Ambulance ramping predicts poor mental health of paramedics.

IF 0.5 4区社会学 0 ASIAN STUDIES JOURNAL OF THE AMERICAN ORIENTAL SOCIETY Pub Date : 2023-09-01 Epub Date: 2022-05-12 DOI:10.1037/tra0001241

Wendy J Phillips, Bernadine F Cocks, Christopher Manthey

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Abstract

Objective: Ambulance ramping involves a patient remaining under paramedic care until a hospital emergency department bed becomes available. This study examined whether negative ramping experiences (verbal abuse, physical abuse, compromised patient care, and patient fatality) contribute to relatively high levels of depression, anxiety, stress, and posttraumatic stress disorder (PTSD) in paramedics.

Method: Ninety Australian paramedics (M_age = 37.68, SD = 10.73; 52.2% male) completed an online survey.

Results: Path analysis found that negative ramping experiences were positively associated with symptoms of depression, anxiety, stress, and PTSD. Interactions indicated that negative ramping experiences predicted greater depression, stress, and PTSD among paramedics with higher, but not lower, work-related self-efficacy. All interactions with resilience were nonsignificant.

Conclusions: These findings suggest that policymakers should aim to reduce ambulance ramping, and that future research could fruitfully investigate the mental health benefits of training programs that include strategies to minimize paramedics' feelings of powerlessness, frustration, and self-blame, during ramping. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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救护车加载预示着辅助医务人员的心理健康状况不佳。

目的：救护车转运是指在医院急诊科有床位之前，病人一直由护理人员护理。本研究探讨了救护人员的负面斜坡经历（辱骂、肢体虐待、病人护理受损和病人死亡）是否会导致相对较高的抑郁、焦虑、压力和创伤后应激障碍（PTSD）水平：90名澳大利亚护理人员（平均年龄=37.68岁，标准差=10.73岁；52.2%为男性）完成了一项在线调查：路径分析发现，负面坡道体验与抑郁、焦虑、压力和创伤后应激障碍症状呈正相关。交互作用表明，在工作相关自我效能较高而非较低的护理人员中，负性斜坡体验会导致抑郁、压力和创伤后应激障碍症状加重。所有与复原力的交互作用均不显著：这些研究结果表明，政策制定者应该以减少救护车急速行驶为目标，而未来的研究可以对培训项目的心理健康益处进行富有成效的调查，这些培训项目应包括将急救人员在急速行驶过程中的无力感、挫败感和自责感降到最低的策略。(PsycInfo Database Record (c) 2022 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JOURNAL OF THE AMERICAN ORIENTAL SOCIETY ASIAN STUDIES-

CiteScore

0.20

自引率

33.30%

发文量

101

期刊介绍： The American Oriental Society is the oldest learned society in the United States devoted to a particular field of scholarship. The Society was founded in 1842, preceded only by such distinguished organizations of general scope as the American Philosophical Society (1743), the American Academy of Arts and Sciences (1780), and the American Antiquarian Society (1812). From the beginning its aims have been humanistic. The encouragement of basic research in the languages and literatures of Asia has always been central in its tradition. This tradition has come to include such subjects as philology, literary criticism, textual criticism, paleography, epigraphy, linguistics, biography, archaeology, and the history of the intellectual and imaginative aspects of Oriental civilizations.

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