scholarly journals Finnish paramedics’ professional quality of life and associations with assignment experiences and defusing use – a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Christoffer R. Ericsson ◽  
Hilla Nordquist ◽  
Veronica Lindström ◽  
Ann Rudman

Abstract Background Paramedics experience traumatic events and social emergencies during assignments while also being subjected to verbal and physical threats. Consequently, they are at risk for burnout and secondary traumatic stress, factors inherent to professional quality of life. Defusing and peer-support potentially decrease such symptoms; however, perceived defusing needs and use are not always balanced. Our aim was to explore Finnish paramedics’ professional quality of life, using the Professional Quality of Life Scale, with associations to EMS assignment experiences as well as formal and informal defusing need and use over a 12-month period. Methods A quantitative study of 257 Finnish paramedics using a cross-sectional design. Study outcomes were secondary traumatic stress (STS), compassion satisfaction (CS), and burnout (BO) scores using the modified 9-item Short Professional Quality of Life scale (ProQOL). Likert-type scales were used to collect participants’ recollections of assignment experiences and defusing from a 12-month period. Associations were explored using Spearman’s correlation coefficients. Results Short ProQOL score medians were STS 4.00 (IQR 3), BO 6.00 (IQR 3) and CS 13.00 (IQR 3). STS and BO correlated to experiences of social emergencies and traumatic events while BO correlated to experiences of threat situations (r = 0.206, p = .001). Paramedics perceived a need for defusing in general associated with STS (r = 0.178, p < .001) and participated in informal defusing. Participation in defusing of any form did not associate with ProQOL scores. Conclusions Finnish paramedics’ more frequent experiences of social emergencies, traumatic events, and paramedic-directed threat situations were associated with higher levels of STS and BO. STS was also associated with paramedics’ increased need for defusing and use of informal peer defusing, although neither STS, BO or CS scores associated to any defusing form. Managing paramedics STS and BO, while fostering CS, could therefore be a future research focus.

2020 ◽  
Vol 58 (231) ◽  
Author(s):  
Anju Vaidya ◽  
Shristi Karki ◽  
Meghnath Dhimal ◽  
Pradip Gyanwali ◽  
Dibash Baral ◽  
...  

Introduction: The practice of medicine is an honorable profession besides being accompanied by a demanding environment. This study aimed to find out the professional quality of life of medical doctors working in Kathmandu valley. Methods: A descriptive cross-sectional study was conducted among 174 Nepalese medical doctors working in different hospitals of Kathmandu valley. Ethical approval was taken from the Ethical Review Board of the Nepal Health Research Council (Reference Number: 830). The data collection tool used in the study was WHO Professional Quality of Life Scale-5 to collect data about Compassion satisfaction, Burnout and Secondary traumatic stress among medical doctors working in Kathmandu valley. Data analysis was done in the Statistical Package for the Social Sciences version 16.0. Results: Out of 174 participants, 101 (58%), 126 (72.4%) and 135 (77.6%) were found to have moderate level of Compassion satisfaction, Burnout and Secondary Traumatic Stress respectively. Conclusions: More than half, nearly two-third, and more than two-third participants had moderate levels of Compassion satisfaction, Burnout and Secondary Traumatic Stress respectively. The overall study findings reflected good balance between Compassion satisfaction and Compassion fatigue (burnout and secondary traumatic stress) among the Nepalese medical doctors. Further assessment of professional quality of life of doctors as well as other health care workers via Multifaceted and large-scale study is recommended.


2020 ◽  
pp. JNM-D-19-00036
Author(s):  
Shin Yuh Ang ◽  
David Hemsworth ◽  
Siew Hoon Lim ◽  
Tracy Carol Ayre ◽  
Emily Ang ◽  
...  

Background and PurposeNurses experienced compassion fatigue (CF), depression, burnout (BO), and even signs of post-traumatic stress disorder. This study aimed to evaluate the psychometric properties of the Professional Quality of Life Scale (ProQOL) among nurses in the Southeast Asia context.MethodsPsychometric testing of interitem correlations and reliability, and both convergent and discriminant validity, as well as construct validity analyses was conducted among 1,338 nurses from two academic centers in Singapore.ResultsFindings demonstrated significant interconstruct correlations among the three subscales of ProQOL, namely compassion satisfaction (CS), BO, and secondary traumatic stress (STS). ProQOL displayed satisfactory internal consistency and discriminant validity.ConclusionsPsychometric properties of the CS component were found to be satisfactory. ProQOL may be integrated into strategies in supporting and improving nurses’ QoL which could focus to lessen BO and CF at work, as well as improving individual satisfaction in the care of patients.


