Psychological responses of rescue workers: Fire fighters and trauma.

Fullerton, Carol S.; McCarroll, James E.; Ursano, Robert J.; Wright, Kathleen M.

doi:10.1037/h0079363

Cited by 196 publications

(127 citation statements)

References 27 publications

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“…In addition, Dowdall-Thomae et al (2009) presented a Peer Support Action Plan for several different intervention techniques as a coaching and support strategy in order to correct behaviours and keep the rescue workers at their optimum level of functioning and performance (problem-focused and seeking social support) [34]. Other authors also confirmed that (emotional) social support is a crucial measure to cope with job-related stress in emergency personnel [35][36][37].…”

Section: Discussionmentioning

confidence: 77%

Job-related stress and work ability of dispatchers in a metropolitan fire department

Oldenburg

Wilken

Wegner

et al. 2014

J Occup Med Toxicol

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Background: Our aim was to assess psychomental stress and strain among dispatchers in fire departments, particularly during emergency instructions by phone and to evaluate their work ability. Methods: 27 dispatchers and 20 controls were examined. In a protocol, participants recorded 1. phone instructions causing mental stress (event) 2. working time without phone instructions (non-event) 3. breaks. Continuous heart rate (variability), urine catecholamine, salivary cortisol and lymphocytes were measured. To assess the job-related burden, the Work Ability Index (WAI) was applied. Results: Dispatchers demonstrated significantly higher heart rates and reduced standard deviation of all NN (heartbeat-to-heartbeat) intervals (SDNN) than the controls in all phases. WAI of dispatchers was significantly lower than that of the controls. Within the dispatchers, there was a significantly higher rate of inability to work during the past year. Conclusions: The increased heart rate and reduced SDNN of examined dispatchers indicate chronic stress effects as a possible preliminary stage of a health disorder. In respect of the reduced work ability among dispatchers preventive measures are required to reduce the stress situation during their job-performance.

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Section: Discussionmentioning

confidence: 77%

Job-related stress and work ability of dispatchers in a metropolitan fire department

Oldenburg

Wilken

Wegner

et al. 2014

J Occup Med Toxicol

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“…Firefighters have unique preconditions to develop working relationships and emotional connections, and higher degrees of work cohesion have been found to be significantly associated with decreased anxiety during emergencies. Other positive effects are successful decision making, greater effectiveness in responding to emergencies, a greater ability to cope with post-emergency experiences, and increased psychological well-being (Beaton, Murphy, Johnson, Pike, & Cornell, 1998;Fullerton, McCarroll, Ursano, & Wright, 1992;Landen & Wang, 2010;North et al, 2002).…”

Section: Discussionmentioning

confidence: 99%

Burnout and Association with Psychosocial Work Environment among Swedish Firefighters

Jacobsson¹,

Backteman-Erlandson²,

Padyab³

et al. 2016

GJHS

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Firefighters are exposed to traumatic and stressful psychosocial and physical strain in their work, and thus they are considered to be a group at high risk of burnout. The aim of this study was to investigate burnout (emotional exhaustion (EE) and depersonalization (DP) among Swedish female and male firefighters and to examine the gender-stratified relationship between psychosocial work environment and burnout when considering the moderating effect of coping strategies among Swedish firefighters. The overall mean values of both EE and DP were notably low in comparison with the general population in Sweden. We found that psychosocial work environment factors increase the risk of burnout among male firefighters. Among men, EE was associated with high demands and lack of social support in work. The association was also confirmed with DP as the outcome and lack of good leadership as the exposure among men. However, among female firefighters the association between psychosocial work environment factors and burnout failed to appear. Among women, EE and DP were only associated with the coping strategy Psychological distancing (PDi). A negative association with DP and the coping strategy Positive Reappraisal (PRe) was also found among women. Regardless of the result from the regression analyses, we must consider that the majority of the female and male firefighters in our study had low scores on the outcome variables EE and DP. Future studies should explore female and male firefighters' context and possible health-protecting environment.

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“…In many debriefing models, the use of a peer debriefer is seen as vital to the success of the process (Mitchell & Everly, 1995) Upon review of the literature, it appears that the majority of research in the area of peer support models to mitigate occupational stress has been in the emergency services discipline. Several studies have shown that through dialogue with colleagues and others, it is possible to cope with the effects of traumatic and/or difficult experiences (Dyregrov, Kristoffersen, & Gjestad, 1996;Fullerton, McCarroll, Ursano, & Wright, 1992;Jonsson & Segesten, 2003). Social support diminishes stress and makes it understandable, thus making it possible to cope with distressing events (Dyregrov & Mitchell, 1992;Jonsson & Segesten, 2003).…”

Section: Peer Support Debriefing As An Intervention To Mitigate Disenmentioning

confidence: 99%

Developing and Implementing Peer-Led Intervention to Support Staff in Long-Term Care Homes Manage Grief

et al. 2016

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Front-line staff in long-term care (LTC) homes often form strong emotional bonds with residents. When residents die, staffs’ grief often goes unattended, and may result in disenfranchised grief. The aim of this article is to develop, implement, and assess the benefits of a peer-led debriefing intervention to help staff manage their grief and provide LTC homes an organizational approach to support them. This research was nested within a 5-year participatory action research to develop and implement palliative care programs within four LTC homes in Canada. Data specific to this debriefing intervention included questionnaires from six peer debriefers, field observations of six debriefings, and qualitative interviews with 23 staff participants. An original peer-led debriefing intervention (INNPUT) for LTC home staff was developed and implemented. Data revealed that the intervention offered staff an opportunity to express grief in a safe context with others, an opportunity for closure and acknowledgment. The INNPUT intervention benefits staff and offers an innovative, sustainable, easy to use strategy for LTC homes.

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Psychological responses of rescue workers: Fire fighters and trauma.

Cited by 196 publications

References 27 publications

Job-related stress and work ability of dispatchers in a metropolitan fire department

Job-related stress and work ability of dispatchers in a metropolitan fire department

Burnout and Association with Psychosocial Work Environment among Swedish Firefighters

Developing and Implementing Peer-Led Intervention to Support Staff in Long-Term Care Homes Manage Grief

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