BACKGROUND: The purpose of the study was to explore the association between posttraumatic stress disorder(PTSD) and work performance of emergency medical services personnel in Karachi, Pakistan.METHODS: Emergency medi...BACKGROUND: The purpose of the study was to explore the association between posttraumatic stress disorder(PTSD) and work performance of emergency medical services personnel in Karachi, Pakistan.METHODS: Emergency medical service personnel were screened for potential PTSD using Impact of Event Scale-Revised(IES-R). Work performance was assessed on the basis of fi ve variables: number of late arrivals to work, number of days absent, number of days sick, adherence to protocol, and patient satisfaction over a period of 3 months. In order to model outcomes like the number of late arrivals to work, days absent and days late, negative binomial regression was applied, whereas logistic regression was applied for adherence to protocol and linear for patient satisfaction scores.RESULTS: Mean scores of PTSD were 24.0±12.2. No association was found between PTSD and work performance measures: number of late arrivals to work(RRadj 0.99; 0.98–1.00), days absent(RRadj 0.98; 0.96–0.99), days sick(RRadj 0.99; 0.98–1.00), adherence to protocol(ORadj 1.01; 0.99–1.04) and patient satisfaction(β 0.001%–0.03%) after adjusting for years of formal schooling, living status, coping mechanism, social support, working hours, years of experience and anxiety or depression.CONCLUSION: No statistically significant association was found between PTSD and work performance amongst EMS personnel in Karachi, Pakistan.展开更多
Background: Nurses in emergency departments often face department overcrowding with patients, and deal with very ill patients, critical incidents and excessive workloads. Research has indicated that these situations m...Background: Nurses in emergency departments often face department overcrowding with patients, and deal with very ill patients, critical incidents and excessive workloads. Research has indicated that these situations may be associated with work-related stress and the onset of depressive disorders among nursing staff. Aim & Objective: To investigate length of service in relation to occupational stress levels among nurses working in an emergency department, and develop interventions to reduce stress. Methods: A cross-sectional study using a survey was conducted among nurses(N=79) working in the emergency department of one hospital. Occupational stress was measured using the Symptom Checklist 90(SCL-90). Results: Respondents were categorized according to their length of service. Length of service was categorized as follows: group A, <1 year(n=16); group B, between 1 and 5 years(n=31); group C, between 5 and 10 years(n=20); and group D, >10 years(n=12). Group A reported more somatic and anxiety symptoms and a higher total symptom score on the SCL-90 compared with the normal group(p<0.05). Nurses who had worked for longer than 1 year scored above mid-score on all the SCL-90 subscales except on the interpersonal sensitivity and phobic anxiety subscales(p<0.05). There was no difference between groups B, C and D groups for total SCL-90 score. Conclusion: Nurses who had worked for >1 year in the emergency department experienced more work-related stress than the general population. Further research on suitable interventions for the management of occupational stress in nurses working in emergency departments is required.展开更多
Ⅰ. EXECUTIVE SUMMARYAuthorities and emergency services used to be at the forefront of mobile communications–after all, respond-ing to emergencies has always required mobility. How-ever, the professionals’ technolog...Ⅰ. EXECUTIVE SUMMARYAuthorities and emergency services used to be at the forefront of mobile communications–after all, respond-ing to emergencies has always required mobility. How-ever, the professionals’ technologically leading position has diminished with the explosive growth of展开更多
Objective:The occurrence of some public health events inevitably endangers medical personnel,and medical personnel,as a special group,have to resume work on time to treat patients.This coronavirus disease-2019(COVID-1...Objective:The occurrence of some public health events inevitably endangers medical personnel,and medical personnel,as a special group,have to resume work on time to treat patients.This coronavirus disease-2019(COVID-19)infection is a good example,and what intensive care unit(ICU)nurses experience as the primary caregivers of critically ill patients after COVID-19 infection is our focus.To explore the work experience of ICU nurses after recovery from COVID-19,and to provide a theoretical basis for the intervention to improve the physical and mental health level and work experience of special workers in public health emergencies.Methods:We conducted an explorative descriptive study using an inductive thematic analysis.Using the maximum differential sampling method,a semi-structured interview was conducted among 13 ICU nurses suffered from COVID-19 in a tertiary grade A hospital in Qingdao,Shandong Province.This study carried on the theme analysis according to the inductive content analysis method and used MAXQDA 2020 Analytics Pro(VERBI Software GmbH,Berlin,Germany)to manage and summarize the interview data.Results:After being infected by the virus,SARS-Coronavirus-2(SARS-CoV-2),the pathogen of COVID-19,the work experience of ICU nurses was extracted from the following 5 themes:(1)Stress and challenge caused by the change of work focus;(2)downsizing,overtime,taking up work with illness,and physical discomfort;(3)dedication and family debt;(4)unknown fear and helplessness;and(5)professional responsibility and sense of benefit.Conclusions:Under the pressure of COVID-19,ICU nurses face multiple pressures and challenges,and their emotions are complex.We suggest that nursing managers should take corresponding measures to alleviate nurses'physical and psychological pressure and improve their work experience.展开更多
