Ambulance personnel face numerous challenges during their working hours. Exposure to stressful situations and other factors in the outpatient emergency medical service can affect the health of ambulance personnel as well as their well-being.
OBJECTIVE:
The main objective of this study was to explore the perceptions of ambulance personnel regarding their physical and mental well-being at the workplace.
METHODS:
A qualitative descriptive-interpretative research design was used. Individual face-to-face and online interviews were conducted between February and April 2022. A total of 26 interviews were conducted to explore employees’ perceptions regarding the impact of work on their health and well-being.
RESULTS:
Ambulance personnel described in detail their perceptions of the impact of work on their physical and mental health and well-being. Three main themes emerged from our data: 1) the impact of work on the psychophysical condition of ambulance personnel; 2) the impact of work on the lifestyle of ambulance personnel; 3) the impact of work and the work environment on the lives of ambulance personnel.
CONCLUSION:
Long-term work in emergency medical services affects the health and well-being of ambulance personnel. As demonstrated by this study, raising awareness on the importance of preventive and health promotion programmes, understanding employees’ problems by considering their opinions, and providing relevant training are extremely important tools for preventing such problems among employees.
SterudT, HemE, LauB, EkebergO. A comparison of general and ambulance specific stressors: Predictors of job satisfaction and health problems in a nationwide one-year follow-up study of Norwegian ambulance personnel. J Occup Med Toxicol Lond Engl. 2011;6(1):10. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3074526/
2.
BetlehemJ, HorvathA, JegesS, GondocsZ, NemethT, KuklaA. How healthy are ambulance personnel in Central Europe?Eval Health Prof. 2014;37(3):394–406. Available from: https://pubmed.ncbi.nlm.nih.gov/23329553/
Lewis-SchroederNF, KieranK, MurphyBL, WolffJD, RobinsonMA, KaufmanML. Conceptualization, assessment, and treatment of traumatic stress in first responders: A review of critical issues. Harv Rev Psychiatry. 2018;26(4):216–27. Available from: https://pubmed.ncbi.nlm.nih.gov/29975339/
5.
ChengMKF, JosephJ, FergusonD. A cognitive behavioral model of first responder posttraumatic stress disorder. J Cogn Psychother. 2018;32(3):184–91. Available from: https://pubmed.ncbi.nlm.nih.gov/32746434/
LawnS, RobertsL, WillisE, CouznerL, MohammadiL, GobleE. Theeffects of emergency medical service work on the psychological,physical, and social well-being of ambulance personnel: A systematicreview of qualitative research. BMC Psychiatry. 2020;20(1):348. Available from: https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-020-02752-4
8.
PatersonJL, SofianopoulosS, WilliamsB. What paramedics think about when they think about fatigue: Contributing factors. Emerg Med Australas EMA. 2014;26(2):139–44. Available from: https://pubmed.ncbi.nlm.nih.gov/24708002/
9.
Hegg-deloyeS, BrassardP, JauvinN, PrairieJ, LaroucheD, PoirierP. Current state of knowledge of post-traumatic stress, sleeping problems, obesity and cardiovascular disease in paramedics. Emerg Med J EMJ. 2013;31. Available from: https://pubmed.ncbi.nlm.nih.gov/23314206/
CashRE, AndersonSE, LancasterKE, LuB, RivardMK, CamargoCA. Comparing the prevalence of poor sleep and stress metrics in basic versus advanced life support emergency medical services personnel. Prehosp Emerg Care. 2020;24(5):644–56. Available from: https://pubmed.ncbi.nlm.nih.gov/32314941/
15.
WolkowA, FergusonS, AisbettB, MainL. Effects of work-related sleep restriction on acute physiological and psychological stress responses and their interactions: A review among emergency service personnel. Int J Occup Med Environ Health. 2015;28. Available from: https://pubmed.ncbi.nlm.nih.gov/26182918/
16.
LawnS, RobertsL, WillisE, CouznerL, MohammadiL, GobleE. Theeffects of emergency medical service work on the psychological,physical, and social well-being of ambulance personnel: A systematicreview of qualitative research. BMC Psychiatry. 2020;20(1):348. Available from: https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-020-02752-4
KaaeS, TraulsenJM. Qualitative Methods in Pharmacy Practice Research. In: Babar ZUD, editor. Pharmacy Practice Research Methods [Internet]. Cham: Springer International Publishing; 2015 [cited 2019 Sep 13]. pp. 49-68. Available from: https://doi.org/10.1007/978-3-319-14672-0_4
19.
