Individual and organizational factors associated with professional quality of life in Florida fire personnel

2018 ◽  
Vol 16 (3) ◽  
pp. 173
Author(s):  
Anastasia Miller, PhD ◽  
Lynn Unruh, PhD, RN, LHRM ◽  
Tracy Wharton, PhD, MEd, MSc, MSW, LCSW ◽  
Xinliang Liu, PhD ◽  
Ning Zhang, PhD, MD, MPH

Objective: The purpose of this study was to determine a baseline level of compassion satisfaction, burnout, and secondary traumatic stress (STS) in firefighters, as well as to examine how these constructs related to perceived organizational support, perceived coworker support, psychological resilience, and debriefing in the fire personnel.Design: This was done through a voluntary nonrandom, cross-sectional administration of surveys. Setting: The study was carried out in the state of Florida.Subjects, Participants: Surveys were e-mailed out to state firefighters. Two hundred seventy surveys were completed by active firefighting personnel across the state.Main Outcome Measure(s): The Professional Quality of Life: Compassion Satisfaction and Compassion Fatigue Version 5 was also sent to establish self-reported levels of compassion satisfaction, burnout, and STS. The Survey of Perceived Organizational Support, Perceived Organizational Support Survey, and the Brief Resilience Survey were also used in addition to questions regarding debriefing activities. Results: Gender, race, and education levels were significantly related to compassion satisfaction in the regression analysis. Organizational support was associated with higher compassion satisfaction as well as lower burnout and STS. Coworker support was associated with higher compassion satisfaction. Psychological resilience was positively associated with higher levels of compassion satisfaction and lower burnout and STS. Those who participated in informal debriefing methods had higher compassion satisfaction as well as lower burnout. Firefighters working at agencies that did not provide mental health professional’s services had lower compassion satisfaction.Conclusions: Fire agencies have multiple avenues and policy options to improve the professional quality of life for firefighters.

2017 ◽  
Vol 6 (1) ◽  
pp. 29-39 ◽  
Author(s):  
Anastasia Miller ◽  
Lynn Unruh ◽  
Ning Zhang ◽  
Xinliang Liu ◽  
Tracy Wharton

Purpose The purpose of this paper is to determine a baseline level of the Professional Quality of Life (ProQOL 5) in emergency dispatchers in the state of Florida, as well as to examine the how it is associated with psychological resilience, perceived coworker support, different types of debriefing, and perceived organizational support. Design/methodology/approach This was done through a cross-sectional administration of surveys to emergency telecommunicators and dispatchers in the state of Florida. Findings In total, 186 surveys were completed by active emergency dispatch personnel across the state of Florida. The study found that psychological resilience, education, and perceived organizational support were statistically related to professional quality of life in Florida Dispatchers. Research limitations/implications There are limitations due to the nature of cross-sectional survey design and due to the sample size. There are also possible issues with the accuracy of self-reported survey answers. The lack of participation from all agencies also hinders generalizability. Practical implications This study serves as a reference point for a very under studied emergency service population. There are also implications that psychological resilience development in dispatch personnel would assist in multiple aspects of their professional quality of life. Originality/value This is the first study to use the ProQOL 5 on dispatch personnel in Florida. It also displays statistical relationships between factors which dispatch agencies could use to increase employee job satisfaction and potentially reduce turnover.


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.


2021 ◽  
pp. 096973302110342
Author(s):  
David González-Pando ◽  
Covadonga González-Nuevo ◽  
Ana González-Menéndez ◽  
Fernando Alonso-Pérez ◽  
Marcelino Cuesta

Background: The COVID-19 pandemic has produced high stress in nurses, affecting their professional quality of life. Different variables affect psychological stress response and professional quality of life. In this context, the role of professional values represents an interesting object of research. Objectives: To analyze the relationship between professional values, perceived stress, and professional quality of life among nurses during the COVID-19 crisis. Research design, participants, and research context: Descriptive cross-sectional study. Participants were 439 registered nurses from the public health system. Perceived stress, professional quality of life, and professional values were evaluated by using measuring instruments adapted and validated in the geographic context of research. Data were collected online in December 2020 during the second wave of the COVID-19 pandemic in Spain. Ethical considerations: This study was approved by the Ethics Committee on Clinical Research of the Principality of Asturias. Findings: Within professional values, ethics obtained higher scores showing the primacy of ethical values among nurses. Moderate correlations between ethics, mastery, expertise, and compassion satisfaction were found. Frontline nurses informed high perceived stress. The correlations between professional values and compassion satisfaction were higher in non-frontline nurses. A moderate negative correlation between perceived stress and compassion satisfaction was found in both groups, which implies that the higher the stress, the lower the satisfaction in the helping relationship. Conclusion: Professional values positively influence compassion satisfaction during the COVID-19 pandemic. Compassion satisfaction presents a negative correlation with fatigue compassion and burnout in frontline and non-frontline nurses. Given the functionality of values both to guide clinical practice professionally and ethically, and prevent dissatisfaction with one’s professional quality of life by reinforcing compassion satisfaction, it is necessary to reinforce them with an intensive and cross-sectional learning during the university training.


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