Burnout of Sri Lankan Prison Officers: Exploring the Prevalence and Correlates

Background: High work demands and low work resources predispose employees to occupational burnout. Burnout of Sri Lankan prison officers has not been studied previously. Prison guards and prison rehabilitation officers are the staff categories who come into regular and direct contact with prison inmates. Aim: The study aimed to describe the prevalence of burnout and its three sub-domains in Sri Lankan prison officers and to explore the personal and work-related correlates of their burnout. Methods: An institution-based cross-sectional study was carried out in 2017, among 1803 prison officers including 1683 prison guards and 120 prison rehabilitation officers working in 32 prison institutions island-wide. Prison guards were selected using multi-stage stratified sampling, while all the eligible Rehabilitation Officers were included. Self-administered, translated and validated Sinhala version of the Maslach Burnout Inventory – Human Services Survey and a self-developed questionnaire on correlates were used for collecting data. Results: The response rate was 98.53%. Majority of the participants were male (88%) and currently married (80.6%). True prevalence of burnout was 31.1% (95%CI:22.1-40.1). More than one third (37.8% - 95%CI:28.3–47.3) were suffering from diminished personal accomplishment, while over one fourth were suffering from emotional exhaustion (28.6% - 95%CI:19.7–37.5) and depersonalization (26.9% - 95%CI:18.2–35.6). Feeling overburdened by housework (OR–3.9,95%CI:1.6-9.3), working in closed prisons (OR–5.4,95%CI:1.3–21.7), remand prisons (OR–4.9,95%CI:1.2–19.3) and work camps (OR–6.7,95%CI:1.6–28.4), perceived difficulty in shift work (OR–2.4,95%CI:1.4–4.0) and in taking leave (OR–2.8,95%CI:1.5–5.4), work overload (OR–2.1,95%CI:1.1–3.7), poor relationship with colleagues (OR–10.6,95%CI:1.1–103.3) and with families of inmates (OR–4.7,95%CI:1.4–16.0), poor welfare facilities (OR–3.8,95%CI:1.6–8.7) and job dissatisfaction (OR:14.3,95%CI:4.4–46.8) were associated with a higher risk for burnout. Conclusion: Burnout among prison officers is a significant issue requiring prompt interventions including basic and in-service trainings focusing on stress management

The health of young people in Sri Lanka: conducive environment for road to adulthood – a desk review

Investing in young people is considered a high priority for developing a strong foundation for the future and it has higher benefit-cost ratios. Identifying the present environment in Sri Lanka for the health of young people is important for providing recommendations for the future.  This desk review was carried out to review the current environment that is facilitating the health of young people in Sri Lanka. The documents relevant for understanding the current context of policies and strategies on the health of young people were studied. Databases including Google Scholar and PubMed, websites, and documents collected from the experts and key persons were searched. A narrative report with key recommendations was prepared by synthesis of the information extracted. According to the review, there are policies, laws guidelines, and programs in Sri Lanka that address youth health and support access for services and also provide an environment that is conducive for access. These are supported directly and indirectly to the access and provision of the health of youth. There are many positive aspects for youth in the areas of education and health, although there are certain challenges and gaps yet to be addressed. There are very few misleading legal frameworks that prevent youth from accessing sexual health services. Restructuring of school and higher education systems, focusing on a skill-based education system, is an investment that will have a direct effect on promoting the health status of youth. The establishment and strengthening of youth-friendly services will be of utmost importance to improve the status of Sri Lankan youth, addressing the health issues in youth will need inter-sectoral collaboration

Patient, family member, and ambulance staff experiences of prehospital acute pain management in adults: A systematic review and meta-synthesis.

Background We aimed to synthesize the qualitative experiences of patients, their family members, and ambulance staff involved in the prehospital management of acute pain in adults and generate recommendations to improve the quality of care. Methods A systematic review was conducted following the enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) guidelines. We searched from inception to June 2021: MEDLINE, CINAHL Complete, PsycINFO and Web of Science (search alerts were screened up to December 2021). Articles were eligible for inclusion if they reported qualitative data and were published in the English language. The Critical Appraisal Skills Program for qualitative studies checklist was used to assess risk of bias, thematic synthesis was performed on included studies and recommendations for clinical practice improvement were generated. Results Twenty-five articles were included in the review, representing over 464 patients, family members, and ambulance staff from 8 countries. Six analytical themes and several recommendations to improve clinical practice were generated. Strengthening the patient–clinician relationship by building trust, promoting patient empowerment, addressing patient needs and expectations, and providing a holistic approach to pain treatment is key to improving prehospital pain management in adults. Shared pain management guidelines and training across the prehospital and emergency department intersection should improve the patient journey. Conclusion Interventions and guidelines that strengthen the patient-clinician relationship and span the prehospital and emergency department phase of care are likely to improve the quality of care for adults suffering acute pain in the prehospital setting

