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Assessing the Mental Health Impact of the COVID-19 Pandemic on US Fire-Based Emergency Medical Services Responders: A Tale of Two Samples (The RAPID Study I).
Raposa, Madison E; Mullin, Gabrielle; Murray, Regan M; Shepler, Lauren J; Castro, Katherine C; Fisher, Alexandra B; Gallogly, Victoria H; Davis, Andrea L; Resick, Christian J; Lee, Jin; Allen, Joseph A; Taylor, Jennifer A.
  • Raposa ME; From the Department of Environmental and Occupational Health, Dornsife School of Public Health at Drexel University, Philadelphia, Pennsylvania (M.E.R., G.M., A.B.F., V.H.G., A.L.D., J.A.T.); Department of Health, Human Performance and Recreation at the College of Education and Health Professions at the University of Arkansas, Fayetteville, Arkansas (R.M.M.); Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts (L.J.S.); Department of Family and Preventative Medicine,
J Occup Environ Med ; 65(4): e184-e194, 2023 04 01.
Article in English | MEDLINE | ID: covidwho-2302329
ABSTRACT

OBJECTIVE:

This study aimed to examine the COVID-19 pandemic's impact on fire service safety culture, behavior and morale, levers of well-being, and well-being outcomes.

METHODS:

Two samples (Stress and Violence against fire-based EMS Responders [SAVER], consisting of 3 metropolitan departments, and Fire service Organizational Culture of Safety [FOCUS], a geographically stratified random sample of 17 departments) were assessed monthly from May to October 2020. Fire department-specific and pooled scores were calculated. Linear regression was used to model trends.

RESULTS:

We observed concerningly low and decreasing scores on management commitment to safety, leadership communication, supervisor sensegiving, and decision-making. We observed increasing and concerning scores for burnout, intent to leave the profession, and percentage at high risk for anxiety and depression.

CONCLUSIONS:

Our findings suggest that organizational attributes remained generally stable but low during the pandemic and impacted well-being outcomes, job satisfaction, and engagement. Improving safety culture can address the mental health burden of this work.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Emergency Medical Services / Emergency Responders / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: J Occup Environ Med Journal subject: Occupational Medicine / Environmental Health Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Emergency Medical Services / Emergency Responders / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: J Occup Environ Med Journal subject: Occupational Medicine / Environmental Health Year: 2023 Document Type: Article