Workplace Programs to Reduce Post-traumatic Stress Injuries Work Disability: First Responder Experiences.

IF 2.1 3区医学 Q1 REHABILITATION

Journal of Occupational Rehabilitation Pub Date : 2025-05-17 DOI:10.1007/s10926-025-10299-y

Dwayne Van Eerd, S Ragunathan, E Irvin, J Varickanickal, E Tompa, M McElheran, S Brémault-Phillips

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引用次数: 0

Abstract

Purpose: First responders (FR-police, firefighters, paramedics) are exposed to trauma which can result in post-traumatic stress injuries (PTSI). Despite a lack of strong evidence on interventions to address PTSI work disability, workplace PTSI programs and policies are necessary to prevent work disability. The study objective was to examine experiences and perspectives about workplace programs, policies, and experiences related to the prevention of PTSI work disability among FR in Alberta, Canada.

Methods: This qualitative study collected the perspective of police members, firefighters, and paramedics in Alberta, Canada regarding current workplace PTSI programs and policies. Qualitative interview data underwent descriptive thematic analysis.

Results: Interviews were conducted with 47 FR members from police (16), fire (16), and paramedic (15) services who shared their experience with PTSI and workplace programs and policies. Three key themes emerged: improving culture, programs under development, and trusted communication. Three additional themes related to recommendations to improve programs and policies in the workplace were also identified: streamlined processes, better resources, and continue to reduce stigma. The themes and recommendations from participants provide practical information about how programs and policies can be improved.

Conclusion: Interviews provided rich descriptions of current FR workplace PTSI practices and policies. While participants noted that awareness about PTSI and the culture of FR workplaces has improved, more needs to be done. Paramount were recommendations regarding the need for streamlined processes and better resources to reduce PTSI work disability. Study findings suggest that the development and implementation of workplace PTSI programs have a positive impact on FR organizations and on the mental wellbeing of the FR workforce. Future research should examine FR workplace program and policy development as well as implementation.

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减少创伤后应激伤害和工作残疾的工作场所项目：第一反应者的经验。

目的：第一响应者（fr -警察，消防员，护理人员）暴露于创伤，可导致创伤后应激损伤（PTSI）。尽管缺乏强有力的证据来解决创伤后应激障碍工作障碍的干预措施，但工作场所创伤后应激障碍项目和政策对于预防工作障碍是必要的。本研究的目的是考察加拿大阿尔伯塔省FR中与预防创伤后应激障碍相关的工作场所计划、政策和经验的经验和观点。方法：本定性研究收集了加拿大艾伯塔省警察、消防员和护理人员对当前工作场所创伤后应激障碍计划和政策的看法。定性访谈数据进行描述性专题分析。结果：采访了47名来自警察（16名）、消防（16名）和护理人员（15名）服务部门的FR成员，他们分享了他们在创伤后应激障碍和工作场所计划和政策方面的经验。出现了三个关键主题：改善文化、正在开发的项目和可信的沟通。会议还确定了与改善工作场所项目和政策的建议相关的另外三个主题：精简流程、改善资源和继续减少耻辱感。与会者提出的主题和建议为如何改进方案和政策提供了实用信息。结论：访谈提供了当前FR工作场所创伤后应激障碍实践和政策的丰富描述。虽然与会者指出，对创伤后精神紧张性精神障碍和FR工作场所文化的认识有所提高，但还需要做更多的工作。最重要的是关于精简程序和改善资源以减少创伤后应激障碍工作残疾的必要性的建议。研究结果表明，工作场所创伤后应激障碍计划的制定和实施对FR组织和FR员工的心理健康有积极的影响。未来的研究应该检查FR工作场所计划和政策的发展以及实施。

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 Occupational Rehabilitation Multiple-

CiteScore

5.80

自引率

12.10%

发文量

期刊介绍： The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law. A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.