基金partially supported through the Johns Hopkins-Pakistan International Collaborative Trauma and Injury Research Training program(grant number 2D43-TW007-292)from the Fogarty International Center of the United States,National Institutes of Healthpartially supported from department of Community Health Sciences,Aga Khan University,Karachi,Pakistan
文摘BACKGROUND: The purpose of the study was to explore the association between posttraumatic stress disorder(PTSD) and work performance of emergency medical services personnel in Karachi, Pakistan.METHODS: Emergency medical service personnel were screened for potential PTSD using Impact of Event Scale-Revised(IES-R). Work performance was assessed on the basis of fi ve variables: number of late arrivals to work, number of days absent, number of days sick, adherence to protocol, and patient satisfaction over a period of 3 months. In order to model outcomes like the number of late arrivals to work, days absent and days late, negative binomial regression was applied, whereas logistic regression was applied for adherence to protocol and linear for patient satisfaction scores.RESULTS: Mean scores of PTSD were 24.0±12.2. No association was found between PTSD and work performance measures: number of late arrivals to work(RRadj 0.99; 0.98–1.00), days absent(RRadj 0.98; 0.96–0.99), days sick(RRadj 0.99; 0.98–1.00), adherence to protocol(ORadj 1.01; 0.99–1.04) and patient satisfaction(β 0.001%–0.03%) after adjusting for years of formal schooling, living status, coping mechanism, social support, working hours, years of experience and anxiety or depression.CONCLUSION: No statistically significant association was found between PTSD and work performance amongst EMS personnel in Karachi, Pakistan.
文摘Background: Nurses in emergency departments often face department overcrowding with patients, and deal with very ill patients, critical incidents and excessive workloads. Research has indicated that these situations may be associated with work-related stress and the onset of depressive disorders among nursing staff. Aim & Objective: To investigate length of service in relation to occupational stress levels among nurses working in an emergency department, and develop interventions to reduce stress. Methods: A cross-sectional study using a survey was conducted among nurses(N=79) working in the emergency department of one hospital. Occupational stress was measured using the Symptom Checklist 90(SCL-90). Results: Respondents were categorized according to their length of service. Length of service was categorized as follows: group A, <1 year(n=16); group B, between 1 and 5 years(n=31); group C, between 5 and 10 years(n=20); and group D, >10 years(n=12). Group A reported more somatic and anxiety symptoms and a higher total symptom score on the SCL-90 compared with the normal group(p<0.05). Nurses who had worked for longer than 1 year scored above mid-score on all the SCL-90 subscales except on the interpersonal sensitivity and phobic anxiety subscales(p<0.05). There was no difference between groups B, C and D groups for total SCL-90 score. Conclusion: Nurses who had worked for >1 year in the emergency department experienced more work-related stress than the general population. Further research on suitable interventions for the management of occupational stress in nurses working in emergency departments is required.
文摘Ⅰ. EXECUTIVE SUMMARYAuthorities and emergency services used to be at the forefront of mobile communications–after all, respond-ing to emergencies has always required mobility. How-ever, the professionals’ technologically leading position has diminished with the explosive growth of
基金supported by the Application for Qingdao Medical and Health Research guidance(No.2022-WJZD198)。
文摘Objective:The occurrence of some public health events inevitably endangers medical personnel,and medical personnel,as a special group,have to resume work on time to treat patients.This coronavirus disease-2019(COVID-19)infection is a good example,and what intensive care unit(ICU)nurses experience as the primary caregivers of critically ill patients after COVID-19 infection is our focus.To explore the work experience of ICU nurses after recovery from COVID-19,and to provide a theoretical basis for the intervention to improve the physical and mental health level and work experience of special workers in public health emergencies.Methods:We conducted an explorative descriptive study using an inductive thematic analysis.Using the maximum differential sampling method,a semi-structured interview was conducted among 13 ICU nurses suffered from COVID-19 in a tertiary grade A hospital in Qingdao,Shandong Province.This study carried on the theme analysis according to the inductive content analysis method and used MAXQDA 2020 Analytics Pro(VERBI Software GmbH,Berlin,Germany)to manage and summarize the interview data.Results:After being infected by the virus,SARS-Coronavirus-2(SARS-CoV-2),the pathogen of COVID-19,the work experience of ICU nurses was extracted from the following 5 themes:(1)Stress and challenge caused by the change of work focus;(2)downsizing,overtime,taking up work with illness,and physical discomfort;(3)dedication and family debt;(4)unknown fear and helplessness;and(5)professional responsibility and sense of benefit.Conclusions:Under the pressure of COVID-19,ICU nurses face multiple pressures and challenges,and their emotions are complex.We suggest that nursing managers should take corresponding measures to alleviate nurses'physical and psychological pressure and improve their work experience.
