Professional quality of life and resilience in pre-hospital emergency technicians during COVID-19 in Iran: a cross-sectional study
Abstract
The professional quality of life of pre-hospital emergency technicians has been adversely affected during the COVID-19 pandemic. The present study was performed to investigate the professional quality of life and resilience and their relationships in pre-hospital emergency technicians of Kermanshah Province, Iran during the COVID-19 pandemic.This cross-sectional, descriptive correlational study was conducted on 412 pre-hospital emergency technicians in Kermanshah Province in 2020 using the census method. Data collection tools were the Stamm Professional Quality of Life Questionnaire and the Emergency Medical Services Resilience scale.Pre-hospital emergency technicians experienced moderate levels of the professional quality of life dimensions and high/acceptable levels of resilience. There was a significant correlation between resilience and the dimensions of the professional quality of life.The results of the regression test showed that resilience had a significant effect on all three components of the professional quality of life. Therefore, the use of resilience enhancement strategies is recommended to improve the professional quality of life of pre-hospital emergency technicians.
Shakeri K, Fallahi Khoshknab M, Khankeh H, Hosseini M, Hosseinzadeh S, Haghi Monie N. Evaluation of clinical skills of medical emergency personnel in Tehran Emergency Center confronting the trauma. Journal of Health Promotion Management 2012; 1:16-24.
Motie MR, Kalani MR, Samadi A, Eshaghi H,Ghobadi P. Prevalence of job stressors in male pre-hospital emergency technicians. Journal of Fundamentals of Mental Health 2010. 12: 420-429.
Chow KM, Law BMH, Ng MSN, et al. A review of psycho- logical issues among patients and healthcare staff during two major coronavirus disease outbreaks in China: contributory factors and management strategies. Int J Environ Res Public Health 2020; 17: 6673.
Stamm B. Professional quality of life elements theory and measurement. Washington DC: ASPR. 2012.
Stamm B. The Concise ProQOL Manual: The concise manual for the Professional Quality of Life Scale, 2 nd Edition. Pocatello, ID:ProQOL.org;2010.
Bush NJ. Compassion fatigue: are you at risk? Oncol Nurs Forum 2009; 36: 24-8.
Radey, M., Figley, C.R. The Social Psychology of Compassion. Clinical Social Work Journal 2007; 35: 207-214.
Kim S. Compassion fatigue in liver and kidney transplant nurse coordinators: a descriptive research study. Progress in Transplantation 2013; 23: 329-335.
Beck CT. Secondary traumatic stress in nurses: a systematic review. Arch Psychiatr Nurs 2011; 25:1-10.
Kravits K, McAllister-Black R, Grant M, Kirk C. Self-care strategies for nurses: A psycho-educational intervention for stress reduction and the prevention of burnout. Appl Nurs Res 2010; 23: 130-138.
Sorenson C, Bolick B, Wright K, et al. Understanding compassion fatigue in healthcare providers: a review of current literature. J Nurs Scholarsh 2016; 48: 456–465.
Trumello C, Bramanti SM, Ballarotto G, et al. Psychological adjustment of healthcare workers in Italy during the COVID- 19 pandemic: differences in stress, anxiety, depression, burnout, secondary trauma, and compassion satisfaction between frontline and non-frontline professionals. Int J Environ Res Public Health 2020; 17: 8358.
Wong CL, Young B, Lui BSC, Leung AWY, So JLT. Professional quality of life and resilience in emergency department healthcare professionals during COVID-19 in Hong Kong: A cross-sectional study. Hong Kong Journal of Emergency Medicine 2021; 1-9.
Ruiz-Fernández MD, Ramos-Pichardo JD, Ibáñez-Masero O, et al. Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID-19 health crisis in Spain. J Clin Nurs 2020; 29: 4321–4330.
Chor WPD, Ng WM, Cheng L, et al. Burnout amongst emergency healthcare workers during the COVID-19 pandemic: a multi-center study. Am J Emerg Med 2020; 46: 700–702.
Khanmohammadi S, Hajibeglo A, Hajibeglo M, Bekmaz K. Relationship of resilience with occupational stress among nurses in coronavirus ward of Khatam Al-Anbia Hospital, Gonbad Kavous, 2020. Neuropsychiatria i Neuropsychologia 2020; 15: 1–6.
Barlow KM, Zangaro GA. Meta-analysis of the reliability and validity of the Anticipated Turnover Scale across studies of registered nurses in the United States. J Nurs Manag 2010; 18: 862-873.
Connor KM, Davidson JRT. Development of a new resilience scale: the Connor‐Davidson resilience scale (CD‐RISC). Depress Anxiety 2003; 18: 76-82.
Deldar K, Froutan R, Dalvand S, et al. The relationship between resiliency and burnout in iranian nurses: a systematic review and meta-analysis. Open Access Maced J Med Sci 2018; 6: 2250-2256.
Abrishamkesh S, Ardalan A, Kafi Masoleh SM, Fallahi Khesht Masjedi M. Relationship of Psychological Hardiness and Resilience with the Mental Health in Pre-Hospital Technicians, Guilan Province. J Holist Nurs Midwifery 2016; 26:10-18.
