P130 The lived experience of shift work, sleep loss and fatigue in Australian paramedics

Abstract

Abstract Introduction Paramedics are essential health workers, and are regularly exposed to shift work, which negatively impacts sleep and fatigue. Paramedics also experience adverse mental health outcomes and sleep disorders at higher rates than the general population. Consequently, retention and occupational burnout issues are common. However, the relationship between shift work, sleep disorders, fatigue, and mental wellbeing in paramedics is poorly understood, limiting our ability to design and implement effective interventions. Method This study uses a qualitative action research design involving one-to-one interviews, with an intended sample of 30 paramedics (completion Aug 2022). The Scenario Invention Task Technique is used, requiring workers to explore how they engage and interact with their work. Participants generate challenging scenarios specific to their work when feeling rested, and then consider the same scenario when feeling extremely fatigued. Data are analysed using an inductive thematic structure. Results Analysis of preliminary data (n=10) indicates sleep loss and fatigue negatively impact workers’ ability to manage challenging scenarios and the self-regulation of emotions. While participants know sleep problems impact their wellbeing, limited knowledge on identification and management of sleep disorders is apparent. Early findings suggest an optimal window for better sleep education would be during internship, and paramedics suggest the information needs to be provided by an expert, and trusted, voice. Discussion Study findings will help inform sleep education, screening and support toolkits about sleep, fatigue and shift work tailored to paramedics in order to support wellbeing and sustainable careers.