Perceptions of collaboration between emergency nurses and paramedics

Collaboration between emergency room (ER) nurses and paramedics is vital due to the increasing number of critically ill patients entering the hospital via the "911" system. This descriptive study examined the perception of the collaborative relationship using the Revised Pehl Collaboration Scale (RPCS) and by qualitative data from four free response questions. The results of this study indicated that the overall relationship between the ER nurses and paramedics was friendly but not fully trusting. The content analysis of the free response questions identified that the "report" of patient information was the origin the most conflict. The nurses felt that paramedic patient assessment, patient priorities, and by-pass protocol were problems. Whereas, the paramedics identified the nurses condescending manner and mistrust, not being "listened" to, and overcrowded emergency rooms as the source of conflict. Data was not statistically significant with regards to personal attributes or social demographics from the RPCS.

Development of a personality profile of a firefighter

This study investigated the differences in personality, consistent with the vocational theory of personality as proposed by Holland (1997), for a modern day firefighter. This study also investigates the relationships between personality characteristics and job duties performed by firefighters and firefighter-paramedics. Archival data from employees (N = 98) of a Southeastern Florida fire department who completed the Hogan Personality Inventory (HPI), Hogan Development Survey (HDS) and Motives, Values, Preferences Inventory (MVPI), as well as a self-report questionnaire on variety proneness (boredom), job satisfaction, and affective well-being data were analyzed. The scores of the firefighters on the HPI, HDS, and MVPI were used as predictive data, and criterion data used in this study were self-report satisfaction data on job involvement, variety proneness (boredom), and affective well-being. In addition, criterion data on performance were obtained from the employment histories of the participants, and were correlated with the personality scale scores to determine if personality is predictive of aspects of performance. ^ Participants in this study varied with respect to the type of firefighter duties required from them on their jobs. The participants were categorized into three duty classifications: Group 1 (G1) are the firefighters hired before 1990 and are only certified as firefighters; Group 2 (G2) are the firefighters hired before 1990 who became paramedics at some point after employment and after fire college training; and Group 3 (G3) are the firefighters hired after 1990 who were trained as paramedics in the fire college and who were aware of the paramedic requirement at time of application or were already trained as paramedics at the time of application. From the research reviewed and presented in this paper, hypotheses were generated about differences between the personality types of firefighter groups G1 and G2 versus G3, in accordance with Holland's theories. In addition, it was hypothesized that personality will predict outcomes of satisfaction and performance. ^ Results found that job satisfaction was not found to be statistically different among the groups. However, the groups differed significantly on 5 of the predictive instrument scales, and personality was found to be a predictor of limited performance data. ^

Hyponatremia in Endurance Athletes

The purpose of this paper was to identify the relationship between hyponatremia, or water intoxication, and endurance athletes. Athletic trainers and paramedics must be educated about this potentially fatal problem and be able to determine the appropriate treatment for a hyponatremic athlete.

Intra -organizational turnover in a self -selective team environment

Four-hundred twenty-seven firefighter/paramedics and firefighter/emergency medical technicians completed questionnaires regarding past and current turnover decisions. The employees, who work in teams of either three or four, have a collective bargaining benefit that allows them to "bid for" (request) new positions/teams every six months; positions are awarded on the basis of seniority. Because employees are leaving neither the organization nor their job, the "bid" process creates intra-organizational turnover on a regular basis. It was hypothesized that those individuals higher in teamwork/social cohesion expectations, higher in interpersonal orientation, and lower in conflict tolerance would report placing greater importance on interpersonal reasons (teamwork/social cohesion) in past bid/assignment decisions. Creation of a conflict tolerance scale was the goal of a preliminary study. It was further hypothesized that current bid/assignment satisfaction would predict the current turnover decision (during the cycle in which the study was conducted), and that past individual turnover frequency would also predict current turnover. All hypotheses were supported. ^