Search results

1 – 10 of 19
Open Access
Article
Publication date: 16 August 2019

Anastasia Miller and Lynn Unruh

Public safety personnel (law enforcement, firefighters, emergency medical services and dispatchers) face work environments which are high stress. These can lead to burnout…

1620

Abstract

Purpose

Public safety personnel (law enforcement, firefighters, emergency medical services and dispatchers) face work environments which are high stress. These can lead to burnout, secondary traumatic stress and a reduction of compassion satisfaction. However, very little is known about what individual and work factors influence these negative coping mechanisms in public safety personnel. It is also unknown how perceived organizational and coworker support, debriefing methods, or individual characteristics are associated with the aforementioned coping mechanisms. The differences between these fields are also unknown. The paper aims to discuss these issues.

Design/methodology/approach

A cross-sectional administration of surveys to Florida public safety personnel was done. A total of 1,360 public safety individuals completed the survey. Three regression analyses were carried out, utilizing the three Professional Quality of Life Version 5 subscales as the dependent variables. The Perceived Coworker Support Survey, Survey of Perceived Organizational Support, the Brief Resilience Survey and questions regarding debriefing practices were included.

Findings

Public safety personnel cannot be treated as a singular population for many things. An exception of this was that perceived organizational support and psychological resilience were associated with positive outcomes, albeit, to varying degrees in all fields. The other individual and organizational factors had very distinct impacts on the varying fields.

Research limitations/implications

There are limitations due to the nature of cross-sectional survey design and due to the sample size.

Originality/value

This study displays statistical relationships between factors which public safety agencies could use to increase employee job satisfaction and potentially reduce turnover. It was the only study the authors could find which include dispatchers when comparing these four public safety fields.

Details

International Journal of Emergency Services, vol. 8 no. 3
Type: Research Article
ISSN: 2047-0894

Keywords

Article
Publication date: 12 March 2018

Anastasia Miller, Lynn Unruh, Xinliang Liu, Tracy Wharton and Ning Zhang

Personnel who work in emergency medical services (EMS) face work environments which are high stress. These can lead to burnout, secondary traumatic stress (STS), and a reduction…

Abstract

Purpose

Personnel who work in emergency medical services (EMS) face work environments which are high stress. These can lead to burnout, secondary traumatic stress (STS), and a reduction of compassion satisfaction (CS). However, very little is known about what individual and work factors influence these negative coping mechanisms in EMS personnel. It is also unknown how perceived organizational and coworker support, debriefing methods, or individual characteristics are associated with the aforementioned coping mechanisms in EMS personnel. The paper aims to discuss these issues.

Design/methodology/approach

A cross-sectional administration of surveys to Florida EMS personnel was done. A total of 351 individuals who regularly performed EMS tasks completed the survey. Three regression analyses were carried out, utilizing the three ProQOL 5 subscales as the dependent variables. The Perceived Coworker Support survey, Survey of Perceived Organizational Support, the Brief Resilience Survey and questions regarding debriefing practices were included.

Findings

Both organizational support and psychological resilience were found to be related to higher CS as well as lower burnout and STS. Coworker support was associated with higher CS. Informal debriefing was associated with higher CS and lower burnout. Several individual factors were also statistically significant, specifically education with CS, being a volunteer and race with burnout, and working part time or volunteering with STS.

Research limitations/implications

There are limitations due to the nature of cross-sectional survey design and due to the sample size. The varying circumstances which EMS personnel work also hinders generalizability.

Originality/value

This study displays statistical relationships between factors which EMS agencies could use to increase employee job satisfaction and potentially reduce turnover.

Details

International Journal of Emergency Services, vol. 7 no. 2
Type: Research Article
ISSN: 2047-0894

Keywords

Article
Publication date: 2 May 2017

Anastasia Miller, Lynn Unruh, Ning Zhang, Xinliang Liu and Tracy Wharton

The purpose of this paper is to determine a baseline level of the Professional Quality of Life (ProQOL 5) in emergency dispatchers in the state of Florida, as well as to examine…

Abstract

Purpose

The purpose of this paper is to determine a baseline level of the Professional Quality of Life (ProQOL 5) in emergency dispatchers in the state of Florida, as well as to examine the how it is associated with psychological resilience, perceived coworker support, different types of debriefing, and perceived organizational support.

Design/methodology/approach

This was done through a cross-sectional administration of surveys to emergency telecommunicators and dispatchers in the state of Florida.

Findings

In total, 186 surveys were completed by active emergency dispatch personnel across the state of Florida. The study found that psychological resilience, education, and perceived organizational support were statistically related to professional quality of life in Florida Dispatchers.

Research limitations/implications

There are limitations due to the nature of cross-sectional survey design and due to the sample size. There are also possible issues with the accuracy of self-reported survey answers. The lack of participation from all agencies also hinders generalizability.

Practical implications

This study serves as a reference point for a very under studied emergency service population. There are also implications that psychological resilience development in dispatch personnel would assist in multiple aspects of their professional quality of life.

Originality/value

This is the first study to use the ProQOL 5 on dispatch personnel in Florida. It also displays statistical relationships between factors which dispatch agencies could use to increase employee job satisfaction and potentially reduce turnover.

Details

International Journal of Emergency Services, vol. 6 no. 1
Type: Research Article
ISSN: 2047-0894

Keywords

Book part
Publication date: 29 July 2009

Lynn Unruh, C. Allison Russo, H. Joanna Jiang and Carol Stocks

Background – Reliable and valid hospital nurse staffing measures are a major requirement for health services research. As the use of these measures increases, discussion is…

Abstract

Background – Reliable and valid hospital nurse staffing measures are a major requirement for health services research. As the use of these measures increases, discussion is growing as to whether current nurse staffing measures adequately meet the needs of health services researchers.