Perceptions and experiences of medical student first responders: a mixed methods study

Context Medical Student First Responders (MSFRs) are volunteers who respond to emergency calls, managing patients before ambulance staff attend. The MSFR role provides opportunities to manage acutely unwell patients in the prehospital environment, not usually offered as part of formal undergraduate medical education. There are few previous studies describing activities or experiences of MSFRs or exploring the potential educational benefits. We aimed to investigate the activity of MSFRs and explore their experiences, particularly from an educational perspective. Methods We used a mixed methods design, combining quantitative analysis of ambulance dispatch data with qualitative semi-structured interviews of MSFRs. Dispatch data were from South Central and East Midlands Ambulance Service NHS Trusts from 1st January to 31st December 2019. Using propensity score matching, we compared incidents attended by MSFRs with those attended by other Community First Responders (CFRs) and ambulance staff. We interviewed MSFRs from five English (UK) medical schools in those regions about their experiences and perceptions and undertook thematic analysis supported by NVivo 12. Results We included 1,939 patients (median age 58.0 years, 51% female) attended by MSFRs. Incidents attended were more urgent category calls (category 1 n = 299, 14.9% and category 2 n = 1,504, 77.6%), most commonly for chest pain (n = 275, 14.2%) and shortness of breath (n = 273, 14.1%). MSFRs were less likely to attend patients of white ethnicity compared to CFRs and ambulance staff, and more likely to attend incidents in areas of higher socioeconomic deprivation (IMD – index of multiple deprivation) (p < 0.05). Interviewees (n = 16) consistently described positive experiences which improved their clinical and communication skills. Conclusion MSFRs’ attendance at serious medical emergencies provide a range of reported educational experiences and benefits. Further studies are needed to explore whether MSFR work confers demonstrable improvements in educational or clinical performance

Patient, family member, and ambulance staff experiences of prehospital acute pain management in adults: A systematic review and meta‐synthesis

Abstract Background We aimed to synthesize the qualitative experiences of patients, their family members, and ambulance staff involved in the prehospital management of acute pain in adults and generate recommendations to improve the quality of care. Methods A systematic review was conducted following the enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) guidelines. We searched from inception to June 2021: MEDLINE, CINAHL Complete, PsycINFO and Web of Science (search alerts were screened up to December 2021). Articles were eligible for inclusion if they reported qualitative data and were published in the English language. The Critical Appraisal Skills Program for qualitative studies checklist was used to assess risk of bias, thematic synthesis was performed on included studies and recommendations for clinical practice improvement were generated. Results Twenty‐five articles were included in the review, representing over 464 patients, family members, and ambulance staff from 8 countries. Six analytical themes and several recommendations to improve clinical practice were generated. Strengthening the patient–clinician relationship by building trust, promoting patient empowerment, addressing patient needs and expectations, and providing a holistic approach to pain treatment is key to improving prehospital pain management in adults. Shared pain management guidelines and training across the prehospital and emergency department intersection should improve the patient journey. Conclusion Interventions and guidelines that strengthen the patient‐clinician relationship and span the prehospital and emergency department phase of care are likely to improve the quality of care for adults suffering acute pain in the prehospital setting

Patient, family member, and ambulance staff experiences of prehospital acute pain management in adults: A systematic review and meta-synthesis.

BackgroundWe aimed to synthesize the qualitative experiences of patients, their family members, and ambulance staff involved in the prehospital management of acute pain in adults and generate recommendations to improve the quality of care.MethodsA systematic review was conducted following the enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) guidelines. We searched from inception to June 2021: MEDLINE, CINAHL Complete, PsycINFO and Web of Science (search alerts were screened up to December 2021). Articles were eligible for inclusion if they reported qualitative data and were published in the English language. The Critical Appraisal Skills Program for qualitative studies checklist was used to assess risk of bias, thematic synthesis was performed on included studies and recommendations for clinical practice improvement were generated.ResultsTwenty-five articles were included in the review, representing over 464 patients, family members, and ambulance staff from 8 countries. Six analytical themes and several recommendations to improve clinical practice were generated. Strengthening the patient-clinician relationship by building trust, promoting patient empowerment, addressing patient needs and expectations, and providing a holistic approach to pain treatment is key to improving prehospital pain management in adults. Shared pain management guidelines and training across the prehospital and emergency department intersection should improve the patient journey.ConclusionInterventions and guidelines that strengthen the patient-clinician relationship and span the prehospital and emergency department phase of care are likely to improve the quality of care for adults suffering acute pain in the prehospital setting

EMS & pandemics Repository Data 19.02.2024.xlsx

The aim of this scoping review was to identify and present published quantitative and qualitative evidence of EMS pandemic interventions, and how this translates into practice.</p