scholarly journals Protective effect of paramedics’ sense of personal accomplishment at work: Mitigating the impact of stress on sleep

2016 ◽  
Vol 13 (2) ◽  
Author(s):  
Charlotte Kukowski ◽  
David B King ◽  
Anita DeLongis
Keyword(s):  
Sleep Quality ◽  
Traumatic Stress ◽  
Sleep Problems ◽  
Maslach Burnout Inventory ◽  
Quality Standard ◽  
Personal Accomplishment ◽  
Poor Sleep ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Impact

IntroductionParamedics are at high risk for the development of post-traumatic stress disorder (PTSD), trauma-related symptoms, and burnout. Despite the multitude of research linking both PTSD and burnout with poor sleep quality, there has been no research linking all three variables, in emergency workers or otherwise. Given the importance of sleep in a profession that is largely reliant on shift work, the goal of the current study was to examine the moderating effect of burnout on the association between post-traumatic stress and average sleep quality. MethodsA sample of 87 paramedics from major urban centres across Canada completed the Maslach Burnout Inventory and the PTSD Checklist Civilian Version, in addition to reporting sleep quality for a period of one week. ResultsIn support of our hypotheses, post-traumatic stress was associated with lower average sleep quality. Standard regression analyses further revealed that this effect was moderated by burnout, such that higher burnout exacerbated the effect of post-traumatic stress on sleep. In examination of the subscales of the MBI, this effect was maintained for personal accomplishment only, which interacted with stress so as to further impair quality of sleep.ConclusionsThese findings offer important considerations regarding the mitigating role of more positive workplace variables in paramedics suffering from post-traumatic stress, PTSD, and/or sleep problems. Interventions aimed at fostering a sense of personal accomplishment on the job may improve the health of emergency medical personnel via multiple pathways.

scholarly journals Effects of Middle East Respiratory Syndrome Coronavirus on post-traumatic stress disorder and burnout among registered nurses in South Korea

2018 ◽  
Vol 4 (2) ◽  
pp. 27 ◽  
Author(s):  
Younglee Kim ◽  
Eunju Seo ◽  
Youngseon Seo ◽  
Vivien Dee ◽  
Eunhee Hong
Keyword(s):  
Middle East ◽  
Registered Nurses ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Maslach Burnout Inventory ◽  
Middle East Respiratory Syndrome ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Impact

Background: The unprecedented nationwide outbreak of the Middle East Respiratory Syndrome Coronavarius (MERS-CoV) from June to July in 2015 took the Korean healthcare system unexpectedly and created physical and psychological stress and trauma to Registered Nurses unprepared to deal with the viral outbreak.Purpose: We investigated the effects of Middle East Respiratory Syndrome Coronavirus (MERS-CoV), post-traumatic stress disorder (PTSD) and burnout among Korean registered nurses (RNs).Methods: A descriptive cross sectional design using a self-administered survey of a convenience sample of 112 Korean RNs. The Impact of Event Scale-Revised-Korean version (IES-R-K) for PTSD and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) for burnout were utilized.Results: Overall prevalence for symptoms of PTSD was 50.0%. PTSD was significantly correlated to burnout (r = .480, p = .000), especially two burnout subscales, emotional exhaustion (r = .533, p = .000), and depersonalization (r = .497, p = .000).Conclusions: Future anticipatory guidance and management of traumatic outbreak or disaster should be considered for nurses’ mental health. Public health and safety at the national level must address quality health outcomes for both patients and healthcare professionals alike.

scholarly journals A Series of Case Reports Regarding the Use of Massage Therapy to Improve Sleep Quality in Individuals with Post-Traumatic Stress Disorder (PTSD)

2019 ◽  
Vol 12 (4) ◽  
pp. 3-9
Author(s):  
Bryn Sumpton, BScN ◽  
Amanda Baskwill, PhD, MSc, BEd, RMT
Keyword(s):  
Sleep Quality ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Case Reports ◽  
Massage Therapy ◽  
Poor Sleep ◽  
Post Traumatic Stress ◽  
Poor Sleep Quality ◽  
Post Traumatic

Background: Post-traumatic stress disorder (PTSD) is a common mental health diagnosis in Canada with prevalence estimated at about 2.4% in the general population. Previous studies have suggested massage therapy may be able to reduce the symptoms of PTSD. One of the symptoms commonly experienced is difficulty falling or staying asleep. No previously published massage therapy research has specifically assessed sleep symptoms of PTSD. Objectives: The research question was, “For individuals who have PTSD as a result of experiencing traumatic events, does MT have an effect on sleep quality?”Methods: A prospective series of case reports describing 10-week MT treatment plans provided by Registered Massage Therapists at Sutherland-Chan Clinic’s Belleville location. Three individuals with PTSD were recruited using promotional posters in the community. Treatment focused on improving sleep quality and followed a pragmatic treatment protocol using light to moderate pressure. Out-comes were measured using a sleep diary, Pittsburgh Sleep Quality Index, and the Leeds Sleep Evaluation Questionnaire. Results: Data collected at baseline and throughout the series showed inconsistent improvement and worsening of symptoms amongst participants. Treatment was well tolerated and attended. No harmful incidents were noted. Conclusion: For these participants, MT did not predictably impact sleep quality. It is possible, as the underlying cause of poor sleep quality was unlikely resolved, the participants did not have a significant change in their sleep quality. This differs from findings of previous studies in which MT improved sleep for patients with poor sleep quality due to exposure to traumatic events. There is need for further understanding of how MT affects sleep. 

