty-eight percent of EMTs fell into the average range on emotional intelligence, and 30% fell into the unusually high range. The EMTs demonstrated the greatest struggle in being able to utilize their own emotions, finding it much easier to perceive emotions and to manage their own and others’ emotions. The EMT- Paramedics fell into the highest 25% and EMT- Basics fell into the lowest 25% of the population on resiliency, EMT- Basics were nearly one-and-three-fourths times less resilient than EMT- Paramedics. Most of the EMTs were securely attached; however, EMT- Basics demonstrated significantly more ambivalent attachment and significantly more anxious attachment. The most significant factors predicting PTSD were the use of avoidance coping and having ambivalent and anxious attachment styles. Regression analysis suggested that higher PTSD scores would be seen in EMTs with higher scores in Avoidance Coping and Ambivalence Merger (Anxious) Ambivalence but lower scores in Ambivalence-Worry (Ambivalent) Attachment scores, with the most important predictor being Avoidance Coping. Individual interviews revealed five overarching themes related to the experiences of private sector EMTs: work environment, work quality/altruism, disenfranchisement/societal acknowledgement, resiliency, and contributors to PTSD. Conclusions The experience of private sector EMTs is clearly one of disenfranchisement, which is likely to impact their rates of PTSD. Additional research needs to be undertaken and public education initiated in relation to this population, as well as therapeutic focus on the disenfranchisement component in conjunction with the PTSD treatment.


2021 ◽  
pp. 003022282110534
Author(s):  
Neda Asadi ◽  
Hassan Esmaeilpour ◽  
Fatemeh Salmani ◽  
Mahin Salmani

Introduction: When confronted with traumatic accidents and events that result in death, people are at risk of developing death anxiety. Due to their stressful job, emergency medical technicians (EMTs) will develop alexithymia and be unable to express and manage their emotions over time. Studies show that alexithymia causes physical and mental disorders in many people. The present study aimed to determine the relationship between death anxiety and alexithymia in EMTs.Methods: The convenience sampling method was used to select 400 EMTs in southeastern Iran who met the inclusion criteria for this descriptive-analytical study. The Templer Death Anxiety Scale and the Toronto Alexithymia Scale were used to collect data. SPSS version 20 was used to analyze the data, which included descriptive and analytical statistics (Independent t test, ANOVA, Pearson correlation, and regression). Results: The results of the study showed that the mean score of death anxiety in EMTs was 10.26 ± 3.69. It was revealed that 46.7% of the EMTs experienced severe death anxiety. Furthermore, the total mean score of alexithymia in EMTs was 59.65 ± 8.28, indicating the possibility of alexithymia. The Pearson correlation test showed a direct moderate relationship between death anxiety and alexithymia scores (r = .351, p < .001).Conclusion: According to the results, there is a direct significant relationship between death anxiety and alexithymia in EMTs. Therefore, it is suggested that EMTs be continuously taught effective methods to deal with death anxiety and reduce the physical and mental disorders caused by this problem.


2015 ◽  
Vol 4 (03) ◽  
Author(s):  
Rr. Vivi Dinatya Swastiani Dinatya Swastiani ◽  
M Farid .

The purpose of this study was to determine the relationship between socialsupport and religiosity with stress in adolescents who live in prisons son of Blitar.The subjects were 51 teenage boys who are undergoing punishment in prisons son ofBlitar. Data collection study conducted by DSI Scale (Daily Stress Inventory)developed by Brandey & Jones (1989), adolescent religiosity scale compiled byFarid (2004), and social support scale developed by the researchers.Nonparamentrik statistical analysis using the Spearman's Rho shows the correlationbetween social support and stress of 0201 and p = 0158 (p> 0.05); the correlationbetween religiosity and stress of 0182 and p = 0.200 (p> 0.05). These resultsindicate that there is no relationship between social support and religiosity withstress in adolescents Children's occupants Prison Blitar.Keywords : Stress, Social Support, Religiosity, Prison Kids, Teens


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