Lauren M. Maloney MD, NRP, FP-C, NCEE, FACEP, FAEMS, Jason Hoffman BS, NRP, CCEMT-P, Edder Peralta MA, NRP, NCEE, Rudolph Princi MA, EMT-P, NCEE, Henry C. Thode Jr PhD, Christopher DiDonato EMT-P, NASM-CPT, Anthony LaBarbera BS, NRP, FP-C, C-NPT, Sarah Williams RN, MSN-Ed, CEN
{"title":"非正式的同伴支持和有意的善举可能会减轻工作相关压力因素对紧急医疗服务临床医生的同情心满意度、继发性创伤压力和职业倦怠的影响","authors":"Lauren M. Maloney MD, NRP, FP-C, NCEE, FACEP, FAEMS, Jason Hoffman BS, NRP, CCEMT-P, Edder Peralta MA, NRP, NCEE, Rudolph Princi MA, EMT-P, NCEE, Henry C. Thode Jr PhD, Christopher DiDonato EMT-P, NASM-CPT, Anthony LaBarbera BS, NRP, FP-C, C-NPT, Sarah Williams RN, MSN-Ed, CEN","doi":"10.1016/j.amj.2024.03.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>Emergency medical services (EMS) Code Lavender was developed to support EMS clinicians after stressful events via consistent recognition of events, informal peer support, and intentional acts of kindness. This study evaluated changes in burnout screening tool responses of EMS clinicians in response to program implementation and the coincidental start of coronavirus disease 2019.</p></div><div><h3>Methods</h3><p>Anonymous surveys with demographic questions and 2 burnout screening tools were distributed before program implementation (spring 2020) and 20 months later (fall 2021). Analysis included <em>t</em>-tests, Fisher exact tests, and multivariable linear regression.</p></div><div><h3>Results</h3><p>Seventy-seven preprogram (59% response rate) and 108 intraprogram (88% response rate) survey responses were included. No changes existed between preprogram and intraprogram responses across all subscale scores. Sex was associated with depersonalization subscale scores, with men having scores 1.53 (95% confidence interval [CI] 0.11-2.95) higher than women. Compared with emergency medical technicians, paramedics had higher compassion satisfaction (OR 3.50; 95% CI 1.79-5.70) and personal accomplishment scores (OR 2.40; 95% CI 1.08-3.71). Transport nurses had higher personal accomplishment (OR 3.29; 95% CI 1.18-5.40), depersonalization (OR 3.73; 95% CI 1.19-6.26), and rates of burnout symptoms (OR 0.54; 95% CI 0.09-0.98) than emergency medical technicians.</p></div><div><h3>Conclusion</h3><p>The organizational commitment, peer support, and authentic leadership of EMS Code Lavender may attenuate work-related stressors among EMS clinicians.</p></div>","PeriodicalId":35737,"journal":{"name":"Air Medical Journal","volume":"43 4","pages":"Pages 333-339"},"PeriodicalIF":0.0000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Informal Peer Support and Intentional Acts of Kindness May Attenuate the Impact of Work-Related Stressors on Compassion Satisfaction, Secondary Traumatic Stress, and Burnout of Emergency Medical Services Clinicians\",\"authors\":\"Lauren M. Maloney MD, NRP, FP-C, NCEE, FACEP, FAEMS, Jason Hoffman BS, NRP, CCEMT-P, Edder Peralta MA, NRP, NCEE, Rudolph Princi MA, EMT-P, NCEE, Henry C. Thode Jr PhD, Christopher DiDonato EMT-P, NASM-CPT, Anthony LaBarbera BS, NRP, FP-C, C-NPT, Sarah Williams RN, MSN-Ed, CEN\",\"doi\":\"10.1016/j.amj.2024.03.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>Emergency medical services (EMS) Code Lavender was developed to support EMS clinicians after stressful events via consistent recognition of events, informal peer support, and intentional acts of kindness. This study evaluated changes in burnout screening tool responses of EMS clinicians in response to program implementation and the coincidental start of coronavirus disease 2019.</p></div><div><h3>Methods</h3><p>Anonymous surveys with demographic questions and 2 burnout screening tools were distributed before program implementation (spring 2020) and 20 months later (fall 2021). Analysis included <em>t</em>-tests, Fisher exact tests, and multivariable linear regression.