BrymanA. Social Research Methods. Oxford University Press; 2016, p. 785. Available from:
GruberE, Sarajlic VukovicI, MusovicM, MoravekD, StarcevicB, Martic BiocinaS. Migracija hrvatskih liječnika u globalnom kontekstu. Med Flum Med Flum. 2020;56(2):88–96. Available from: https://hrcak.srce.hr/clanak/344590
23.
MoserA, KorstjensI. Series: Practical guidance to qualitative research. Part Sampling, data collection and analysis. Eur J Gen Pract. 2018;24(1):9–18. Available from: https://pubmed.ncbi.nlm.nih.gov/29199486/
OkadaN, IshiiN, NakataM, NakayamaS. Occupational stress among Japanese emergency medical technicians: Hyogo Prefecture. Prehospital Disaster Med. 2005;20(2):115–21. Available from: https://pubmed.ncbi.nlm.nih.gov/15898491/
28.
KimMG, KimKS, RyooJH, YooSW. Relationship between occupational stress and work-related musculoskeletal disorders in korean male firefighters. Ann Occup Environ Med. 2013;25:9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3923336/
29.
LadU, OomenNMCW, CallaghanJP, FischerSL. Comparing the biomechanical and psychophysical demands imposed on paramedics when using manual and powered stretchers. Appl Ergon. 2018;70:167–74. Available from: https://pubmed.ncbi.nlm.nih.gov/29866307/
ArmstrongD, FerronR, TaylorC, McleodB, FletcherS, EeR. Implementing powered stretcher and load systems was a cost effective intervention to reduce the incidence rates of stretcher related injuries in a paramedic service. Appl Ergon. 2017;60:34–42. Available from: https://pubmed.ncbi.nlm.nih.gov/28411738/
32.
RebakD, SuligaE, GrabowskaU, GłuszekS. The prevelance ofmetabolic syndrome on the sample of paramedics. Int J Occup MedEnviron Health. 2018;31(6):741–51. Available from: https://pubmed.ncbi.nlm.nih.gov/30572699/
33.
PetrieK, Milligan-SavilleJ, GayedA, DeadyM, PhelpsA, DellL. Prevalence of PTSD and common mental disorders amongst ambulance personnel: A systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol. 2018;53(9):897–909. Available from: https://pubmed.ncbi.nlm.nih.gov/29869691/
34.
MishraS, GoebertD, CharE, DukesP, AhmedI. Trauma exposure and symptoms of post-traumatic stress disorder in emergency medical services personnel in Hawaii. Emerg Med J EMJ. 2010;27(9):708–11. Available from: https://pubmed.ncbi.nlm.nih.gov/20466825/
35.
BennettP, WilliamsY, PageN, HoodK, WoollardM. Levels of mental health problems among UK emergency ambulance workers. Emerg Med J EMJ. 2004;21(2):235–6. Available from: https://pubmed.ncbi.nlm.nih.gov/14988360/
36.
AlexanderDA, KleinS. Ambulance personnel and critical incidents: Impact of accident and emergency work on mental health and emotional well-being. Br J Psychiatry J Ment Sci. 2001;178(1):76–81. Available from: https://pubmed.ncbi.nlm.nih.gov/11136215/
WongH, WongMCS, WongSYS, LeeA. The association between shift duty and abnormal eating behavior among nurses working in a major hospital: A cross-sectional study. Int J Nurs Stud. 2010;47(8):1021–7. Available from: https://pubmed.ncbi.nlm.nih.gov/20116059/
42.
SheridanS. Paramedic health status, fitness and physical tasks: A review of the literature. Australas J Paramed [Internet]. 2019 Mar 30 [cited 2022 Oct 13];16. Available from: https://ajp.paramedics.org/index.php/ajp/article/view/580
DopeltK, WachtO, StrugoR, MillerR, KushnirT. Factors that affect Israeli paramedics’ decision to quit the profession: A mixed methods study. Isr J Health Policy Res. 2019;8(1):78. Available from: https://pubmed.ncbi.nlm.nih.gov/31672166/
