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Daily Stress and Concept of Self in Swedish Ambulance Personnel

Published online by Cambridge University Press:  28 June 2012

Anders Jonsson*
Affiliation:
Hogskolan I Boras School of Health Sciences, Goteborg University Faculty of Medicine, Department of Primary Health Care, Boras, Sweden
Kerstin Segesten
Affiliation:
Hogskolan I Boras School of Health Sciences, Goteborg University Faculty of Medicine, Department of Primary Health Care, Boras, Sweden
*
Hogskolan I Boras, Room E 525, SE- 501 90 BorasSweden E-mail: Anders.Jonsson@hb.se

Abstract

Introduction:

This study investigated the prevalence of post-traumatic stress symptoms among professional ambulance personnel in Sweden and investigated the question: “Does self-knowledge have influence on how well one copes with the effects of daily work exposure from such events?” Little is known about the variables that might be associated with post-traumatic stress symptoms in highrisk occupational groups such as ambulance service groups.

Methods:

Data were gathered from ambulance personnel by means of an anonymous questionnaire. Survey responses of 362 ambulance personnel from the county of Västra Götaland were analyzed. A correlation was established between post-traumatic symptoms using the impact of event scale (IES-15) and the Professional Self-Description Form (PSDF).

Results:

Of those who reported a traumatic situation, 21.5% scored ≥ 26 on the IES-15 subscale. Scores >26 indicate “PTSD caseness”. There were significant differences on PSDF subscales between those presenting with or without posttraumatic symptoms.

Conclusions:

The mental health and emotional well-being of ambulance personnel appear to be compromised by accident and emergency work. The high prevalence of PTSD symptoms in ambulance personnel indicates an inability to cope with post-traumatic stress caused by daily work experiences.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2004

