Finnish paramedics' professional quality of life and associations with assignment experiences and defusing use - a cross-sectional study

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dc.contributor.author Ericsson, Christoffer R.
dc.contributor.author Nordquist, Hilla
dc.contributor.author Lindström, Veronica
dc.contributor.author Rudman, Ann
dc.date.accessioned 2021-11-19T11:16:01Z
dc.date.available 2021-11-19T11:16:01Z
dc.date.issued 2021-10-05
dc.identifier.citation Ericsson , C R , Nordquist , H , Lindström , V & Rudman , A 2021 , ' Finnish paramedics' professional quality of life and associations with assignment experiences and defusing use - a cross-sectional study ' , BMC Public Health , vol. 21 , no. 1 , 1789 . https://doi.org/10.1186/s12889-021-11851-0
dc.identifier.other PURE: 170451430
dc.identifier.other PURE UUID: 4e57348c-9b6a-4eed-a415-13818177ae1a
dc.identifier.other WOS: 000703876500003
dc.identifier.uri http://hdl.handle.net/10138/336550
dc.description.abstract Background Paramedics experience traumatic events and social emergencies during assignments while also being subjected to verbal and physical threats. Consequently, they are at risk for burnout and secondary traumatic stress, factors inherent to professional quality of life. Defusing and peer-support potentially decrease such symptoms; however, perceived defusing needs and use are not always balanced. Our aim was to explore Finnish paramedics' professional quality of life, using the Professional Quality of Life Scale, with associations to EMS assignment experiences as well as formal and informal defusing need and use over a 12-month period. Methods A quantitative study of 257 Finnish paramedics using a cross-sectional design. Study outcomes were secondary traumatic stress (STS), compassion satisfaction (CS), and burnout (BO) scores using the modified 9-item Short Professional Quality of Life scale (ProQOL). Likert-type scales were used to collect participants' recollections of assignment experiences and defusing from a 12-month period. Associations were explored using Spearman's correlation coefficients. Results Short ProQOL score medians were STS 4.00 (IQR 3), BO 6.00 (IQR 3) and CS 13.00 (IQR 3). STS and BO correlated to experiences of social emergencies and traumatic events while BO correlated to experiences of threat situations (r = 0.206, p = .001). Paramedics perceived a need for defusing in general associated with STS (r = 0.178, p < .001) and participated in informal defusing. Participation in defusing of any form did not associate with ProQOL scores. Conclusions Finnish paramedics' more frequent experiences of social emergencies, traumatic events, and paramedic-directed threat situations were associated with higher levels of STS and BO. STS was also associated with paramedics' increased need for defusing and use of informal peer defusing, although neither STS, BO or CS scores associated to any defusing form. Managing paramedics STS and BO, while fostering CS, could therefore be a future research focus. en
dc.format.extent 9
dc.language.iso eng
dc.relation.ispartof BMC Public Health
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Emergency medical services
dc.subject Compassion fatigue
dc.subject Secondary traumatic stress
dc.subject Compassion satisfaction
dc.subject Burnout
dc.subject psychological
dc.subject Occupational stress
dc.subject CARE
dc.subject RESILIENCE
dc.subject EXPOSURE
dc.subject FATIGUE
dc.subject STRESS
dc.subject TRAUMA
dc.subject 3142 Public health care science, environmental and occupational health
dc.title Finnish paramedics' professional quality of life and associations with assignment experiences and defusing use - a cross-sectional study en
dc.type Article
dc.contributor.organization Faculty of Medicine
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1186/s12889-021-11851-0
dc.relation.issn 1471-2458
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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