Sílvia Monteiro Fonseca, Sara Faria, Sónia Cunha, Márcio Silva, M. Joaquina Ramos, Guilherme Azevedo, Rui Campos, António Ruão Barbosa and Cristina Queirós
This study aims to explore patterns of Emergency Medical Services (EMS) personnel's mental health, regarding their levels of anxiety, depression, stress, COVID-19 anxiety…
Abstract
Purpose
This study aims to explore patterns of Emergency Medical Services (EMS) personnel's mental health, regarding their levels of anxiety, depression, stress, COVID-19 anxiety, obsessive-compulsive symptoms and well-being; and to explore variables that contribute to these patterns, among sociodemographic/professional and COVID-19 experience variables.
Design/methodology/approach
Participants were 214 EMS personnel, who answered the Patient-Health Questionnaire, Perceived Stress Scale, COVID-19 Anxiety Scale, Obsessive-Compulsive Inventory, Well-Being Questionnaire and COVID-19 related questions.
Findings
EMS personnel showed an adequate psychological adjustment during COVID-19. Two clusters/patterns were found: the poorly (34%) and the well (66%) psychologically-adjusted. Personnel's age, COVID-19 fear and workplace security measures' adequacy contributed to which pattern they were more likely to belong to.
Research limitations/implications
Despite being cross-sectional and not controlling for pre-COVID-19 data, this study adds to the COVID-19 literature. Findings call for the need to explore: other COVID-19 fears; how personnel perceive workplace security measures; COVID-19 valid instruments; pre-COVID-19 data; and mental health patterns with different rescuers.
Practical implications
Findings explored EMS personnel's patterns of mental health during the COVID-19, as well as its covariates. Results allow to better prepare emergency management, which can develop prevention strategies focused on older professionals, COVID-19 related fears and how personnel assess security measures.
Originality/value
This study contributes to the scarce literature focused on COVID-19 mental health patterns instead of focussing on isolated mental health variables, as well as what contributes to these patterns. Moreover, it is one of the few studies that focused on EMS personnel rather than hospital staff.
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Susana Rodrigues, Mariana Kaiseler, Cristina Queirós and Miguel Basto-Pereira
Police in Europe are facing increased demands and diminished resources, and this is particularly prominent among emergency response officers (EROs) working in poorer countries…
Abstract
Purpose
Police in Europe are facing increased demands and diminished resources, and this is particularly prominent among emergency response officers (EROs) working in poorer countries such as Portugal. Considering that daily stress and limited coping skills can result in detrimental consequences for officers’ health and society welfare, the purpose of this paper is to investigate stress and coping among Portuguese EROs.
Design/methodology/approach
EROs completed daily diaries over 11 working days. Each diary entry included an open-ended stressor, coping section and a Likert-type scale to evaluate coping effectiveness. Data were analyzed using inductive and deductive content analysis procedures. The frequency of stressors, coping and coping effectiveness were calculated.
Findings
EROs reported facing more operational stressors, particularly public disorder situations. However, gun situations were perceived as the most intense stressor. Emotion-focused coping (i.e. peer support) was more used than problem-focused. Despite variation in coping effectiveness in accordance to stressor experienced, longitudinal analysis suggests that problem-focused coping is more effective.
Research limitations/implications
Longitudinal methodologies should contemplate stress appraisal and coping effectiveness in order to fully understand stress and coping. Future studies should employ this methodology at a larger scale and over longer periods.
Practical implications
Intervention programs for EROs should be multidimensional, targeting work conditions and resources, stress management, and coping effectiveness.
Originality/value
Findings provide strong recommendations for future research and applied implications for stress prevention and effective coping interventions.
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Ricardo Manuel Da Costa Melo, Eunice Cristina Ribeiro Lopes, José Luis Coelho Vilas Boas, Lúcia Batista Santos, Sandra Cristina Ferreira Amaro, João Miguel Almeida Ventura-Silva and Isabel de Jesus Oliveira
The impact of dependence on self-care on people’s lives is very significant, with consequences for the person and their caregivers. The purpose of this study is to map the…
Abstract
Purpose
The impact of dependence on self-care on people’s lives is very significant, with consequences for the person and their caregivers. The purpose of this study is to map the evidence on the factors that influence the empowerment of the person dependent on self-care on returning home.