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References

1.Corneil, W, Beaton, R, Murphy, S, et al. : Exposure to traumatic incidents and prevalence of post-traumatic stress symptomatology in urban firefighters in two countries. J Occup Health Psych 1999;2:131141.Google Scholar
2.Burns, C, Harm, N: Emergency nurses' perceptions of critical incident stress debriefing. J Emerg Nurs 1993;19:431436.Google Scholar
3.Jonsson, A, Segesten, K, Mattsson, B: Post-traumatic stress among Swedish ambulance personnel. Emerg Med J 2003;20:7984.CrossRefGoogle ScholarPubMed
4.Cydulka, RK, Emerman, CL, Shade, B, Kubincanek, J: Stress levels in EMS personnel. A national survey. Prehosp Disast Med 1997;12(2):136140.Google Scholar
5.Lundin, T: Stress Reaktioner Och Psykiskt Trauma: Diagnostik Och Behandling. (Stress Reactions and Psychic Trauma: Diagnostics and Treatment). Helsingborg: Rhone-poulence Rorer AB, 1995.Google Scholar
6.Michel, P-O, Lundin, T, Otto, U: Psykotraumatologi (Psychotraumatology). Lund: Studentlitteratur, 2001.Google Scholar
7.Dyregov, A: Katastrofpsykologi (Catastrophe Psychology). Lund: Studentlitteratur, 2002.Google Scholar
8.Corneil, W: Prevalence of Post-traumatic Stress Disorders in a Metropolitan Fire Department. Baltimore: Johns Hopkins University, 1993.Google Scholar
9.Wagner, D, Heinrichs, MS, Ehlert, U: Prevalence of symptoms of post-traumatic stress disorder in German professional fire fighters. Amer J Psychiatry 1998;155(12):17271732.Google Scholar
10.Fullerton, R, McCarroll, J, Ursano, R, Wright, K: Psychological response on rescue workers: Fire fighters and trauma. Am J Orthop 1992;62:371377.CrossRefGoogle ScholarPubMed
11.Weiss, D, Marmar, C, Metzler, R, Ronfeldt, H: The Effects of Overwhelming Experience on Mind, Body and Society. New York: Guilford Press,1995.Google Scholar
12.Mitchell, J, Everly, E: The scientific evidence for critical incident stress management. JEMS 1997;22:8793.Google Scholar
13.Jonsson, A, Segesten, K: The meaning of traumatic events as described by nurses in ambulance service. Accident Emerg Nursing J 2003;11:141152.CrossRefGoogle ScholarPubMed
14.Ursano, R, Fullerton, C, Vance, K, Kao, T-C: Post-traumatic stress disorder and identification in disaster workers. Amer J Psychiatry 1999; 156(3):353359.CrossRefGoogle ScholarPubMed
15.Beaton, R, Murphy, S, Johnson, C, et al. : Coping responses and post-traumatic stress symptoms in urban fire service personnel. J Traumatic Stress 1999;12:293308.CrossRefGoogle ScholarPubMed
16.Lazarus, R, Folkman, S: Stress, Appraisal, and Coping. New York: Springer-Verlag, 1984.Google Scholar
17.Lazarus, R, Monat, S, Ed A: Stress and Coping An Anthology. New York: Columbia University Press, 1991.Google Scholar
18.Faber, B: A Critical Perspective on Burnout. Stress Burnout in the Human Services Profession. New York: Pergamon, 1983.Google Scholar
19.Hedlin, M, Petersson, G: Kartläggning av ambulanspersonals arbetsmiljö (Survey of ambulance personnel working environment. Solna Arbetarskyddsstyrelsen 1998;7.Google Scholar
20.Summers, CL: Nursing stress: Burnout or PTSD. Revolution 1992;Winter: 4046.Google Scholar
21.Maslach, C: Utbränd: en Bok om Omsorgens Pris (Burnout). Stockholm: Naturoch Kultur, 1998.Google Scholar
22.Antonovsky, A: Hälsans Mysterium (Unravelling the Mystery of Health). Köping: Natur och Kultur, 2000.Google Scholar
23.Jansen, P, Kerkstra, A, Abu-Saad, Hh, Van der Zee, J: The effects of job characteristics and individual characteristics on job satisfaction and burnout in community nursing. Intl J Nursing Studies 1996;33(4):407421.Google Scholar
24.Folkman, S, Lazarus, RS: If it changes, it must be a process: A study of emotion and coping during three stages of a college examination. J Personality & Social Psych 1985;48:150170.Google Scholar
25.Raphael, B, Wilson, JP (eds): Psychological Debriefing. Theory, Practice, and Evidence. Cambridge University Press, 2000.CrossRefGoogle Scholar
26.Dagenais, F, Meleis, AI: Professionalism, work ethic, and empathy in nursing: The nurse self-description form. West J Nurs Resarch 1982;4:407422.Google Scholar
27.Horowitz, MJ, Wilner, N, Alvarez, W: Crisis support: Impact of event scale: A study of subjective stress. Psychosomatic Med 1979;41:209218.Google Scholar