scholarly journals Changes in Levels of Burnout in a Comparative Study in Professional Caregivers After a Situation of Post-Traumatic Stress

2012 ◽  
Vol 2 (1) ◽  
pp. 29-39
Author(s):  
Juan P. Martínez ◽  
Inmaculada Méndez ◽  
Esther Secanilla ◽  
Elena González
Keyword(s):  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Short Form ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
Post Traumatic Stress ◽  
People With Dementia ◽  
Post Traumatic

Following a previous study on professional caregivers of people with dementia and other diseases in residential, was decided to compare two residential centers of two different regions, Murcia and Barcelona. Based on the results of which 13.3% of the global sample had a high emotional exhaustion, 54.8% a high level of depersonalization and 10% a reduced sense of personal accomplishment, we proceed to an analysis of current levels in the three dimensions to study their evolution. Similarly, we assess whether in the town of Lorca (Murcia), these levels have been affected by the earthquake on May 11, 2011, for which it has conducted an evaluation of possible symptoms of Post-Traumatic Stress Disorder (PTSD). We proceeded to the administration of the same tests of the latest research (Scale Maslach Burnout Inventory -MBI- and an ad hoc survey conducted for professional caregivers) and the Scale SA-45 which is the short form from the original SCL-90, and the Severity of Symptoms Scale of Posttraumatic Stress Disorder. The results show differences between the two populations in different variables and they shed light on the consequences and impact of a traumatic event in the sample.

Post-Traumatic Stress Symptoms and Burnout Among Medical Rescue Workers 4 Years After the Great East Japan Earthquake: A Longitudinal Study

2016 ◽  
Vol 10 (6) ◽  
pp. 848-853 ◽  
Author(s):  
Yuzuru Kawashima ◽  
Daisuke Nishi ◽  
Hiroko Noguchi ◽  
Masato Usuki ◽  
Akihiro Yamashita ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Maslach Burnout Inventory ◽  
Great East Japan Earthquake ◽  
Related Factor ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Rescue Workers ◽  
Post Traumatic ◽  
The Impact

AbstractObjectiveThis study aimed to evaluate factors associated with post-traumatic stress disorder (PTSD) symptoms and burnout 4 years after the Great East Japan Earthquake among medical rescue workers in Disaster Medical Assistance Teams (DMATs).MethodsWe examined participants’ background characteristics, prior health condition, rescue work experiences, and the Peritraumatic Distress Inventory (PDI) score at 1 month after the earthquake. Current psychological condition was assessed by the Impact of Event Scale-Revised and Maslach Burnout Inventory administered 4 years after the earthquake. By applying univariate and multivariate linear regression analyses, we assessed the relative value of the PDI and other baseline variables for PTSD symptoms and burnout at 4 years after the earthquake.ResultsWe obtained baseline data from 254 participants during April 2 to 22, 2011. Of the 254 participants, 188 (74.0%) completed the follow-up assessment. PDI score 1 month after the earthquake was associated with symptoms of PTSD (β=0.35, P<.01) and burnout (β=0.21, P<.01). Stress before deployment was a related factor for burnout 4 years after the earthquake in these medical rescue workers (β=2.61, P<.04).ConclusionsIt seems important for DMAT headquarters to establish a routine system for assessing the PDI of medical rescue workers after deployment and screen those workers who have high stress prior to deployment (Disaster Med Public Health Preparedness. 2016;10:848–853)

scholarly journals Changes in Levels of Burnout in a Comparative Study in Professional Caregivers After a Situation of Post-Traumatic Stress

2012 ◽  
Vol 2 (1) ◽  
pp. 29-39
Author(s):  
Juan P. Martínez ◽  
Inmaculada Méndez ◽  
Esther Secanilla ◽  
Elena González
Keyword(s):  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Short Form ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
Post Traumatic Stress ◽  
People With Dementia ◽  
Post Traumatic

