Stress resistance of emergency medical service staff depending on the level of protection and the amount of work with medical documentation
HEALTHCARE ORGANIZATION
Abstract
Introduction.Stress tolerance is highly individual and its level depends on many factors, including personality characteristics, time management, and prioritization.Aim— conduct an assessment the influence of specific factors of professional activity (physical and infection protection, quantity of work with accounting and reporting documentation) on stress resistance after a work shift in emergency medical service employees.Materials and methods. The research was based on the results of a survey of 528 (out of 674) medical stuff of general-purpose mobile emergency medical service teams (paramedics — 347 people; nurses — 50 people; doctors — 131; the predominant age group of respondents from 25 to 40 years, 34.3% (34.1–34.5) — men, 65.7% (65.5–65.9) — women, average work experience is 15.1 (14.92–15.28) years, the most pronounced decrease in stress resistance is observed with work experience over 10 years). Stress resistance was assessed after a work shift using the standardized Cohen–Williansson method.Results. Analysis of the relationship between stress resistance and high and medium levels of physical and infectious protection (r=0.125; r=0.012 and r=0.217; r=0.235, respectively) and low and medium quantity of work with medical documentation (r=0.410; r=0.029) did not reveal any statistically significant correlation (r<0.75). The share of respondents who indicated a low level of protection and a significant volume of work with medical documentation exceeds 23%. Low levels of physical and infectious protection have a pronounced statistically significant positive correlation with stress resistance (r=0.77; r=0.78, respectively) and are markers of low stress resistance (AUC 0.974 and AUC 0.895, respectively). A significant amount of work with reporting and accounting documentation showed a high inverse correlation with stress resilience (r=0.83) and is similarly an important marker of low stress resilience (AUC 0.762).Conclusion. The research demonstrated the risks of reduced stress resilience and identified important social markers for declining this psychological indicator, which will ultimately allow for timely implementation of necessary measures to ensure the stability and productivity of this crucial emergency care structure.
References
1. Шадеркин И.А. Барьеры телемедицины и пути их преодоления. Российский журнал телемедицины и электронного здравоохранения. 2022;8(2):59–76. https://doi.org/10.29188/2712-9217-2022-8-2-59-76.
2. Ивченков С.Г., Никифоров Я.А., Ситникова С.В. Удовлетворенность трудом персонала медицинских учреждений: теория и практика социологического изучения (на примере территориальной поликлиники Областного клинического кардиологического диспансера Саратовской области). Известия Саратовского университета. Новая серия. Серия: Социология. Политология. 2022;22(4):380–388. https://doi.org/10.18500/1818-9601-2022-22-4-380-388.
3. Gedge D.A., Chilcott R.P., Williams J. Quantifying the risk to health care workers of cough as an aerosol generating event in an ambulance setting: a research report. Prehosp Disaster Med. 2022;37(4):515–519. https://doi.org/10.1017/S1049023X22000917.
4. Shafiq B., Iqbal H., Ali A. Protective factors of psychological vulnerability in Rescue 1122 workers with vicarious traumatization. J Emerg Manag. 2024;22(2):181–193. https://doi.org/10.5055/jem.0806.
5. Montero-Tejero D.J., Jiménez-Picón N., Gómez-Salgado J., Vidal-Tejero E., Fagundo-Rivera J. Factors influencing occupational stress perceived by emergency nurses during prehospital care: a systematic review. Psychol Res Behav Manag. 2024;17:501–528. https://doi.org/10.2147/PRBM.S455224.
6. Ироносов В.Е., Пшениснов К.В., Александрович Ю.С. Синдром профессионального выгорания у врачей отделений интенсивной терапии. Вестник анестезиологии и реаниматологии. 2024;21(2):92–102. https://doi.org/10.24884/2078-5658-2024-21-2-92-102.
7. Koenig K.L., Beÿ C.K., Marty A.M. Monkeypox 2022 Identify-Isolate-Inform: A 3I Tool for frontline clinicians for a zoonosis with escalating human community transmission. One Health. 2022;15:100410. https://doi.org/10.1016/j.onehlt.2022.100410.
8. Rostkowska O.M., Zgliczyński W.S., Jankowski M., Kuthan R., Pinkas J., Durlik M. Hand hygiene among doctors in transplant departments in poland: a cross-sectional survey. Transplant Proc. 2020;52(7):1964–1976. https://doi.org/10.1016/j.transproceed.2020.01.111.
9. Xue X., Coleman C.M., Duncan J.D., Hook A.L., Ball J.K., Alexander C., Alexander M.R. Evaluation of the relative potential for contact and doffing transmission of SARS-Co V-2 by a range of personal protective equipment materials. Sci Rep. 2022;12(1):16654. https://doi.org/10.1038/s41598-022-20952-8.
10. Cohen S., Kamarck T., Mermelstein R. A global measure of perceived stress. J. Health Social Behav. 1983;24(4):385–396.
11. Cohen S., Wills T.A. Stress, social support, and the buffering hypothesis. Psychological Bulletin. 1985;(98):310–357.
12. Харькова О.А., Гржибовский А.М. Сравнение двух несвязанных выборок c использованием пакета статистических программ STATA: непараметрические критерии. Экология человека. 2014;(4):60–64. EDN: SBKRJJ.
13. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. New York: Routledge; 1988. https://doi.org/10.4324/9780203771587.
14. Youden W.J. Index for rating diagnostic tests. Cancer. 1950;3(1):32–35.
15. Malik A.S., Acharya S., Humane S. Exploring the impact of security technologies on mental health: a comprehensive review. Cureus. 2024;16(2):e53664. https://doi.org/10.7759/cureus.53664.
16. Chen L., Xie Z., Zhen J., Dong K. The impact of challenge information security stress on information security policy compliance: the mediating roles of emotions. Psychol Res Behav Manag. 2022;15:1177–1191. https://doi.org/10.2147/PRBM.S359277.
17. Цынгот А.В., Палагутина Н.В., Панина А.В. Стресс на рабочем месте — международная проблема. Инновационная экономика: перспективы развития и совершенствования. 2016;4(14):161–166. EDN: UALZTP.
18. Ироносов В.Е., Иванов Д.О., Пшениснов К.В., Александрович Ю.С., Агафонова А.В. Профессиональный стресс как фактор риска сердечно-сосудистых катастроф у персонала отделений анестезиологии-реанимации (обзор литературы). Вестник анестезиологии и реаниматологии. 2025;22(2):139–148. https://doi.org/10.24884/2078-5658-2025-22-2-139-148.
