دورية أكاديمية

"This is it…this is our normal" - the voices of family members and first responders experiencing duty-related trauma in Ireland.

التفاصيل البيبلوغرافية
العنوان: "This is it…this is our normal" - the voices of family members and first responders experiencing duty-related trauma in Ireland.
المؤلفون: Traynor A; RCSI SIM Centre for Simulation Education and Research, RCSI (Royal College of Surgeons in Ireland) University of Medicine and Health Sciences, Ireland; School of Psychology, University of Galway, Arts Millenium Extension, University Road, Galway, Ireland., Doyle B; RCSI SIM Centre for Simulation Education and Research, RCSI (Royal College of Surgeons in Ireland) University of Medicine and Health Sciences, Ireland. Electronic address: briandoyle@rcsi.ie., Eppich W; RCSI SIM Centre for Simulation Education and Research, RCSI (Royal College of Surgeons in Ireland) University of Medicine and Health Sciences, Ireland; Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia., Tjin A; RCSI SIM Centre for Simulation Education and Research, RCSI (Royal College of Surgeons in Ireland) University of Medicine and Health Sciences, Ireland; Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London SE5 8AB, UK., Mulhall C; RCSI SIM Centre for Simulation Education and Research, RCSI (Royal College of Surgeons in Ireland) University of Medicine and Health Sciences, Ireland., O'Toole M; RCSI SIM Centre for Simulation Education and Research, RCSI (Royal College of Surgeons in Ireland) University of Medicine and Health Sciences, Ireland.
المصدر: Comprehensive psychiatry [Compr Psychiatry] 2024 Aug; Vol. 133, pp. 152499. Date of Electronic Publication: 2024 May 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: W.B. Saunders Country of Publication: United States NLM ID: 0372612 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8384 (Electronic) Linking ISSN: 0010440X NLM ISO Abbreviation: Compr Psychiatry Subsets: MEDLINE
أسماء مطبوعة: Publication: Philadelphia Pa : W.B. Saunders
Original Publication: New York.
مواضيع طبية MeSH: Family*/psychology , Qualitative Research* , Focus Groups* , Emergency Responders*/psychology, Humans ; Ireland ; Male ; Female ; Adult ; Middle Aged ; Community-Based Participatory Research ; Stress, Psychological/psychology
مستخلص: Background: Compared to other occupational groups, first responders (FR) experience worse mental health outcomes due to duty-related trauma and occupational stressors. Despite their best efforts, they bring this stress home to friends and family. Consequently, FR and their supporters suffer from increased psychosocial difficulties and experience stigma and other barriers to help-seeking. Prior work offers little opportunity for open dialogue and shared understanding of the repercussions of this occupation for all members of the first responder community. In this qualitative study, we aimed to: (i) explore the lived experience of Irish FR and their family members (FM) related to occupational stressors, and (ii) identify opportunities to engage FM with existing organizational supports available for FR.
Methods: Using a community based participatory research (CBPR) approach, we conducted six focus groups involving a total of fourteen participants comprising FR, organizational representatives, and FM. All focus groups were audio recorded, transcribed, and analyzed using reflexive thematic analysis.
Findings: FR and FM shared their experiences of both joining and learning to live as members of the FR community in Ireland. Through our analysis, we identified a main theme of 'crossing thresholds', characterizing their transformative learning experiences. This learning experience includes recognizing the consequences of this new role for them as individuals and for their relationships. Participants also shared how they have learned to cope with the consequences of their roles and what they need to better support each other.
Conclusions: FM are often unheard, hidden members of the first responder community in Ireland, highlighting an unmet need for FR organizations to acknowledge FM role in supporting FR and to provide them with the appropriate training and resources required. Training for new recruits needs to move beyond the tokenistic involvement of FM and encourage knowledge sharing among experienced and novice members. Cultural change is required to support help-seeking among FR and foster a sense of peer support and community among families.
Competing Interests: Declaration of competing interest None declared.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: First responders; coping strategies; family; organizational stress; social support; traumatic stress
تواريخ الأحداث: Date Created: 20240522 Date Completed: 20240620 Latest Revision: 20240620
رمز التحديث: 20240621
DOI: 10.1016/j.comppsych.2024.152499
PMID: 38776684
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-8384
DOI:10.1016/j.comppsych.2024.152499