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Cumulative, high-stress calls impacting adverse events among law enforcement and the public

机译:累积,高压力呼叫影响执法和公众之间的不良事件

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BACKGROUND:The unpredictable, and sometimes dangerous, nature of the occupation exposes officers to both acute and chronic stress over law enforcement officers' (LEO) ?tenure. The purpose of this study is two-fold: 1) Describe multi-level characteristics that define high-stress calls for service for LEO; and 2) Characterize factors that impact cumulative stress over the course of a LEO's shift.METHODS:Qualitative data were collected from 28 LEOs at three law enforcement agencies in the Dallas-Fort Worth areas from April 2019 to February 2020. Focus group data were iteratively coded by four coders using inductive and deductive thematic identification.RESULTS:Five multi-level factors influenced officer stress: 1) officer characteristics (e.g. military experience; gender); 2) civilian behavior (e.g. resistance, displaying a weapon); 3) supervisor factors (micromanagement); 4) environmental factors (e.g. time of year); and, 5) situational factors (e.g. audience present; complexity of calls). Four themes that characterized cumulative stress: 1) cyclical risk; 2) accelerators; 3) decelerators; and 4) experience of an adverse event.CONCLUSIONS:LEOs become susceptible to adverse events (e.g. injury, excessive use of force) after repeated exposure to high-stress calls for service. Ongoing exposures to stress continue to occur throughout the shift. Our long-term goal is to interrupt this repetitive, cumulative process by restricting the number of consecutive high-risk, high-intensity calls an officer is permitted to respond to.
机译:背景:占用的不可预测,有时危险,性质将官员暴露于执法人员(Leo)(Leo)?任职人员对急性和慢性压力。本研究的目的是两倍:1)描述定义高应力呼叫的多级特征,用于LEO的服务; 2)表征了在Leo的转变过程中影响累积压力的因素。方法:从2019年4月到2020年4月的达拉斯 - 堡垒的三个执法机构的三个执法机构收集了定性数据。焦点组数据迭代使用归纳和演绎专题识别的四个编码器编码。结果:五个多级因素影响干事压力:1)官员特征(例如军事经验;性别); 2)平民行为(例如,抵抗,展示武器); 3)主管因素(微互动); 4)环境因素(例如一年中的时间);和5)情境因素(例如观众存在;电话的复杂性)。四个主题表征累积应力:1)周期性风险; 2)加速器; 3)减速器; 4)对不良事件的经验。结论:LEOS在重复接触到服务的高压力呼叫后,leos变得易受不良事件(例如伤害,过度使用力)。在整个班次中继续发生压力的持续暴露。我们的长期目标是通过限制连续高风险,高强度呼叫官员的次数来打断这一重复,累积的过程。

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