Baylor Scott & White Research Institute.
Baylor University.
Workplace Health Saf. 2023 Nov;71(11):543-550. doi: 10.1177/21650799231188364. Epub 2023 Aug 2.
Emergency responders are the most frequent overdose responders, however, little is known about the impact of supervised injection facility (SIF) location on first responders. The purpose of this study was to determine whether firefighter/paramedic attitudes about being stationed near an SIF were related to burnout, secondary traumatic stress, and compassion satisfaction.
Firefighter/paramedics from Vancouver Fire and Rescue Services ( = 54) completed an online survey. General linear models were used to assess differences in burnout, secondary traumatic stress, and compassion satisfaction based on attitudes regarding being stationed near an SIF while controlling for occupational stress.
Firefighters with negative attitudes regarding station placement near an SIF experienced more burnout compared with those with neutral/mixed attitudes and less compassion satisfaction compared with those with positive attitudes. There were no differences between those with positive and neutral/mixed attitudes.
These findings have implications for education and training of emergency responders stationed near SIFs. They also highlight the need for more research into the effects of and possible clinical opportunities needed to support first responders' work near an SIF.
While these findings represent early exploratory evidence, increased burnout and reduced compassion satisfaction may be common reactions among first responders who experience negative attitudes toward SIFs. Prevention efforts could incorporate programs to enhance health and well-being of first responders and education regarding substance use and harm reduction, while workforce surveillance for signs of distress or burnout could be implemented to trigger additional mental health services and interventions. while policymakers should remain aware of SIF-related impacts on all stakeholders, including first responders.
急救人员是最常见的过量用药急救人员，然而，对于监督注射设施（SIF）的位置对急救人员的影响知之甚少。本研究的目的是确定消防员/护理人员对驻留在 SIF 附近的态度是否与倦怠、二次创伤性压力和同情心满足感有关。
温哥华消防和救援服务处的消防员/护理人员（n = 54）完成了一项在线调查。使用一般线性模型，在控制职业压力的情况下，根据对驻留在 SIF 附近的态度评估倦怠、二次创伤性压力和同情心满足感的差异。
对驻留在 SIF 附近的位置持消极态度的消防员与持中立/混合态度的消防员相比，倦怠感更严重，与持积极态度的消防员相比，同情心满足感更低。持积极态度和中立/混合态度的消防员之间没有差异。
这些发现对驻留在 SIF 附近的急救人员的教育和培训具有影响。它们还强调了需要更多研究来支持急救人员在 SIF 附近工作的影响和可能需要的临床机会。
虽然这些发现代表了早期的探索性证据，但对 SIF 持负面态度的急救人员可能会出现倦怠感增加和同情心满足感降低等常见反应。预防措施可以包括增强急救人员健康和幸福感的计划，以及关于药物使用和减少伤害的教育，同时可以实施劳动力监测，以发现压力或倦怠的迹象，从而触发额外的心理健康服务和干预措施。同时，政策制定者应始终意识到 SIF 对所有利益相关者的相关影响，包括急救人员。
