دورية أكاديمية

The stress experienced in an emergency medical service (EMS): A descriptive study.

التفاصيل البيبلوغرافية
العنوان: The stress experienced in an emergency medical service (EMS): A descriptive study.
المؤلفون: Pons Claramonte M; Health Sciences Faculty, UCAM Universidad Católica de Murcia, Spain; Emergency Medical Service (EMS) of Valencia Region, Spain., Nieto Caballero S; Health Sciences Faculty, UCAM Universidad Católica de Murcia, Spain; Emergency Medical Service (EMS) of Murcia Region, Spain., Escribano Tortosa D; Interdisciplinary Laboratory of Clinical Analysis (INTERLAB-UMU), Department of Animal Medicine & Surgery, Veterinary School, Regional Campus of International Excellence 'Campus Mare Nostrum', University of Murcia, Campus de Espinardo, 30100 Espinardo, Murcia, Spain., Contreras-Aguilar MD; Interdisciplinary Laboratory of Clinical Analysis (INTERLAB-UMU), Department of Animal Medicine & Surgery, Veterinary School, Regional Campus of International Excellence 'Campus Mare Nostrum', University of Murcia, Campus de Espinardo, 30100 Espinardo, Murcia, Spain., Ceron Madrigal JJ; Interdisciplinary Laboratory of Clinical Analysis (INTERLAB-UMU), Department of Animal Medicine & Surgery, Veterinary School, Regional Campus of International Excellence 'Campus Mare Nostrum', University of Murcia, Campus de Espinardo, 30100 Espinardo, Murcia, Spain., Hernández Morante JJ; Health Sciences Faculty, UCAM Universidad Católica de Murcia, Spain., Nicolas Carrillo A; Health Sciences Faculty, UCAM Universidad Católica de Murcia, Spain., Pardo Rios M; Health Sciences Faculty, UCAM Universidad Católica de Murcia, Spain; Emergency Medical Service (EMS) of Murcia Region, Spain. Electronic address: mpardo@ucam.edu., Chicharro-Luna E; Department of Behavioural Sciences and Health, Nursing Area, Faculty of Medicine, Miguel Hernández University of Elche, Institute of Health and Biomedical Research of Alicante (ISABIAL), Alicante, Spain.
المصدر: International emergency nursing [Int Emerg Nurs] 2024 Jun; Vol. 74, pp. 101450. Date of Electronic Publication: 2024 Apr 29.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: England NLM ID: 101472191 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-013X (Electronic) Linking ISSN: 1878013X NLM ISO Abbreviation: Int Emerg Nurs Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Elsevier, 2008-
مواضيع طبية MeSH: Emergency Medical Services*, Humans ; Male ; Female ; Adult ; Middle Aged ; Heart Rate/physiology ; Stress, Psychological ; Blood Pressure ; Biomarkers ; Health Personnel/psychology
مستخلص: Introduction: Stress, described as an adaptation of the body to an event, is a considerable problem among health workers, especially for those who work in emergency situations, as they very often have to face complex situations. It has been proven that stress affects the performance of health professionals, which is why it is interesting to measure it in these situations, to be able to know what methods to implement to reduce it in future events. Despite having previous measurements in healthcare personnel during clinical simulations, this study is relevant because stress has never before been measured in EMS professionals when performing their work.
Objective: To determine the acute stress experienced by professionals in an Emergency Medical Service (EMS) when handling five types of clinical emergencies. As secondary objectives, to determine if there were differences in the increases in stress in relation to sex, age, profession, team, and above all, type of emergency handled.
Method: The following were measured for the analysis: physiological (mean heart rate (HR), systolic (SBP) and diastolic (DBP) blood pressure), and biochemical (salivary alpha amylase (sAA) activity) markers, before (Basal) and after (Post-Stress) the interventions of 27 professionals from an EMS.
Results: In general, the results obtained showed significant differences between the baseline measurement of physiological and biochemical markers versus the post-exposure measurement. Some of the differences in stress levels in relation to sex and professional role are striking.
Conclusion: The determination of acute stress experienced by professionals from an EMS in a real emergency showed significant increases in the sAA enzymatic marker of acute stress. These results are the first data published in this regard, and could be used as a reference to follow in clinical simulation in the training of students and the training of nursing professionals.
Implications for Clinical Practice: Evidence based studies are needed to improve the education and training of emergency and intensive care professionals. The results from are a great step in the analysis of the real stress that professionals are subjected to when they handle different emergencies.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
فهرسة مساهمة: Keywords: Emergency medical service; Nursing training; Prehospitalcare; Salivary alpha amylase; Stress response
المشرفين على المادة: 0 (Biomarkers)
تواريخ الأحداث: Date Created: 20240430 Date Completed: 20240526 Latest Revision: 20240526
رمز التحديث: 20240527
DOI: 10.1016/j.ienj.2024.101450
PMID: 38688204
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-013X
DOI:10.1016/j.ienj.2024.101450