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The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness
This research study aimed to explore the psycho-social impact of stress endured by frontline emergency medical services providers during COVID-19 pandemic and to develop a framework for enhancing their wellness during healthcare crises of the same or similar nature. Prior to the pandemic, emergency...
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| Format: | Thesis |
| Language: | Eng |
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Division of Emergency Medicine
2025
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| _version_ | 1867613270563618816 |
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| access_status_str | Open Access |
| author | Cermak, Radomir |
| author2 | Cunningham, Charmaine |
| author_browse | Cermak, Radomir Cunningham, Charmaine |
| author_facet | Cunningham, Charmaine Cermak, Radomir |
| author_sort | Cermak, Radomir |
| collection | Thesis |
| description | This research study aimed to explore the psycho-social impact of stress endured by frontline emergency medical services providers during COVID-19 pandemic and to develop a framework for enhancing their wellness during healthcare crises of the same or similar nature. Prior to the pandemic, emergency medical services providers faced high occupational stress within their work environment, which was characterised by exposure to traumatic scenes and high-stress conditions. The COVID-19 crisis added unique pressures, including increased mortality rates, higher exposure to the virus, and lack of resources emphasising the need for improved wellness strategies. Conducted as a qualitative design, using instrumental case study at the Western Cape Government Emergency Medical Services, Khayelitsha base, Cape Town, this research delved into the experiences of emergency medical care providers during the pandemic, the psycho-social effects the pandemic had on these providers, the coping strategies employed during the crisis and the wellness-enhancing aspects within the context of a health crisis, such as the COVID-19 pandemic. The study data was obtained using one-on-one interviews with a sample of thirty emergency medical care providers and focus group interviews with nine managers from the Western Cape Government Emergency Medical Services, Khayelitsha base, Cape Town, who were operational during the pandemic. The samples included both staff who became infected with COVID-19 but recovered and those that did not contract COVID-19. The qualitative data was analysed using thematic analysis to identify key themes and patterns in the participants' responses. The findings propose a structural framework for bolstering the wellness of emergency medical services providers, within four wellness contexts of spirituality, family, work, and community, with suggested interventions in each context The findings highlight the importance of recognising and addressing the mental and social toll that emergency medical care work during the COVID-19 pandemic had on providers, as well as the need for ongoing preparation, support and resilience building in high-stress situations, such as the COVID-19 pandemic. The proposed framework may provide basis for further implementation of specific psycho-social interventions within emergency medical services work environment and inform policy development in this regard. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/41521 |
| institution | University of Cape Town (South Africa) |
| language | Eng |
| last_indexed | 2026-06-10T12:33:28.738Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Division of Emergency Medicine |
| publisherStr | Division of Emergency Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/41521 The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness Cermak, Radomir Cunningham, Charmaine Medicine This research study aimed to explore the psycho-social impact of stress endured by frontline emergency medical services providers during COVID-19 pandemic and to develop a framework for enhancing their wellness during healthcare crises of the same or similar nature. Prior to the pandemic, emergency medical services providers faced high occupational stress within their work environment, which was characterised by exposure to traumatic scenes and high-stress conditions. The COVID-19 crisis added unique pressures, including increased mortality rates, higher exposure to the virus, and lack of resources emphasising the need for improved wellness strategies. Conducted as a qualitative design, using instrumental case study at the Western Cape Government Emergency Medical Services, Khayelitsha base, Cape Town, this research delved into the experiences of emergency medical care providers during the pandemic, the psycho-social effects the pandemic had on these providers, the coping strategies employed during the crisis and the wellness-enhancing aspects within the context of a health crisis, such as the COVID-19 pandemic. The study data was obtained using one-on-one interviews with a sample of thirty emergency medical care providers and focus group interviews with nine managers from the Western Cape Government Emergency Medical Services, Khayelitsha base, Cape Town, who were operational during the pandemic. The samples included both staff who became infected with COVID-19 but recovered and those that did not contract COVID-19. The qualitative data was analysed using thematic analysis to identify key themes and patterns in the participants' responses. The findings propose a structural framework for bolstering the wellness of emergency medical services providers, within four wellness contexts of spirituality, family, work, and community, with suggested interventions in each context The findings highlight the importance of recognising and addressing the mental and social toll that emergency medical care work during the COVID-19 pandemic had on providers, as well as the need for ongoing preparation, support and resilience building in high-stress situations, such as the COVID-19 pandemic. The proposed framework may provide basis for further implementation of specific psycho-social interventions within emergency medical services work environment and inform policy development in this regard. 2025-07-03T13:02:08Z 2025-07-03T13:02:08Z 2025 2025-07-03T12:58:48Z Thesis / Dissertation Doctoral PhD http://hdl.handle.net/11427/41521 Eng application/pdf Division of Emergency Medicine Faculty of Health Sciences University of Cape town |
| spellingShingle | Medicine Cermak, Radomir The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness |
| thesis_degree_str | Doctoral |
| title | The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness |
| title_full | The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness |
| title_fullStr | The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness |
| title_full_unstemmed | The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness |
| title_short | The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness |
| title_sort | impact of the covid 19 pandemic on ems practitioners in the western cape strategies to enhance wellness |
| topic | Medicine |
| url | http://hdl.handle.net/11427/41521 |
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