Emergency healthcare providers perception of workplace dangers in the polish Emergency Medical Service: a multi-centre survey study
, 1, 2, 3, 4, 1, 1, 1, 1, 1, 5
Abstract
INTRODUCTION: There are many risk factors that account for hazards in paramedics’ and ambulance nurses’ profession. Driving a vehicle, having contact with patients, making difficult medical decisions, doing night shifts and working in a stressful environment, all of those features negatively affect their health. The aim of the study was to evaluate paramedics’ and ambulance nurses attitude towards personal safety, to assess their subjective feeling of danger, as well as identify types of hazards they experience.
MATERIAL AND METHODS: The study was carried out via a diagnostic survey method, an anonymous questionnaire. Among 572 responders there were nurses and paramedics, who work in non-physician medical rescue teams in Poland.
RESULTS: Most of the surveyed medics (40.5%) have rated the level of danger of their occupation to 4 on a scale from 1 to 5, with the greatest hazard being posed by patients under the influence of designer drugs. As many as 43% of medics have had back-related problems and 41% have suffered injuries at work. Notwithstanding, a majority of respondents have admitted that if they could plan their career again, they would choose the same profession.
CONCLUSIONS: Prehospital healthcare providers have generally rated their work as dangerous. More attention should be paid to teach first responders how to deal with aggression and how to handle stress. Efforts should be made to increase paramedics’ and nurses’ awareness about health problems related to shift work.
Keywords: workplace violenceoccupational risk factorsoccupational stressEmergency Medical Servicesprehospital careworkplace safety
References
- International Agency for Research on Cancer (IARC). The Grants Register 2019. 2018: 411–412.
- Hegg-Deloye S, Brassard P, Jauvin N, et al. Current state of knowledge of post-traumatic stress, sleeping problems, obesity and cardiovascular disease in paramedics. Emerg Med J. 2014; 31(3): 242–247.
- Luftman K, Aydelotte J, Rix K, et al. PTSD in those who care for the injured. Injury. 2017; 48(2): 293–296.
- Guise JM, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study. BMJ Open. 2017; 7(2): e014057.
- Koenen KC, Ratanatharathorn A, Ng L, et al. Posttraumatic stress disorder in the World Mental Health Surveys. Psychol Med. 2017; 47(13): 2260–2274.
- Iranmanesh S, Tirgari B, Bardsiri HS. Post-traumatic stress disorder among paramedic and hospital emergency personnel in south-east Iran. World J Emerg Med. 2013; 4(1): 26–31.
- Weaver MD, Patterson PD, Fabio A, et al. An observational study of shift length, crew familiarity, and occupational injury and illness in emergency medical services workers. Occup Environ Med. 2015; 72(11): 798–804.
- Smith N. A National Perspective on Ambulance Crashes and Safety. Guidance from the National Highway Traffic Safety Administration on ambulance safety for patients and providers. EMS World. 2015; 44(9): 91–94.
- The report of the Chief Sanitary Inspectorate of new psychotropic substances. Warsaw, 2015.
- Suserud BO, Blomquist M, Johansson I. Experiences of threats and violence in the Swedish ambulance service. Accid Emerg Nurs. 2002; 10(3): 127–135.
- Rudnicka-Drożak E, Misztal-Okońska P, Młynarska M. Opinions of the hospital emergency department workers on the subject of providing medical assistance to patients with alcohol poisoning – a preliminary report. Probl Hig Epidemiol. 2013; 94: 577–582.
- Frydrysiak K, Ejdukiewicz J, Grześkowiak M. Aggression of patients and their relatives against Emergency Department Staff. Anest Ratow. 2016; 10: 46–52.
- Petzäll K, Tällberg J, Lundin T, et al. Threats and violence in the Swedish pre-hospital emergency care. Int Emerg Nurs. 2011; 19(1): 5–11.
- Wnukowski K, Kopański Z, Brukwicka I, et al. The dangers of medical rescue work – selected issues. Journal of Clinical Healthcare. 2015; 3: 10–16.
- Kulczycka K, Grzegorczyk-Puzio E, Stychno E, et al. Effect of work on general wellbeing of paramedics. Medycyna Ogólna i Nauki o Zdrowiu. 2016; 22(1): 66–71.
- Rahimi A, Vazini H, Alhani F, et al. Relationship Between Low Back Pain With Quality of Life, Depression, Anxiety and Stress Among Emergency Medical Technicians. Trauma Mon. 2015; 20(2): e18686.
- Wang F, Zhang L, Zhang Y, et al. P316 Preliminary results of shift work and risk of depression: baseline data of a prospective china night shift workers cohort. Shift Work. 2016.
- Karlsson B, Knutsson A, Lindahl B. Is there an association between shift work and having a metabolic syndrome? Results from a population based study of 27,485 people. Occup Environ Med. 2001; 58(11): 747–752.
- Heckman CJ, Kloss JD, Feskanich D, et al. Associations among rotating night shift work, sleep and skin cancer in Nurses' Health Study II participants. Occup Environ Med. 2017; 74(3): 169–175.
- Wegrzyn LR, Tamimi RM, Rosner BA, et al. Rotating Night-Shift Work and the Risk of Breast Cancer in the Nurses' Health Studies. Am J Epidemiol. 2017; 186(5): 532–540.
- Hansen AB, Stayner L, Hansen J, et al. Night shift work and incidence of diabetes in the Danish Nurse Cohort. Occup Environ Med. 2016; 73(4): 262–268.
- Vetter C, Devore EE, Wegrzyn LR, et al. Association Between Rotating Night Shift Work and Risk of Coronary Heart Disease Among Women. JAMA. 2016; 315(16): 1726–1734.
- Binczycka-Anholcer M, Lepiesza P. Stress at the workplace of medical rescuer. Hygeia Public Health. 2011; 46: 455–461.
- Garus-Pakowska A, Szatko F, Ulrichs M. Work-Related Accidents and Sharp Injuries in Paramedics-Illustrated with an Example of a Multi-Specialist Hospital, Located in Central Poland. Int J Environ Res Public Health. 2017; 14(8).
- Parszuto J, Jaremin B, Zagozdzon P, et al. [Occupational HBV and HCV infections among health care workers]. Med Pr. 2012; 63(4): 441–452.
- Szarpak Ł, Kurowski A. [Do double gloves protect against contamination during cannulation of blood vessels? A prospective randomized study]. Med Pr. 2014; 65(2): 271–278.
- Yilmaz A, Serinken M, Dal O, et al. Work-related Injuries Among Emergency Medical Technicians in Western Turkey. Prehosp Disaster Med. 2016; 31(5): 505–508.
- Podlewski R, Płotek W, Grześkowiak M, et al. Carbon dioxide as a potential danger to medical rescue teams at work - A case study. Med Pr. 2017; 68(1): 135–138.
- Baby M, Gale C, Swain N. Communication skills training in the management of patient aggression and violence in healthcare. Aggression and Violent Behavior. 2018; 39: 67–82.
- Abelsson A, Rystedt I, Suserud BO, et al. Learning by simulation in prehospital emergency care - an integrative literature review. Scand J Caring Sci. 2016; 30(2): 234–240.