Document Type : Original Article
Authors
1 Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2 DPFA Academy of Work and Health, Leipzig, Germany
3 Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran, Nursing Management, Nursing Management, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
4 Institute of Psychology, University of Gdansk, Gdańsk, Poland
5 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden
Abstract
BACKGROUND: Health is a complex structure and has physical, psychological, and social
approaches. The importance and impact of health assessment have caused considerable attention to
be paid to the employees of the health system and the determining factors of this relationship. Hence,
the main purpose of this study was to find out the bio‑psycho‑social health situation in prehospital
emergency technicians as the research question staff.
MATERIALS AND METHODS: The present study is a systematic review and data have retrieved
through extensive search in Scopus, Web of Science, PubMed (including Medline), Cochrane
Library, Irandoc, Magiran, MedLib, and SID databases with a combination of keywords of “Health,
” “Assessment, ” “Social,” “Psychological,” “Biological,” “Emergency,” and “prehospital,” according
to the search strategy, between 2000 and 202111 studies were reviewed; then, they were entered
based on the objectives of the study and narrative analysis was performed by the researcher.
RESULTS: After analyzing the articles, a total of 4 factors affecting bio‑psycho‑social health in
prehospital emergency technicians have been extracted and identified, which included health
management, bio‑psycho‑social factors, occupational factors, and behavioral factors.
CONCLUSION: This research showed four factors, namely health management, bio‑psycho‑social
factors, occupational factors, and behavioral factors which could be effective in Bio‑Psycho‑Social
health. Since prehospital emergency services have an important role in maintaining the health of the
community, which requires attention to the bio‑psycho‑social health of emergency personnel, more
studies have focused on health management among the four mentioned factors, but the need to
examine the other three factors for a more accurate assessment of the health of emergency personnel
seems necessary. Therefore, prevention and response strategies based on bio‑psycho‑social health
assessment models are proposed to promote the health of prehospital emergency technician staff.
Keywords
Determine the effect of intervention on the adoption of preventive
behaviours of the brucellosis was based on the health belief model.
2016.
2. Sulmasy DP. A biopsychosocial‑spiritual model for the care of
patients at the end of life. The gerontologist. 2002;42(suppl_3):24‑33.
3. Bolton D, Gillett G. The biopsychosocial model of health and
disease: New philosophical and scientific developments: Springer
Nature; 2019.
4. Kusnanto H, Agustian D, Hilmanto D. Biopsychosocial model
of illnesses in primary care: A hermeneutic literature review.
J Family Med Prim Care. 2018;7 (3):497‑500.
5. Walker JG, Jackson HJ, Littlejohn GO. Models of adjustment to
chronic illness: Using the example of rheumatoid arthritis. Clinical
psychology review. 2004;24 (4):461‑88.
6. Kaplan D, Coogan SL. The next advancement in counseling: The
bio‑psycho‑social model. Vistas: Compelling perspectives on
counseling. 2005:17‑25.
7. Pace B. Renaissance of sickle cell disease research in the Genome
Era: World Scientific; 2007.
8. Frazier LD. The past, present, and future of the biopsychosocial
model: A review of The Biopsychosocial Model of Health and
Disease: New philosophical and scientific developments by
Derek Bolton and Grant Gillett. New Ideas in Psychology.
2020;57:100755.
9. Engert V, Grant JA, Strauss B. Psychosocial Factors in Disease
and Treatment—A Call for the Biopsychosocial Model. JAMA
Psychiatry. 2020;77 (10):996‑7.
10. Rodgers J, Cuevas AG, Williams DR, Kawachi I, Subramanian S.
The relative contributions of behavioral, biological, and
psychological risk factors in the association between psychosocial
stress and all‑cause mortality among middle‑and older‑aged
adults in the USA. GeroScience. 2021:1‑18.
11. Clompus S, Albarran J. Exploring the nature of resilience
in paramedic practice: A psycho‑social study. International
Emergency Nursing. 2016;28:1‑7.
12. Hugelius K, Berg S, Westerberg E, Gifford M, Adolfsson A.
Swedish ambulance managers’ descriptions of crisis support for
ambulance staff after potentially traumatic events. Prehospital
and disaster medicine. 2014;29 (6):589.
13. Lebares CC, Coaston TN, Delucchi KL, Guvva EV, Shen WT,
Staffaroni AM, et al. Enhanced Stress Resilience Training in
Surgeons: Iterative Adaptation and Biopsychosocial Effects in 2
Small Randomized Trials. Ann Surg. 2021;273 (3):424‑32.
