评估 COVID-19 大流行对美国基于消防的紧急医疗服务响应者心理健康的影响：两个样本的故事（RAPID 研究 I）。
Assessing the Mental Health Impact of the COVID-19 Pandemic on US Fire-Based Emergency Medical Services Responders: A Tale of Two Samples (The RAPID Study I).
机构信息
From the Department of Environmental and Occupational Health, Dornsife School of Public Health at Drexel University, Philadelphia, Pennsylvania (M.E.R., G.M., A.B.F., V.H.G., A.L.D., J.A.T.); Department of Health, Human Performance and Recreation at the College of Education and Health Professions at the University of Arkansas, Fayetteville, Arkansas (R.M.M.); Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts (L.J.S.); Department of Family and Preventative Medicine, University of Utah, Salt Lake City, Utah (K.C.C., J.A.A.); Department of Management and Organizational Behavior, LeBow College of Business at Drexel University, Philadelphia, Pennsylvania (C.J.R.); and Department of Psychological Sciences, Kansas State University, Manhattan, Kansas (J.L.).
出版信息
J Occup Environ Med. 2023 Apr 1;65(4):e184-e194. doi: 10.1097/JOM.0000000000002745. Epub 2022 Nov 16.
OBJECTIVE
This study aimed to examine the COVID-19 pandemic's impact on fire service safety culture, behavior and morale, levers of well-being, and well-being outcomes.
METHODS
Two samples (Stress and Violence against fire-based EMS Responders [SAVER], consisting of 3 metropolitan departments, and Fire service Organizational Culture of Safety [FOCUS], a geographically stratified random sample of 17 departments) were assessed monthly from May to October 2020. Fire department-specific and pooled scores were calculated. Linear regression was used to model trends.
RESULTS
We observed concerningly low and decreasing scores on management commitment to safety, leadership communication, supervisor sensegiving, and decision-making. We observed increasing and concerning scores for burnout, intent to leave the profession, and percentage at high risk for anxiety and depression.
CONCLUSIONS
Our findings suggest that organizational attributes remained generally stable but low during the pandemic and impacted well-being outcomes, job satisfaction, and engagement. Improving safety culture can address the mental health burden of this work.
目的
本研究旨在探讨 COVID-19 大流行对消防服务安全文化、行为和士气、幸福感杠杆以及幸福感结果的影响。
方法
从 2020 年 5 月至 10 月，每月评估两个样本（基于消防的紧急医疗服务响应者的压力和暴力 [SAVER]，由 3 个大都市部门组成，以及消防服务组织安全文化 [FOCUS]，是一个地理分层随机抽取的 17 个部门）。计算了消防部门特定和汇总分数。使用线性回归来模拟趋势。
结果
我们观察到管理层对安全的承诺、领导沟通、主管信息传达和决策方面的分数较低且持续下降。我们观察到倦怠、离开该行业的意愿以及焦虑和抑郁高风险百分比的分数不断增加且令人担忧。
结论
我们的研究结果表明，在大流行期间，组织属性总体上保持稳定但较低，并对幸福感结果、工作满意度和参与度产生影响。改善安全文化可以解决这项工作的心理健康负担。
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