2019 ◽  
Vol 31 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Sedigheh Salimi ◽  
Vahid Pakpour ◽  
Azad Rahmani ◽  
Marian Wilson ◽  
Hossein Feizollahzadeh

Introduction: This study investigated the relationship between compassion fatigue and compassion satisfaction among Iranian nurses working in critical care units. Method: A cross-sectional, descriptive survey using the Professional Quality of Life instrument was administered to 400 nurses working in the intensive care units of Iranian hospitals. Results: High risk levels of burnout and secondary traumatic stress existed among 42% and 96% of participants, respectively. Significant positive relationships were detected between burnout and secondary traumatic stress. An inverse relationship was detected between measures of compassion fatigue and compassion satisfaction. Discussion: To ensure culturally congruent care, it is important to evaluate professional quality of life within the context of specific cultures and societies. Iranian critical care nurses are at risk for burnout and secondary traumatic stress. Personal self-care and organizational wellness approaches that consider cultural norms should be designed to boost compassion satisfaction and reduce negative effects of stressful work environments.


2017 ◽  
Vol 94 (1107) ◽  
pp. 43-47 ◽  
Author(s):  
R Scott McCain ◽  
Nicola McKinley ◽  
Martin Dempster ◽  
W Jeffrey Campbell ◽  
Stephen J Kirk

Purpose of the studyThe aim of this study was to measure resilience, coping and professional quality of life in doctors.Study designA cross-sectional study using an online questionnaire in a single National Health Service trust, including both primary and secondary care doctors.Results283 doctors were included. Mean resilience was 68.9, higher than population norms. 100 (37%) doctors had high burnout, 194 (72%) doctors had high secondary traumatic stress and 64 (24%) had low compassion satisfaction. Burnout was positively associated with low resilience, low compassion satisfaction, high secondary traumatic stress and more frequent use of maladaptive coping mechanisms, including self-blame, behavioural disengagement and substance use. Non-clinical issues in the workplace were the main factor perceived to cause low resilience in doctors.ConclusionsDespite high levels of resilience, doctors had high levels of burnout and secondary traumatic stress. Doctors suffering from burnout were more likely to use maladaptive coping mechanisms. As doctors already have high resilience, improving personal resilience further may not offer much benefit to professional quality of life. A national study of professional Quality of Life, Coping And REsilience, which we are proposing to undertake, will for the first time assess the UK and Ireland medical workforce in this regard and guide future targeted interventions to improve professional quality of life.


Author(s):  
Guojun Xie ◽  
Wendy Li ◽  
Brett McDermott

Objective Building upon the tripartite model of anxiety and depression, the current study aims to examine mechanisms of comorbidity between anxiety and depression using the ProQOL (Professional Quality of Life; including the constructs of burnout, secondary traumatic stress, and compassion satisfaction) in a sample of Chinese health-care clinicians. Method A randomized cross-sectional survey was distributed to 1620 participants who were recruited from eight state-owned hospitals in a city in southern China between January and May 2017. A total of 1562 questionnaires were returned (a response rate of 96.4%). After the cases with more than 10% missing variables and multivariate outliers being removed, 1423 valid cases remained. Multiple mediator models were used for mediation analysis that was conducted using the PROCESS v3.1 macro for SPSS. Results The indirect effects of anxiety upon depression through burnout (a1 = . 601 (95% confidence interval (CI): .552, .650), p < .001; b1 = .137 (95% CI: .101, .174), p < .001) and compassion satisfaction (a3= −.297 (95% CI: −.352, −.241), p < .001; b3 = −.069 (95% CI: −.100, −.039), p < .001) were significant, while there was no evidence that anxiety influenced depression by changing secondary traumatic stress. The indirect effects of depression upon anxiety through secondary traumatic stress (a2 = . 535 (95% CI: .483, .588), p < .001); b2 = .154 (95% CI: .120, .188), p < .001) were both positive and significant, while there was no evidence that depression influenced anxiety by changing burnout and compassion satisfaction. Conclusions In the current sample, burnout and compassion satisfaction mediated the effect of anxiety upon depression and secondary traumatic stress mediated the effect of depression upon anxiety. The findings of the current study offer support to the tripartite model.


