POST-TRAUMATIC STRESS DISORDERS AND BURNOUT SYNDROME AMONG COMMUNITY PARAMEDIC STAFF
Abstract: Background: Community health nursing specialties have continuously changed and updated according to the community needs. Ambulance paramedics staff is one of the specialties in community health nursing, and they play a vital role in emergency situations even at home. They play a role in advancing home care which reduce the cost in health care system, they deal with serious conditions such as pandemic situation as in case of COVID-19 pandemic nowadays. So, this group of staff must be studied to understand the occupational problems that they might face and help them to deal with. Aims of study: The current study aimed to assess the post-traumatic stress disorders among paramedic staff, and to evaluate the burnout syndrome severity among paramedic staff as a community paramedic. Material and Methods: A descriptive exploratory research design was used. Settings: The study was carried out at one out of the seven regions served by the Egyptian Ambulance Organization (EAO) namely Alexandria region which serve three Egyptian governorates (Alexandria, Matrouh and Beheira governorate). Subjects: All paramedic staff were working at the chosen settings and meet the inclusion criteria (68) were recruited in the study. Tools: Data was collected using three tools namely “Paramedic Staff Health Profile and Sociodemographic Assessment Tool, Maslach Burnout Inventory – Human Services Survey for Medical Personnel (MBI-HSS) Tool and the Clinician-administered Post Traumatic Stress Disorder Scale for DSM-5 (CAPS-5) Past Month Version. Results: The current study indicate that the studied paramedic staff has different degree of burnout syndrome and post-traumatic stress disorder with a significant association with multivariable such as age, marital status level of education, years of experiences, working hours per week, sleeping hours and their evaluation for their health condition. Conclusion and Recommendations: The paramedic staff burnout inventory scale indicate that around one third of them have high emotional exhaustion level. Whereas, more than two fifths of them have low level of personal accomplishment. Around one third have high level of depersonalization. Furthermore, three quarters of the studied paramedic have mild, minimal distress or disruption of activities followed by moderate, distress clearly present but still manageable. Regular screening of paramedic staff should be done for evaluating stress, depression and anxiety. Proper management must be done for detection of early stage symptoms of BOS and PTSD. Inservice stress management training especially for invoice community paramedic staff must be executed to raise their awareness regarding the possibility of PTSD and BOS and their management.
Keywords:Ambulance Team, Stressors, Emotional Exhaustion, Distress, Community Health Workers
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