Objective – This study assesses whether the measures, sampling frameworks, and data sources meet the needs of health services research in areas such as staffing assessment; patient, nurse, and financial outcomes; and prediction of staffing.

Methods – We performed a systematic review of articles from 1990 through 2007, which use hospital nurse staffing measures in original research, or which address the validity, reliability, and availability of the measures. Taxonomies of measures, sampling frameworks, and sources were developed. Articles were analyzed to assess what measures, sampling strategies, and sources of data were used and to ascertain whether the measures, samples, and sources meet the needs of researchers.

Results – The review identified 107 articles that use hospital nurse staffing measures for original research. Multiple types of measures, some of which are used more often than others and some of which are more valid than others, exist in each of the following categories: staffing counts, staffing/patient load ratios, and skill mix. Sampling frameworks range from hospital units to all hospitals nationally, with all hospitals in a state being the most common. Data sources range from small-scale surveys to national databases. The American Hospital Association Annual Survey is the most frequently used data source, but there are limitations with its nurse staffing measures. Arguably, the multiplicity of measures and differences in sampling and data sources are due, in part, to data availability. The limitations noted by other researchers and by this review indicate that staffing measures need improvements in conceptualization, content, scope, and availability.

Discussion – Recommendations are made for improvements to research and administrative practice and to data.

Details

Biennial Review of Health Care Management: Meso Perspective
Type: Book
ISBN: 978-1-84855-673-7

Book part
Publication date: 31 October 2002

Lynn Y. Unruh and Myron D. Fottler

This paper presents the results of an extensive literature review of quantitative and qualitative studies that relate the internal work environment to nurse withdrawal behavior…

Abstract

This paper presents the results of an extensive literature review of quantitative and qualitative studies that relate the internal work environment to nurse withdrawal behavior and nurse performance. A model depicting the interrelationships and descriptive tables are developed on the basis of this review. Studies indicate a “vicious spiral to the bottom” whereby cuts in nurse staffing result in a negative work environment characterized by work overload, poor nurse physical and mental health, and low job satisfaction. This environment, in turn, increases nurse withdrawal behavior and adversely affects nurse performance. Implications for public policy, management and future research are discussed.

Details

Advances in Health Care Management
Type: Book
ISBN: 978-1-84950-176-7

Content available
Book part
Publication date: 29 July 2009

Abstract

Details

Biennial Review of Health Care Management: Meso Perspective
Type: Book
ISBN: 978-1-84855-673-7

Book part
Publication date: 29 July 2009

Grant T. Savage and Myron D. Fottler

Eric Williams and his colleagues review the literature on both physician burnout and physician–patient communication. A major contribution in this chapter is a model based on…

Abstract

Eric Williams and his colleagues review the literature on both physician burnout and physician–patient communication. A major contribution in this chapter is a model based on these two literatures, which outlines the impact that physician burnout can have on the physician–patient interaction and, therefore, patient outcomes. When physicians become emotionally exhausted, they begin to depersonalize to cope and focus on biomedical issues rather than communicating with the patient. When the patient is approached with this communication style from their physicians, they become less satisfied, trusting, and compliant. Less compliance results in worsened clinical outcomes, especially for patients with chronic disease. The authors discuss both the implications of this model and future directions for research.

Details

Biennial Review of Health Care Management: Meso Perspective
Type: Book
ISBN: 978-1-84855-673-7

Book part
Publication date: 31 October 2002

Abstract

Details

Advances in Health Care Management
Type: Book
ISBN: 978-1-84950-176-7

Content available
Article
Publication date: 2 May 2017

Paresh Wankhade and DeMond S. Miller

261

Abstract

Details

International Journal of Emergency Services, vol. 6 no. 1
Type: Research Article
ISSN: 2047-0894

Article
Publication date: 23 September 2013

Lynn Martin, Tamara McNeill and Izzy Warren-Smith

The purpose of this paper is to explore eco innovation in rural small firms. It looks at the motivations of rural small business owners for eco innovation and the extent to which…

2012

Abstract

Purpose

The purpose of this paper is to explore eco innovation in rural small firms. It looks at the motivations of rural small business owners for eco innovation and the extent to which rurality is important. Owner-managers’ perceptions of how eco innovation had, or would, contributed to growth in the future are also explored.

Design/methodology/approach

This is a qualitative study involving micro-level exploration of eight growth-oriented rural small firms and their implementation of eco innovation. These case studies involved semi-structured interviews, observation of practices in the firm and review of documentation and web-based materials.

Findings

Within each of the case study businesses, eco innovation involved changing business processes to reduce waste and to reduce the amounts of raw materials consumed. Rurality was described as very important due to closeness to the impacts of climate change and firms’ visibility within their local communities. Although none of the businesses identified growth as a motivating factor, each enjoyed economic benefits as a result of their pro-environmental behaviour.

Research limitations/implications

As a small-scale study of eight atypical firms, the findings cannot be readily generalised. Rather, they provide insight to how eco innovation can address both the environmental and the economic.

Practical implications

The findings may be useful for those wishing to encourage pro-environmental behaviours and eco innovation among rural SMEs.

Originality/value

The paper contributes to the currently limited literature on how and why SMEs are implementing pro-environmental practice, and also in relation to greener operational practice and business growth.

Details

International Journal of Entrepreneurial Behavior & Research, vol. 19 no. 6
Type: Research Article
ISSN: 1355-2554

Keywords

1 – 10 of 19