</p></div><div><h3>Results</h3><p>Seventy-seven preprogram (59% response rate) and 108 intraprogram (88% response rate) survey responses were included. No changes existed between preprogram and intraprogram responses across all subscale scores. Sex was associated with depersonalization subscale scores, with men having scores 1.53 (95% confidence interval [CI] 0.11-2.95) higher than women. Compared with emergency medical technicians, paramedics had higher compassion satisfaction (OR 3.50; 95% CI 1.79-5.70) and personal accomplishment scores (OR 2.40; 95% CI 1.08-3.71). Transport nurses had higher personal accomplishment (OR 3.29; 95% CI 1.18-5.40), depersonalization (OR 3.73; 95% CI 1.19-6.26), and rates of burnout symptoms (OR 0.54; 95% CI 0.09-0.98) than emergency medical technicians.</p></div><div><h3>Conclusion</h3><p>The organizational commitment, peer support, and authentic leadership of EMS Code Lavender may attenuate work-related stressors among EMS clinicians.</p></div>\",\"PeriodicalId\":35737,\"journal\":{\"name\":\"Air Medical Journal\",\"volume\":\"43 4\",\"pages\":\"Pages 333-339\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Air Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1067991X24000543\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Air Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1067991X24000543","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0
摘要
目的制定紧急医疗服务（EMS）"薰衣草代码 "的目的是通过对事件的一致认可、非正式的同伴支持和有意的善举，在压力事件发生后为 EMS 临床医生提供支持。本研究评估了急诊医疗服务（EMS）临床医生对职业倦怠筛查工具反应的变化，以应对计划的实施和2019年冠状病毒疾病的巧合开始。方法在计划实施前（2020年春季）和20个月后（2021年秋季）分发了包含人口统计学问题和2种职业倦怠筛查工具的匿名调查问卷。分析包括 t 检验、费雪精确检验和多变量线性回归。结果包括计划实施前的 77 份调查回复（回复率为 59%）和计划实施中的 108 份调查回复（回复率为 88%）。在所有分量表得分方面，计划前和计划中的答复没有变化。性别与人格解体量表得分有关，男性的得分比女性高 1.53（95% 置信区间 [CI] 0.11-2.95）。与急救医疗技术人员相比，护理人员的同情心满意度（OR 3.50；95% CI 1.79-5.70）和个人成就感得分（OR 2.40；95% CI 1.08-3.71）更高。转运护士的个人成就感（OR 3.29；95% CI 1.18-5.40）、人格解体（OR 3.73；95% CI 1.19-6.26）和职业倦怠症状（OR 0.54；95% CI 0.09-0.98）均高于急救医疗技术人员。
Informal Peer Support and Intentional Acts of Kindness May Attenuate the Impact of Work-Related Stressors on Compassion Satisfaction, Secondary Traumatic Stress, and Burnout of Emergency Medical Services Clinicians
Objective
Emergency medical services (EMS) Code Lavender was developed to support EMS clinicians after stressful events via consistent recognition of events, informal peer support, and intentional acts of kindness. This study evaluated changes in burnout screening tool responses of EMS clinicians in response to program implementation and the coincidental start of coronavirus disease 2019.
Methods
Anonymous surveys with demographic questions and 2 burnout screening tools were distributed before program implementation (spring 2020) and 20 months later (fall 2021). Analysis included t-tests, Fisher exact tests, and multivariable linear regression.
Results
Seventy-seven preprogram (59% response rate) and 108 intraprogram (88% response rate) survey responses were included. No changes existed between preprogram and intraprogram responses across all subscale scores. Sex was associated with depersonalization subscale scores, with men having scores 1.53 (95% confidence interval [CI] 0.11-2.95) higher than women. Compared with emergency medical technicians, paramedics had higher compassion satisfaction (OR 3.50; 95% CI 1.79-5.70) and personal accomplishment scores (OR 2.40; 95% CI 1.08-3.71). Transport nurses had higher personal accomplishment (OR 3.29; 95% CI 1.18-5.40), depersonalization (OR 3.73; 95% CI 1.19-6.26), and rates of burnout symptoms (OR 0.54; 95% CI 0.09-0.98) than emergency medical technicians.
Conclusion
The organizational commitment, peer support, and authentic leadership of EMS Code Lavender may attenuate work-related stressors among EMS clinicians.
期刊介绍：
Air Medical Journal is the official journal of the five leading air medical transport associations in the United States. AMJ is the premier provider of information for the medical transport industry, addressing the unique concerns of medical transport physicians, nurses, pilots, paramedics, emergency medical technicians, communication specialists, and program administrators. The journal contains practical how-to articles, debates on controversial industry issues, legislative updates, case studies, and peer-reviewed original research articles covering all aspects of the medical transport profession.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
