The purpose of this study is to determine how nonroutine acts performed by iii trained emergency workers developed into routine emergency acts and skills. I will be specifically looking for concepts that are common throughout the different types of emergency workers that will be interviewed. The data is gathered from focus groups that were recruited from classes on campus. In particular the results depict some very common techniques used in training that allowed the workers to feel confident about their role in emergencies. These tended to include repetition of "classroom training, "but more importantly from the viewpoint of the workers, repetition of simulated emergencies. The development of autonomy in decision making was an important facet for workers whose work "territory" was varied; however, autonomy was rarely stressed for those in relatively constant surroundings such as pools. Several commonalities were found throughout each field. These included interruptions, self-efficacy, the use of judgment and tacit knowledge. Many of the participants also expressed the same sentiment towards their feelings of the training and its efficiency. Some research will also show attempts to change policy and training within emergency workers in order to improve job performance and enhance the safety of the public as well. I will include a small statistical appendix that looks at the satisfaction level of evacuees who fled to Houston, Texas when Hurricane Katrina hit. Five specific factors were examined and regressed to determine satisfaction levels. Only two factors showed any type of significance. As the discussion will indicate, certain previous factors, before the hurricane hit, are believed to be the cause of these particular results.

This diploma thesis deals the negative aspects of lifestyle of emergency workers in South Bohemia. The theoretical part describes the Integrated Rescue System and facility of emergency medical services. It also describes the concept of lifestyle and its possible negative aspects of nutrition, physical activity, stress, burnout syndrome, sleep quality and addictive substance abuse. For quantitative research were used a survey, which was attended by a total of 72 emergency workers belonging to area of České Budějovice. The practical part evaluates the responses and compares them with those hypotheses. The main identified negative aspects of lifestyle among respondents is: lack of physical activity, irregular eating habits, lack of sleep, irregular regeneration and relaxation, excessive stress and the impact of experiences from work to personal life.

Le stress professionnel est un problème de santé publique en France. Néanmoins, peu de travaux français l’abordent auprès des Métiers de l’Urgence. Notre travail s’oriente autour de trois axes : i) l’adaptation et la validation du JSS aux (SP) (étude 1) ; ii) l’évaluation des modèles explicatifs du BO et du stress professionnel auprès de ces métiers (études 2, 3 et 4) et iii) la mise en place d’un programme de prévention secondaire sur 6 semaines (étude 5). Méthode : Pour les études 1 à 4, les SPP et les professionnels du SMUR ont répondu à des questionnaires centrés sur la psychopathologie du stress au travail, la personnalité et le coping. Quant à l’étude 5, l’efficacité du programme de prévention a été testée auprès de deux groupes de SPP (groupe contrôle versus groupe d’intervention) au travers de questionnaires sur le stress et le BO à trois temps de mesure (avant, après et trois mois après la fin du programme). Résultats : Le stress professionnel se caractérise par les dimensions « Pression professionnelle » et « Travail opérationnel ». En interaction avec certains patterns tempéramentaux, ces dimensions expliquent pour une part le BO. Quant au programme de prévention, une diminution de la sévérité des symptômes de stress et de BO est à noter entre le début et la fin du programme pour le groupe d’intervention. Conclusion : Travailler sur le stress professionnel nécessite une approche qualitative et quantitative du phénomène permettant une vision plus complète. Ceci permettra également d’adapter des programmes de prévention centrés tant sur l’individu que sur son environnement professionnel. / Occupational stress is a national health issue in France. However, few studies tackle it amongst the French Emergency workers. Our work focuses on three areas: i) the adaptation and validation of the Job stress survey among French firefighters (Study 1), ii) the evaluation of job stress and explanatory models of BO within these population (Studies 2, 3 and 4) and iii) the implementation of a secondary prevention program for 6 weeks (Study 5). Methodology: For the 1-4 studies, both firefighters and craft workers responded to questionnaires focused on the stress psychopathology at work, personality and coping. As for study 5, the effectiveness of the prevention program has been tested with two groups of professional firefighters: control group versus intervention group; through questionnaires on stress and BO. Three time measurement have been retained, namely before, after and three months after the end of the program. Results: The stress is characterized by two dimensions, namely the "job pressure at work" and the "operational work". In Interaction with some temperamental patterns; these two dimensions explain in part the BO. As for the prevention program, a decrease in the severity of both stress and BO symptoms is noted between the beginning and end of the program for the intervention group. Conclusion: Working on occupational stress requires a qualitative and quantitative approach allowing a more comprehensive vision. This will also adapt prevention programs focused on both the individual and its work environment.