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保护美国以消防为基础的紧急医疗服务人员免受工作场所压力和暴力的模型政策。

Model Policies to Protect U.S. Fire-Based EMS Responders From Workplace Stress and Violence.

机构信息

Department of Environmental and Occupational Health, 37412Drexel University School of Public Health, Philadelphia, PA, USA.

Health, Human Performance and Recreation, 137660University of Arkansas College of Education and Health Professions, Fayetteville, AR, USA.

出版信息

New Solut. 2022 Aug;32(2):119-131. doi: 10.1177/10482911221085728. Epub 2022 Mar 24.

DOI:10.1177/10482911221085728
PMID:35322702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9280702/
Abstract

The stress and violence to fire-based emergency medical service responders (SAVER) Systems-Level Checklist is an organizational-level intervention to address stress and violence in emergency medical service (EMS), focused on the development of policy and training. Fire and EMS leadership, first responders, dispatchers, and labor union representatives participated in the SAVER Model Policy Collaborative to develop model policies that resulted from the most feasible checklist items. ThinkLets technology was employed to achieve consensus on the model policies, and an Action SWOT analysis was then conducted to assess facilitators and barriers to policy implementation. The resultant model policies are a systems-level workplace violence intervention for the U.S. fire and rescue service that is ready for implementation. Expected improvements to organizational outcomes such as burnout, job engagement, and job satisfaction are anticipated, as are decreasing assaults and injuries. The SAVER Model Policies have the potential to inform national standards and regulations on workplace violence in EMS.

摘要

基于应激和暴力的紧急医疗服务响应者(SAVER)系统层面清单是一项组织层面的干预措施,旨在解决紧急医疗服务(EMS)中的应激和暴力问题,重点是制定政策和培训。消防和 EMS 领导层、第一响应者、调度员和工会代表参与了 SAVER 模型政策协作,以制定源自最可行清单条目的模型政策。ThinkLets 技术被用于就模型政策达成共识,然后进行行动 SWOT 分析,以评估政策实施的促进因素和障碍。由此产生的模型政策是美国消防和救援服务的系统层面工作场所暴力干预措施,已经可以实施。预计组织成果(如倦怠、工作投入和工作满意度)会得到改善,攻击和伤害也会减少。SAVER 模型政策有可能为 EMS 工作场所暴力的国家标准和法规提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc04/9280702/5a307ff991b5/10.1177_10482911221085728-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc04/9280702/95c831576563/10.1177_10482911221085728-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc04/9280702/0ca7ea91706a/10.1177_10482911221085728-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc04/9280702/ef8cade78eb9/10.1177_10482911221085728-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc04/9280702/5a307ff991b5/10.1177_10482911221085728-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc04/9280702/95c831576563/10.1177_10482911221085728-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc04/9280702/0ca7ea91706a/10.1177_10482911221085728-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc04/9280702/ef8cade78eb9/10.1177_10482911221085728-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc04/9280702/5a307ff991b5/10.1177_10482911221085728-fig4.jpg

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本文引用的文献

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2
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J Safety Res. 2020 Sep;74:249-261. doi: 10.1016/j.jsr.2020.06.009. Epub 2020 Jul 9.
3
Emotional exhaustion and its relationship with suicide risk in emergency responders.
应急响应者的情绪耗竭及其与自杀风险的关系。
Psychiatry Res. 2020 Nov;293:113379. doi: 10.1016/j.psychres.2020.113379. Epub 2020 Aug 18.
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A Systematic Review of Workplace Violence Against Emergency Medical Services Responders.针对紧急医疗服务响应人员的工作场所暴力行为的系统评价。
New Solut. 2020 Feb;29(4):487-503. doi: 10.1177/1048291119893388. Epub 2019 Dec 16.
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Death by Suicide-The EMS Profession Compared to the General Public.自杀身亡——与公众相比,EMS 行业。
Prehosp Emerg Care. 2019 May-Jun;23(3):340-345. doi: 10.1080/10903127.2018.1514090. Epub 2018 Sep 14.
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