2021 ◽  
pp. 102490792110491
Author(s):  
Cho Lee Wong ◽  
Bun Young ◽  
Berachah Sze Chung Lui ◽  
Alice Wai Yi Leung ◽  
Jerome Lok Tsun So

Background: The professional quality of life of healthcare professionals in emergency departments may be compromised during the COVID-19 pandemic. Objectives: This study aims to examine professional quality of life and resilience as well as their relationships among emergency department healthcare professionals in Hong Kong during the COVID-19 outbreak. Methods: This study employed a cross-sectional design. Healthcare professionals (doctors and nurses) working in emergency departments in Hong Kong were recruited via snowball sampling. The Professional Quality of Life Scale, version 5, and the 10-item Connor-Davidson Resilience Scale were used to assess their positive (compassion satisfaction) and negative (secondary traumatic stress and burnout) aspects of professional quality of life and self-reported resilience. Socio-demographics and work-related characteristics were also analysed. Results: A total of 106 participants provided valid responses. The results showed an overall moderate level of compassion satisfaction, secondary traumatic stress and burnout among emergency department healthcare professionals. The mean score of the 10-item Connor-Davidson Resilience Scale was 23.8. Backward linear regression analyses revealed self-reported resilience was the only significant predictor of compassion satisfaction (regression coefficient B = 0.875; p < 0.001), secondary traumatic stress (B = −0.294, p < 0.001) and burnout (B = −0.670; p < 0.001), explaining 70.6%, 18.5% and 59.8% of total variance, respectively. Conclusion: Emergency department healthcare professionals in Hong Kong experienced an overall moderate level of professional quality of life during the COVID-19 outbreak. Those with a higher level of self-reported resilience had better compassion satisfaction and lower levels of secondary traumatic stress and burnout. The results support the importance of developing interventions that foster resilience among this group of emergency department healthcare professionals to combat COVID-19.


2021 ◽  
Vol 20 (4) ◽  
pp. 291-323
Author(s):  
Natalia Violim Fabri ◽  
Julia Trevisans Martins ◽  
Maria Jose Quina Galdino ◽  
Renata Perfeito Ribeiro ◽  
Aline Aparecida Oliveira Moreira ◽  
...  

Objetivo: Verificar la satisfacción y la fatiga debido a la compasión y sus factores asociados en las enfermeras de la Unidad Básica de Salud.Método: Se trata de una investigación descriptiva y transversal desarrollada con 101 enfermeras de 40 Unidades Básicas de Salud en un municipio de Paraná. Los datos se recopilaron entre noviembre de 2019 y febrero de 2020 a través de un cuestionario de caracterización sociodemográfica, hábitos profesionales y de vida y la Professional Quality of Life Scale que evalúa la Satisfacción y fatiga por compasión. Los factores asociados fueron obtenidos por modelos de regresión logística.Resultados: Tener una buena relación interpersonal disminuyó las posibilidades de baja satisfacción por compasión (p=0,025) y burnout (p=0,049). Ser reconocido en el trabajo tenía una probabilidad significativamente menor de baja satisfacción por compasión (p=0,040).Conclusión: Buenas relaciones interpersonales se asociaron con la satisfacción de la compasión y el burnout. Sentirse reconocido por el trabajo realizado también se asoció con la satisfacción por la compasión. La mayoría de las enfermeras, incluso con altos niveles de satisfacción debido a la compasión, se siente cansada, lo que lleva a reforzar la necesidad de una mayor atención al trabajo desarrollado por las enfermeras en la Unidad Básica de Salud por los gerentes. Objective: Verifying satisfaction and fatigue due to compassion and its associated factors in nurses of the Basic Health Unit.Method: A descriptive and cross-sectional research developed with 101 nurses from 40 Basic Health Units in a municipality of Parana. Data were collected between November 2019 and February 2020 through a questionnaire of sociodemographic characterization, occupational and life habits and the Professional Quality of Life Scale that assesses Satisfaction and Fatigue by Compassion. The associated factors were obtained by logistic regression models.Results: Having a good interpersonal relationship decreased the chances of low satisfaction by compassion (p=0.025) and burnout (p=0.049). Being recognized at work had a significantly lower probability of low compassion satisfaction (p=0.040).Conclusion: Good interpersonal relationships were associated with compassion satisfaction and burnout. Feeling recognized for the work done was also associated with satisfaction for compassion. Most nurses, even with high levels of satisfaction due to compassion, feel tired, which leads to reinforce the need for greater attention to the work developed by nurses in the Basic Health Unit by managers. Objetivo: Verificar a satisfação e a fadiga por compaixão e seus fatores associados em enfermeiros de Unidade Básica de Saúde. Método: Pesquisa descritiva e transversal desenvolvida com 101 enfermeiros de 40 Unidades Básicas de Saúde de um município paranaense. Os dados foram coletados entre novembro de 2019 a fevereiro de 2020 por meio de um questionário de caracterização sociodemográfica, ocupacional e hábitos de vida e a Professional Quality of Life Scale que avalia a Satisfação e a Fadiga por Compaixão. Os fatores associados foram obtidos por modelos de regressão logística. Resultados: Possuir bom relacionamento interpessoal diminuiu as chances de baixa satisfação por compaixão (p=0,025) e burnout (p=0,049). Ser reconhecido no trabalho teve probabilidade significativamente menor de baixa satisfação por compaixão (p=0,040). Conclusão: O bom relacionamento interpessoal teve associação com a satisfação por compaixão e o burnout. Sentir-se reconhecido pelo trabalho realizado também esteve associado com a satisfação por compaixão. A maioria dos enfermeiros mesmo com altos níveis de satisfação por compaixão, sentem-se cansados, o que leva a reforçar a necessidade de maior atenção ao trabalho desenvolvido pelos enfermeiros de Unidade Básica de Saúde pelos gestores.