Froutan, R., Mazlom, R., Malekzadeh, J. and Mirhaghi, A. Relationship between resilience and personality traits in paramedics. International Journal of Emergency Services 2018; 7: 4-12.
Mohamadi Sadegh M, Navidian A, Ghaljeh M, Rezaee N. The effect of psycho-education on resilience and anger control among pre-hospital emergency staff: A quasi-experimental study. Journal of Hayat 2021; 27: 336-347.
Shojafard J, PourSadegh N, Shahr Ashoub G, Zangisheh S. Relationship between burnout and resilience in emergency medicine personnel in Tehran. Journal of Rescue and Relief 2014; 6: 58-69.
Santarone K, McKenney M and Elkbuli A. Preserving mental health and resilience in frontline healthcare workers during COVID-19. Am J Emerg Med 2020; 38: 1530–1531.
Ghorji M, Keshavarz Z, Ebadi A, Nasiri M. Persian Translation and Psychometric Properties of Professional Quality of Life Scale (ProQOL) for Health Care Providers. Journal of Mazandaran University of Medical Sciences 2018; 28: 93-106.
Ebadi A, Froutan R, Malekzadeh J. The design and psychometric evaluation of the emergency medical services resilience scale (EMSRS). Int Emerg Nurs 2019; 42:12-18.
Noorozinia R, Ebadi A, Yarmohammadian MH, Chian S, Aghabarary M. Relationship between resilience and self-efficacy with professional quality of life in EMS Personnel. Journal of Hayat 2021; 27: 176-189.
Smart D, English A, James J, Wilson M, Daratha KB, Childers B, Magera C. Compassion fatigue and satisfaction: A cross‐sectional survey among US healthcare workers. Nurs Health Sci 2014; 16: 3-10.
Ducar DM, Penberthy JK, Schorling JB, Leavell VA, Calland JF. Mindfulness for healthcare providers fosters professional quality of life and mindful attention among emergency medical technicians. Explore 2020; 16: 61-68.
Prati G, Pietrantoni L, Cicognani E. Coping strategies and collective efficacy as mediators between stress appraisal and quality of life among rescue workers. Int J Stress Manag 2011; 18: 181–195.
Beaton R. Extreme stress. Promoting resilience among EMS workers. Northwest Public Health.2006:8-9.available in:http://archive.northwestpublichealth.org/docs/nph/f2006/beaton_f2006.pdf.
Dasan S, Gohil P, Cornelius V, Taylor C. Prevalence, causes and consequences of compassion satisfaction and compassion fatigue in emergency care: a mixed-methods study of UK NHS Consultants. Emerg Med J 2015; 32: 588-594.
Arriagada V. A multidimensional quality of employment index proposal using a labour survey in Central America. 2018.
Norouzinia R, Yarmohammadian MH, Ferdosi M, Masoumi G, Ebadi A. Professional Resilience among Trauma Emergency Department Nurses in Iran: A Qualitative Study. Front Emerg Med 2020. 4: e77.
Zhang Y, Zhang C, Han X, et al. Determinants of compassion satisfaction, compassion fatigue and burn out in nursing: a correlative meta-analysis. Medicine 2018; 97: e11086.
O’Callaghan EL, Lam L, Cant R, et al. Compassion satisfaction and compassion fatigue in Australian emergency nurses: a descriptive cross-sectional study. Int Emerg Nurs 2020; 48: 100785.
Maiorano T, Vagni M, Giostra V, et al. COVID-19: risk factors and protective role of resilience and coping strategies for emergency stress and secondary trauma in medical staff and emergency workers. Sustainability 2020; 12: 9004.
Miller A, Unruh L, Liu X, Wharton T, Zhang N. Individual and organizations factors associated with professional quality of life in Florida EMS personnel. International Journal of Emergency Services 2018; 7:147-160.
Hegney DG, Rees CS, Eley R, et al. The contribution of individual psychological resilience in determining the professional quality of life of Australian nurses. Front Psychol 2015; 6: 1613.
Alharbi J, Jackson D and Usher K. Personal characteristics, coping strategies, and resilience impact on compassion fatigue in critical care nurses: a cross-sectional study. Nurs Health Sci 2020; 22: 20–27
Dyer JG, McGuinness TM. Resilience: Analysis of the concept. Arch Psychiatr Nurs 1996; 10: 276-282.
Giorgi G, Lecca LI, Alessio F, et al. COVID-19-related mental health effects in the workplace: a narrative review. Int J Environ Res Public Health 2020; 17: 7857.
Ahmadi B, Mosadeghrad AM, Karami B. Effectiveness of resilience education on quality of working life among nursing personnel: A randomized controlled study. Payesh. 2019; 18: 279-289.
| Files | ||
| Issue | Vol 15 (2022) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jmehm.v15i15.11573 | |
| Keywords | ||
| Professional quality of life Resilience Emergency medical services Iran COVID-19 | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