28.Corneil, W: Traumatic Stress and Organizational Strain in Fire Service. In: Murphy, LR, Hurrell, JJ Jr, Sauter, SL, Keita, GP (eds), Job Stress Interventions. Washington DC: American Psychological Association, 1995, pp 185198.CrossRefGoogle Scholar
29.Taylor, CW, Smith, B, Ellison, R: Explorations in the Measurement and Prediction of Contribution of One Sample of Scientists. Lackland Air Force Base, Texas Personnel Laboratory Technical Report ASDTR 1961;6196.CrossRefGoogle Scholar
30.Olsson, HM, Gullberg, MT: The use of nurse self-description forms in Sweden. Scandinavian Journal of Caring Science 1988;1:6975.Google Scholar
31.Andreasson, S, Gullberg, MT, Olsson, HM, Hamrin, E: Medical laboratory technologist's perception of professional self: A study of Swedish MLTs employed in clinical chemistry. Scandinavian Journal of Caring Science 1992;6:6774.CrossRefGoogle Scholar
32.Gullberg, M: Health Care Professionals' Self-Description. Department of Caring Sciences, Linköping: Faculty of Health Sciences Linköping University, 1996.Google Scholar
33.Shore, JH, Vollmer, VM, Tatum, EI: Community patterns of posttraumatic stress disorder. J Nerv Ment Dis 1989;177:681–85.CrossRefGoogle Scholar
34.Hochwälder, J, Ivarsson, A-K, Widell, J: Posttraumatisk stressreaktion hos ambulanspersonalen inom Jämtlands läns landsting. (Posttraumatic stress reactions among ambulance personnel in county council of Jämtland). Enheten för psykisk hälsa Samhällsmedicin. Stockholms läns landsting. 2002; Rapport 2002; p5.Google Scholar
35.Kulka, R, Schlenger, W, Fairbanks, J, et al. : Trauma and the Vietnam War Generation. New York: Brunner Mazel, 1990.Google Scholar
36.Dahl, S: Rape–A Hazard to Health. Scandinavian University Press, 1993.Google Scholar
37.Shaughnessy, J, Zeichmeister, EB, Zeichmeister, JS: Research Methods in Psychology. Singapore: McGraw-Hill Companies, Inc., 2000.Google Scholar
38.Clohessy, S, Ehlers, A: PTSD symptoms, responsive to intrusive memories and coping in ambulance service workers. British Journal of Clinical Psychology 1999;38:251265.CrossRefGoogle ScholarPubMed
39.Helps, S: Experiences of stress in accident and emergency nurses. Accident and Emergency Nursing 1997;1:4853.Google Scholar
40.Hodgkinson, PE, Stewart, M: Coping with Catastrophe: A Handbook of Disaster Management. London: Routledge, 1991.Google Scholar
41.McCarroll, JE, Fullerton, CS, Ursano, RJ, Hermsen, JM: Posttraumatic stress symptoms following forensic dental identification: Mt Carmel, Waco, Texas. American Journal of Psychiatry 1996;153:778–752.Google Scholar
42.McCarroll, JE, Ursano, RJ, Fullerton, CS, et al. : Effects of exposure to death in a war mortuary on post-traumatic stress disorder symptoms of intrusion and avoidance. J Nervous Mental Diseases 2001;189;4448.CrossRefGoogle Scholar
43.McFarlane, AC: PTSD: Synthesis of research and clinical studies. In:Wilson, JP, Raphael, B (eds): International Handbook of Traumatic Stress Syndromes. New York: Plenum. 1993, pp 421429.Google Scholar
44.Sandelin, A, Benkö, S, Sarvimäki, A: Caring culture: A study of Swedish geriatric nursing personnel utilizing the nurse self-description form. Scandinavian Journal of Caring 1999;13(2):6771.Google Scholar
45.Marmar, CR, Weiss, DS, Metzler, TJ, Delucchi, K: Characteristics of emergency service personnel related to peritraumatic dissociation during critical incident exposure. American Journal of Psychiatry 1996;153:7:94102.Google Scholar
46.Persson, G, Barlow, L, Karlsson, A, et al. : Major health problems. Health in Sweden: The National Public Health Report 5. Scand J Public Health 2001;8:37102.CrossRefGoogle Scholar
47.Mitchell, J, Dyregrov, A: Traumatic stress in disaster workers and emergency personnel: prevention and intervention. In: Wilson, JP, Raphael, B (eds): International Handbook of Traumatic Stress Syndromes. New York: Plenum Press, 1993. pp 905914.CrossRefGoogle Scholar
48.Andersson, B, Tedfeldt, E-L, Larsson, G: Avlastningssamtal och Debriefing. Handbok för Samtalsledare. (Defusing and Debriefing. Handbook for Counselor). Lund: Studentlitteratur, 2000.Google Scholar
49.Blumenfield, M, Byrne, DW: Development of posttraumatic stress disorder in urban emergency medical service workers. Available at http://www.medscape. Accessed 26 August 2004.Google Scholar