Author(s):  
Elisabete Maria das Neves Borges ◽  
Carla Isabel Nunes da Silva Fonseca ◽  
Patrícia Campos Pavan Baptista ◽  
Cristina Maria Leite Queirós ◽  
María Baldonedo-Mosteiro ◽  
...  

Objetivo avaliar o nível de fadiga por compaixão em enfermeiros e sua associação em função de características sociodemográficas/profissionais. Método estudo quantitativo, descritivo e transversal, com 87 enfermeiros de um serviço de urgência e emergência de adultos, de um hospital universitário. Aplicaram-se um questionário sociodemográfico/profissional e a escala Professional Quality of Life Scale 5 . Para a análise dos dados, recorreu-se à estatística descritiva e inferencial. Resultados verificou-se que a satisfação por compaixão apresenta as médias mais elevadas, seguida do burnout e do estresse traumático secundário. Encontraram-se no nível elevado 51% dos enfermeiros na satisfação por compaixão, 54% no burnout e 59% no estresse traumático secundário. Os participantes com mais idade apresentaram médias superiores de satisfação por compaixão, enquanto os do sexo feminino, mais novos, com menos tempo de experiência profissional e que não tinham atividades de lazer evidenciaram média superior de estresse traumático secundário. Conclusão existe fadiga por compaixão expressa na grande percentagem de enfermeiros com elevados níveis de burnout e de estresse traumático secundário. A fadiga depende de fatores individuais como idade, sexo, experiência profissional e atividades de lazer. A pesquisa e a compreensão desse fenômeno permitem o desenvolvimento de estratégias de promoção de saúde no trabalho.


2020 ◽  
Vol 29 ◽  
Author(s):  
Thayane Martins Dornelles ◽  
Andreia Barcellos Teixeira Macedo ◽  
Sônia Beatriz Cocaro de Souza

ABSTRACT Objective: to verify the relationship between professional quality of life scores and coping strategies in the multidisciplinary health team that assists children and adolescents victims of sexual violence. Method: a cross-sectional study carried out in a public hospital of Porto Alegre, Brazil. Data collection took place from July to October 2018, using the Professional Quality of Life Scale and the Inventory of Coping Responses at Work. The analysis was performed using the Kruskal-Wallis test and Pearson's Correlation Coefficient. Regression was used for independent variables with p ≤ 0.05 in the bivariate analyses. Results: the professionals showed a medium level in the compassion satisfaction dimension (54.2%), medium level for secondary traumatic stress (50.8%), and medium level for Burnout (61%). Regarding the coping strategies, the decision-making strategy showed a weak correlation with the compassion satisfaction dimension (0.261), and the emotional extravasation strategy showed a moderate correlation with secondary traumatic stress (0.485) and Burnout (0.399). The female gender was associated with secondary traumatic stress (p=0.002). Conclusion: the identification of coping strategies such as decision-making can help the professionals to increase the levels of compassion satisfaction. In situations of suffering in daily work, management to avoid emotional extravasation should take place, preventing high levels of compassion fatigue. Such information is important to support public policies on occupational health, as well as programs to promote occupational health.


Sign in / Sign up

Export Citation Format

Share Document