Following a previous study on professional caregivers of people with dementia and other diseases in residential, was decided to compare two residential centers of two different regions, Murcia and Barcelona. Based on the results of which 13.3% of the global sample had a high emotional exhaustion, 54.8% a high level of depersonalization and 10% a reduced sense of personal accomplishment, we proceed to an analysis of current levels in the three dimensions to study their evolution. Similarly, we assess whether in the town of Lorca (Murcia), these levels have been affected by the earthquake on May 11, 2011, for which it has conducted an evaluation of possible symptoms of Post-Traumatic Stress Disorder (PTSD). We proceeded to the administration of the same tests of the latest research (Scale Maslach Burnout Inventory -MBI- and an ad hoc survey conducted for professional caregivers) and the Scale SA-45 which is the short form from the original SCL-90, and the Severity of Symptoms Scale of Posttraumatic Stress Disorder. The results show differences between the two populations in different variables and they shed light on the consequences and impact of a traumatic event in the sample.

scholarly journals Factors Associated With Burnout, Post-traumatic Stress and Anxio-Depressive Symptoms in Healthcare Workers 3 Months Into the COVID-19 Pandemic: An Observational Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Samuel Cyr ◽  
Marie-Joelle Marcil ◽  
Marie-France Marin ◽  
Jean-Claude Tardif ◽  
Stéphane Guay ◽  
...  
Keyword(s):  
Mental Health ◽  
Organizational Support ◽  
Traumatic Stress ◽  
Healthcare Workers ◽  
Perceived Organizational Support ◽  
Maslach Burnout Inventory ◽  
Anxiety And Depression ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Impact

Objective: This study examined how best to identify modifiable protective and risk factors for burnout in healthcare workers in the face of the COVID-19 pandemic. Individual, occupational, organizational and social factors were investigated. The study also assessed the impact of these factors on post-traumatic stress disorder (PTSD), anxiety, and depression.Methods: Healthcare workers in the Quebec (Canada) healthcare system were recruited between May 21 to June 5, 2020. Participants answered an electronic survey 3 months after the COVID-19 epidemic outbreak began in Canada. Using the Maslach Burnout Inventory, PTSD Checklist for DSM-5, and Hospital Anxiety and Depression Scale, we studied the prevalence of burnout, PTSD, anxiety and depression in this cohort. Multivariable logistic or linear regression models including resilience, social and organizational support, workload and access to mental health help, simulation techniques and protective personal equipment (PPE) as well as perception of PPE security were conducted for each outcome.Results: In mid-June 2020, 467 participants completed the survey. We found that half (51.8%) of the respondents experienced burnout characterized by emotional exhaustion and/or depersonalization at least once a week. In total, 158 healthcare workers (35.6%) displayed severe symptoms of at least one of the mental health disorders (24.3% PTSD, 23.3% anxiety, 10.6% depression). Resilience (OR = 0.69, 95% CI: [0.55–0.87]; p = 0.002) and perceived organizational support (OR = 0.75, 95% CI: [0.61–0.93]; p = 0.009) were significantly associated with burnout and other outcomes. Social support satisfaction, perception of PPE security, work type and environment, mental health antecedents and reassignment were associated with PTSD and/or anxiety and/or depression, but not burnout.Conclusion: Future studies should address primarily resilience and perceived organizational support to promote mental health and prevent burnout, PTSD, anxiety and depression.

scholarly journals Physiological parameters of mental health predict the emergence of post-traumatic stress symptoms in physicians treating COVID-19 patients

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
T. Dolev ◽  
S. Zubedat ◽  
Z. Brand ◽  
B. Bloch ◽  
E. Mader ◽  
...  
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Traumatic Stress ◽  
A Priori ◽  
Treatment Strategies ◽  
Physiological Measures ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Post Traumatic

AbstractLack of established knowledge and treatment strategies, and change in work environment, may altogether critically affect the mental health and functioning of physicians treating COVID-19 patients. Thus, we examined whether treating COVID-19 patients affect the physicians’ mental health differently compared with physicians treating non-COVID-19 patients. In this cohort study, an association was blindly computed between physiologically measured anxiety and attention vigilance (collected from 1 May 2014 to 31 May 31 2016) and self-reports of anxiety, mental health aspects, and sleep quality (collected from 20 April to 30 June 2020, and analyzed from 1 July to 1 September 2020), of 91 physicians treating COVID-19 or non-COVID-19 patients. As a priori hypothesized, physicians treating COVID-19 patients showed a relative elevation in both physiological measures of anxiety (95% CI: 2317.69–2453.44 versus 1982.32–2068.46; P < 0.001) and attention vigilance (95% CI: 29.85–34.97 versus 22.84–26.61; P < 0.001), compared with their colleagues treating non-COVID-19 patients. At least 3 months into the pandemic, physicians treating COVID-19 patients reported high anxiety and low quality of sleep. Machine learning showed clustering to the COVID-19 and non-COVID-19 subgroups with a high correlation mainly between physiological and self-reported anxiety, and between physiologically measured anxiety and sleep duration. To conclude, the pattern of attention vigilance, heightened anxiety, and reduced sleep quality findings point the need for mental intervention aimed at those physicians susceptible to develop post-traumatic stress symptoms, owing to the consequences of fighting at the forefront of the COVID-19 pandemic.

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