Design/methodology/approach
Scoping review according to the criteria proposed by the Joanna Briggs Institute: population (people with a dependence on self-care), concept (factors that influence training) and context (return home after hospitalization in a medical-surgical context). The research was carried out from March 1 to April 30, 2022, in the databases CINAHL and MEDLINE (via EBSCO), Scielo, LILACS, Cuiden and MedicLatina; Gray literature searched RCAAP, DART-Europe and OpenGrey. Studies published in Portuguese, Spanish and English were included, with no time limit.
Findings
One hundred and eighty-one articles were obtained, which, after analysis according to the criteria, resulted in seven studies included for review, ranging from 2007 to 2021, with a level of evidence between 2. c and 4. a (according to Joanna Briggs Institute), and two thematic areas/four categories emerging.
Research limitations/implications
The need for information and training, the relationship and proximity with the health-care team, the design of nursing care targeted at the person’s level of dependence, education, gender, type of surgical intervention and postoperative period, physical space and lack of privacy and audiovisual media.
Originality/value
The perception of these factors proves to be important in the person’s training process, with the nurse’s role being highlighted due to their emphasis on the transition home.
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Ana Cristina Oliveira, Félix Neto, Filipa Teixeira and Ângela Maia
Ambulance personnel face a diversity of stressful events that could be potentially traumatic, putting their health and well-being at risk. The purpose of this paper is to explore…
Abstract
Purpose
Ambulance personnel face a diversity of stressful events that could be potentially traumatic, putting their health and well-being at risk. The purpose of this paper is to explore, from this group perspective, sources of stress, coping strategies and support measures.
Design/methodology/approach
The authors interviewed 14 ambulance workers of Portuguese Red Cross local structures from the north of Portugal. Data were analyzed according to thematic analysis procedures.
Findings
The authors identified three themes: operational and organizational factors, control and predictability; anticipating scenarios, focusing on procedures and dealing with reactions; and from undervalued support to support as routine. Dealing with human lives, the unpredictability of calls and working under pressure are the main sources of stress, causing, in some of them, insomnia, fatigue, anxiety and intrusive thoughts. Road accidents, situations involving children and cardiac arrest are the most distressing events. During events, they cope focusing on technical procedures, but after them they prefer to talk with colleagues and seek support from family and friends. All participants emphasize the inexistence of structured support measures.
Practical implications
It is important to develop support measures tailored to ambulance personnel’s needs, leading to enhancements of theirs work performance, health and well-being.
Originality/value
Contrarily to most of the studies that explore mostly PTSD and/or burnout, the authors explored, from the perspective of professionals, other dimensions such as sources of stress, coping strategies and support measures, adopting a qualitative approach, which has been rarely used.
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Cristina Sin, Orlanda Tavares and Alberto Amaral
The paper presents and analyses quantitative data on student perceptions about the employability of the first degree, and their trajectory choices on graduation. The purpose of…
Abstract
Purpose
The paper presents and analyses quantitative data on student perceptions about the employability of the first degree, and their trajectory choices on graduation. The purpose of this paper is to assess the value of the first degree as a positional good in Portugal, further to the degree’s reduced duration after the implementation of the Bologna Process.
Design/methodology/approach
In total, 828 students responded to an online survey administered between September 2013 and February 2014. Students came from 17 institutions, public and private, universities and polytechnics, across the country. Differences in student perceptions were analysed by higher education sector, study level and gender through descriptive statistics.
Findings
The majority of surveyed students, across sectors, study level and gender, assessed as negative the impact of the implementation of the Bologna reforms on the employability of the first degree. This had implications for students’ intended choices on graduation, as the majority consider enroling in a master degree (except for polytechnic students). Additionally, a large proportion of students felt unprepared to enter the labour market after the first degree.
Research limitations/implications
The size and distribution of the sample pose limitations for the generalisation of results to the student population.
Practical implications
The finding suggest that enrolments in master degrees are likely to keep rising, a valuable piece of information for institutions and policy-makers responsible for regulating higher education in Portugal.
Originality/value
Opinions about the value of the first degree have generally been based on qualitative research or anecdotal evidence. This study brings a quantitative perspective on the first degree’s value for different groups of students.