Adherence to Psychological First Aid after Exposure to a Traumatic Event at Work among EMS Workers: A Qualitative Study

Managing post-traumatic stress reactions in the first few days after exposure to a potentially traumatic event in the course of one’s work remains a challenge for first responder organizations such as Emergency Medical Services (EMS). Psychological First Aid (PFA) is an evidence-informed approach to...

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Autores principales:	Marine Tessier, Josianne Lamothe, Steve Geoffrion
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	emergency medical services workers early post-trauma intervention first responders psychological first aid peer support implementation Medicine R
Acceso en línea:	https://doaj.org/article/4fbcc2eb7ff144c081e0869251f4e2c3
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spelling	oai:doaj.org-article:4fbcc2eb7ff144c081e0869251f4e2c32021-11-11T16:10:59ZAdherence to Psychological First Aid after Exposure to a Traumatic Event at Work among EMS Workers: A Qualitative Study10.3390/ijerph1821110261660-46011661-7827https://doaj.org/article/4fbcc2eb7ff144c081e0869251f4e2c32021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11026https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Managing post-traumatic stress reactions in the first few days after exposure to a potentially traumatic event in the course of one’s work remains a challenge for first responder organizations such as Emergency Medical Services (EMS). Psychological First Aid (PFA) is an evidence-informed approach to reducing initial distress and promoting short- and long-term coping strategies among staff in the aftermath of exposure. PFA provided by peer helpers is considered a promising solution for first responder organizations. Unfortunately, first responders may encounter stigma and barriers to mental health care. Therefore, a deeper investigation is needed regarding adherence over time to implemented PFA intervention. The purpose of this study is to qualitatively explore factors that influence adherence to PFA intervention of recipients and peer helpers. EMS workers (n = 11), working as PFA peer helpers for one year, participated in semi-structured interviews. Data were analyzed using thematic analysis; intercoder reliability (κ = 0.91) was also used. Researchers identified four themes and 11 subthemes influencing adherence to PFA intervention: (1) individual perceptions and attitudes of peer helpers and recipients about pfa intervention; (2) perceived impacts on peer helpers and recipients; (3) organizational support to pfa intervention; and (4) congruence with the occupational culture. Study findings herein suggest that it is conceivable to act on various factors to improve adherence to PFA intervention among peer helpers and recipients within EMS organization. This could lead to enhanced understanding of the challenges involved in sustaining a peer led PFA program for first responders.Marine TessierJosianne LamotheSteve GeoffrionMDPI AGarticleemergency medical services workersearly post-trauma interventionfirst responderspsychological first aidpeer supportimplementationMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11026, p 11026 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	emergency medical services workers early post-trauma intervention first responders psychological first aid peer support implementation Medicine R
spellingShingle	emergency medical services workers early post-trauma intervention first responders psychological first aid peer support implementation Medicine R Marine Tessier Josianne Lamothe Steve Geoffrion Adherence to Psychological First Aid after Exposure to a Traumatic Event at Work among EMS Workers: A Qualitative Study
description	Managing post-traumatic stress reactions in the first few days after exposure to a potentially traumatic event in the course of one’s work remains a challenge for first responder organizations such as Emergency Medical Services (EMS). Psychological First Aid (PFA) is an evidence-informed approach to reducing initial distress and promoting short- and long-term coping strategies among staff in the aftermath of exposure. PFA provided by peer helpers is considered a promising solution for first responder organizations. Unfortunately, first responders may encounter stigma and barriers to mental health care. Therefore, a deeper investigation is needed regarding adherence over time to implemented PFA intervention. The purpose of this study is to qualitatively explore factors that influence adherence to PFA intervention of recipients and peer helpers. EMS workers (n = 11), working as PFA peer helpers for one year, participated in semi-structured interviews. Data were analyzed using thematic analysis; intercoder reliability (κ = 0.91) was also used. Researchers identified four themes and 11 subthemes influencing adherence to PFA intervention: (1) individual perceptions and attitudes of peer helpers and recipients about pfa intervention; (2) perceived impacts on peer helpers and recipients; (3) organizational support to pfa intervention; and (4) congruence with the occupational culture. Study findings herein suggest that it is conceivable to act on various factors to improve adherence to PFA intervention among peer helpers and recipients within EMS organization. This could lead to enhanced understanding of the challenges involved in sustaining a peer led PFA program for first responders.
format	article
author	Marine Tessier Josianne Lamothe Steve Geoffrion
author_facet	Marine Tessier Josianne Lamothe Steve Geoffrion
author_sort	Marine Tessier
title	Adherence to Psychological First Aid after Exposure to a Traumatic Event at Work among EMS Workers: A Qualitative Study
title_short	Adherence to Psychological First Aid after Exposure to a Traumatic Event at Work among EMS Workers: A Qualitative Study
title_full	Adherence to Psychological First Aid after Exposure to a Traumatic Event at Work among EMS Workers: A Qualitative Study
title_fullStr	Adherence to Psychological First Aid after Exposure to a Traumatic Event at Work among EMS Workers: A Qualitative Study
title_full_unstemmed	Adherence to Psychological First Aid after Exposure to a Traumatic Event at Work among EMS Workers: A Qualitative Study
title_sort	adherence to psychological first aid after exposure to a traumatic event at work among ems workers: a qualitative study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/4fbcc2eb7ff144c081e0869251f4e2c3
work_keys_str_mv	AT marinetessier adherencetopsychologicalfirstaidafterexposuretoatraumaticeventatworkamongemsworkersaqualitativestudy AT josiannelamothe adherencetopsychologicalfirstaidafterexposuretoatraumaticeventatworkamongemsworkersaqualitativestudy AT stevegeoffrion adherencetopsychologicalfirstaidafterexposuretoatraumaticeventatworkamongemsworkersaqualitativestudy
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Adherence to Psychological First Aid after Exposure to a Traumatic Event at Work among EMS Workers: A Qualitative Study

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