14. Usul E, Şan İ, Bekgoz B. The Effect of the COVID‑19 Pandemic on
the Anxiety Level of Emergency Medical Services Professionals.
Psychiatria Danubina. 2020;32:563‑9.
15. Klimley KE, Van Hasselt VB, Stripling AM. Posttraumatic stress
disorder in police, firefighters, and emergency dispatchers.
Aggression and violent behavior. 2018;43:33‑44.
16. Mazhin SA, Khankeh H, Farrokhi M, Aminizadeh M,
Poursadeqiyan M. Migration health crisis associated with climate
change: A systematic review. Journal of education and health
promotion. 2020;9.
17. Purssell E. Can the Critical Appraisal Skills Programme check-lists
be used alongside Grading of Recommendations Assessment,
Development and Evaluation to improve transparency and
decision-making? Journal of advanced nursing. 2020;76 (4):1082‑9.
18. Bazazan A, Dianat I, Bahrampour S, Talebian A, Zandi H,
Sharafkhaneh A, et al. Association of musculoskeletal disorders
and workload with work schedule and job satisfaction among
emergency nurses. International emergency nursing. 2019;44:8‑13.
19. Farre A, Rapley T, editors. The new old (and old new) medical
model: four decades navigating the biomedical and psychosocial understandings of health and illness. Healthcare; 2017:
Multidisciplinary Digital Publishing Institute.
20. Erving CL, Satcher LA, Chen Y. Psychologically resilient, but
physically vulnerable? Exploring the psychosocial determinants
of African American women’s mental and physical health.
Sociology of Race and Ethnicity. 2021;7 (1):116‑33.
21. Rentscher KE, Carroll JE, Mitchell C. Psychosocial stressors and
telomere length: a current review of the science. Annual review
of public health. 2020;41:223‑45.
22. Wade DT, Halligan PW. The biopsychosocial model of illness:
a model whose time has come. SAGE Publications Sage UK:
London, England; 2017.
23. Nino L, Marchak F, Claudio D. Physical and mental workload
interactions in a sterile processing department. International
Journal of Industrial Ergonomics. 2020;76:102902.
24. Maake CS. Individual and collective exposure to workplace
violence of pre‑hospital Emergency Care providers in urban Cape
Town: Cape Peninsula University of Technology; 2020.
25. Kim ES, Delaney SW, Tay L, Chen Y, Diener ED, Vanderweele TJ.
Life Satisfaction and Subsequent Physical, Behavioral, and
Psychosocial Health in Older Adults. The Milbank Quarterly.
2021;99 (1):209‑39.
26. Delshad V, Khankeh H, Ebadi A, Bidzan M, Harouni G, Stueck M.
Psychobiological risk assessment in emergency medical service
drivers: study protocol for structural equation modeling. Health
Psychology Report. 2020;8 (1).
27. Copeland D, Henry M. The relationship between workplace
violence, perceptions of safety, and Professional Quality of Life
among emergency department staff members in a Level 1 Trauma
Centre. International Emergency Nursing. 2018;39:26‑32.
28. Afshari D, Jafarzadeh Z, Nakhaei M, Sahraneshin Samani A,
Nourollahi‑Darabad M. Mental Workload and Job Satisfaction
in Pre‑Hospital Emergency Technicians. Jundishapur Journal of
Health Sciences. 2020;12 (3).
29. Hames AM. African American Women with Type 2 Diabetes:
A Biopsychosocial‑Spiritual Approach. 2010.
30. Shields G, Slavich G. Lifetime stress exposure and health: a review
of contemporary assessment methods and biological mechanisms.
Soc. Personal. Psychol. Compass 11, e12335. 2017.
31. Rice V, Glass N, Ogle K, Parsian N. Exploring physical health
perceptions, fatigue and stress among health care professionals.
Journal of multidisciplinary healthcare. 2014;7:155.
32. Benatti B, Albert U, Maina G, Fiorillo A, Celebre L, Girone N,
et al. What happened to patients with obsessive compulsive
disorder during the COVID‑19 pandemic? A multicentre report
from tertiary clinics in northern Italy. Frontiers in Psychiatry.
2020;11:720.
33. Avraham N, Goldblatt H, Yafe E. Paramedics’ experiences and
coping strategies when encountering critical incidents. Qualitative
Health Research. 2014;24 (2):194‑208.
34. Hemsworth D, Baregheh A, Aoun S, Kazanjian A. A critical
enquiry into the psychometric properties of the professional
quality of life scale (ProQol‑5) instrument. Applied Nursing
Research. 2018;39:81‑8.
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