Organizational strategies to address post-traumatic stress injuries among Canadian paramedics.

IF 2.4 3区 工程技术 Q2 ENGINEERING, INDUSTRIAL Cognition Technology & Work Pub Date : 2022-05-27 DOI:10.3233/wor-210614
Bronson B Du, Marcus Yung, J. Gruber, Amin Yazdani
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引用次数: 1

Abstract

BACKGROUND Paramedics are a high-risk occupational group for post-traumatic stress injuries (PTSI), and increasingly, evidence suggests that organizational factors play a significant role. While several resources for paramedic services to address PTSI exist, there is limited knowledge as to which PTSI-related programs and practices are implemented and how they are perceived in the workplace. OBJECTIVES This research aimed to explore key informants' perspectives on existing and desired organizational-wide initiatives for, as well as the challenges and potential solutions to, the primary prevention, early detection and intervention, and disability management of PTSI in Canadian paramedic services. METHODS Semi-structured interviews were conducted with 12 key informants from jurisdictions across Canada who have over five years of work experience in prehospital care. Interviews were audio-recorded, transcribed, and analyzed using thematic analysis. RESULTS Eight recurrent organizational elements (themes) for addressing PTSI emerged: psychologically safe and healthy work culture; consistent supervisor support, mental health training and awareness, opportunities for recovery and maintaining resiliency, recognition of PTSI and its diverse risk factors, access to a variety of support initiatives for PTSI, communication during medical leave, and meaningful work accommodations. CONCLUSIONS While organizational-wide initiatives were in place for the primary prevention, early detection and intervention, and disability management of PTSI, systemic challenges with coordination, resource allocation, and worker engagement were also identified. These challenges prevented paramedic services from optimally addressing PTSI in their workplace. Integrating considerations from the eight organizational elements to address PTSI into broader existing management systems may have merit in overcoming the systemic challenges.
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解决加拿大护理人员创伤后应激损伤的组织战略。
背景:护理人员是创伤后应激损伤(PTSI)的高危职业群体,越来越多的证据表明组织因素起着重要作用。虽然有一些资源可供护理人员解决创伤后应激障碍,但关于哪些与创伤后应激障碍相关的项目和实践被实施以及它们在工作场所的看法,我们的知识有限。目的:本研究旨在探讨加拿大护理服务中创伤后应激障碍的一级预防、早期发现和干预以及残疾管理的主要信息提供者对现有和期望的组织范围内的举措、挑战和潜在解决方案的看法。方法采用半结构化访谈对12名来自加拿大各司法管辖区的具有5年以上院前护理工作经验的关键信息提供者进行访谈。访谈录音,转录,并使用专题分析进行分析。结果出现了处理创伤后应激障碍的8个反复出现的组织要素(主题):心理安全和健康的工作文化;持续的主管支持、心理健康培训和意识、恢复和保持弹性的机会、对创伤后应激障碍及其各种风险因素的认识、对创伤后应激障碍的各种支持举措的获取、病假期间的沟通以及有意义的工作安排。结论:虽然在创伤后应激障碍的一级预防、早期发现和干预以及残疾管理方面采取了组织范围内的举措,但也发现了协调、资源分配和员工参与方面的系统性挑战。这些挑战阻碍了护理人员在工作场所最佳地解决创伤后应激障碍。将八个组织要素的考虑整合到更广泛的现有管理系统中,以解决PTSI问题,可能有助于克服系统性挑战。
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来源期刊
Cognition Technology & Work
Cognition Technology & Work ENGINEERING, INDUSTRIAL-
CiteScore
6.90
自引率
7.70%
发文量
26
审稿时长
>12 weeks
期刊介绍: Cognition, Technology & Work focuses on the practical issues of human interaction with technology within the context of work and, in particular, how human cognition affects, and is affected by, work and working conditions. The aim is to publish research that normally resides on the borderline between people, technology, and organisations. Including how people use information technology, how experience and expertise develop through work, and how incidents and accidents are due to the interaction between individual, technical and organisational factors. The target is thus the study of people at work from a cognitive systems engineering and socio-technical systems perspective. The most relevant working contexts of interest to CTW are those where the impact of modern technologies on people at work is particularly important for the users involved as well as for the effects on the environment and plants. Modern society has come to depend on the safe and efficient functioning of a multitude of technological systems as diverse as industrial production, transportation, communication, supply of energy, information and materials, health and finance.
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