Relationships among Affect, Hardiness and Self-Efficacy in First Aid Provision by Airline Cabin Crew.

Yi-Chen Yu,Jyh-Chong Liang

doi:10.3390/ijerph18042108

Abstract

Cabin crews being first responders, passengers’ health assurance is also one of their main responsibilities. This study explored the association among first aid affect, work-related hardiness and self-efficacy of first aid, as well as the mediation role of work-related hardiness in airline cabin crews. Three self-reporting instruments were applied in this study: one was the first aid affect questionnaire, the second was a work-related hardiness questionnaire, the third was self-efficacy of the first aid questionnaire. Data were collected from 525 cabin crew members across five airlines in Taiwan (480 females and 45 males). The results showed that both exploratory and confirmatory factor analyses indicated that three instruments had satisfactory validity and reliability. Positive significant relationships were found among cabin crews’ first aid affect, work-related hardiness and self-efficacy of first aid. Cabin crews’ commitment dimension of work-related hardiness turned out to be positively related to self-efficacy of first aid. In addition, the results of the study also revealed that cabin crews’ work commitment plays a mediating role between their first aid affect and self-efficacy of first aid. To enhance the self-efficacy of first aid, it is necessary for the airlines to strengthen cabin crews’ work commitment. Furthermore, fostering cabin crews’ first aid affect is also one an important training goal.

Highlights

In order to examine the underlying structure of First Aid Affect (FAA), Work-Related Hardiness (WRH) and Self-Efficacy of First Aid (SEFA) in this study, exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and reliability analysis were carried out using the data from each of the three questionnaires
The results indicated that cabin crews’ work commitment partially mediated the relationships between their attitude toward first aid and their self-efficacy of first aid in REP and automated external defibrillator (AED)
We found that crews’ first aid affect and most of the dimensions in selfefficacy of first aid were positively correlated, which means that cabin crews with better attitude and more willingness toward first aid may have more confidence in their abilities to handle the situation during medical emergencies

Summary

Introduction

Cabin crews play an important role in dealing with aviation crisis situations They are the first responders to ensure the safety and comfort of airline passengers. Due to the narrow cabin space and limited medical equipment on the aircraft, managing medical emergencies and resuscitation could be highly stressful to cabin crews, especially when dealing with scared patients. It requires the cabin crew to have first aid knowledge and skills, and to remain calm under pressure, hold positive attitudes toward their work, and feel confident that they could perform first aid successfully.

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