Evidence map›Paper›PMID 35206301›Full record

ArticleInternational journal of environmental research and public health2022

Role Identity, Dissonance, and Distress among Paramedics.

Justin Mausz, Elizabeth Anne Donnelly, Sandra Moll, Sheila Harms, Meghan McConnell

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
12.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 34 citations in OpenAlex.

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  14. Financial medicine as a source of moral distress: An unrecognised pathway to moral injury in the South African EMS systems.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023
    Article
  15. Exploring paramedic professional identity.British paramedic journal · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Justin MauszPeel Regional Paramedic Services, Brampton, ON L6V 4R5, Canada.ORCID 0000-0001-6955-5387
Elizabeth Anne DonnellySchool of Social Work, The University of Windsor, Windsor, ON N9A 0C5, Canada.ORCID 0000-0001-9942-3203
Sandra MollSchool of Rehabilitation Sciences, McMaster University, Hamilton, ON L8S 1C7, Canada.ORCID 0000-0002-1937-0103
Sheila HarmsDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L8N 3K7, Canada.ORCID 0000-0002-1172-2557
Meghan McConnellDepartment of Innovation in Medical Education, Faculty of Medicine, The University of Ottawa, Ottawa, ON K1G 5Z3, Canada.ORCID 0000-0002-8721-2107
McMaster University · CAImpact · CAUniversity of Ottawa · CAUniversity of Windsor · CA

Funding

CIHR 201809PPS
6 · The paper itself

Abstract

Role identity theory describes the purpose and meaning in life that comes, in part, from occupying social roles. While robustly linked to health and wellbeing, this may become unideal when an individual is unable to fulfill the perceived requirements of an especially salient role in the manner that they believe they should. Amid high rates of mental illness among public safety personnel, we interviewed a purposely selected sample of 21 paramedics from a single service in Ontario, Canada, to explore incongruence between an espoused and able-to-enact paramedic role identity. Situated in an interpretivist epistemology and using successive rounds of thematic analysis, we developed a framework for role identity dissonance wherein chronic, identity-relevant disruptive events cause emotional and psychological distress. While some participants were able to recalibrate their sense of self and understanding of the role, for others, this dissonance was irreconcilable, contributing to disability and lost time from work. In addition to contributing a novel perspective on paramedic mental health and wellbeing, our work also offers a modest contribution to the theory in using the paramedic context as an example to consider identity disruption through chronic workplace stress.

Indexed as

Emergency Medical TechniciansOccupational StressAllied Health PersonnelHumansMental HealthOntariofirst respondersmental disordersmental healthoperational stress injuriespost-traumatic stress injuriespublic safety personnelqualitative researchrole identity theorytraumawellbeing

Identifiers

PMID35206301
PMCPMC8871672
OpenAlexW4213368693

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.