@article{ref1,
title="Development and validation of an instrument to measure work-related stress among rescue workers in traumatic mass-casualty disasters",
journal="International journal of environmental research and public health",
year="2021",
author="Chen, Yu-Long and Tzeng, Wen-Chii and Chao, En and Chiang, Hui-Hsun",
volume="18",
number="16",
pages="e8340-e8340",
abstract="Rescue workers are a population at high-risk for mental problems as they are exposed to work-related stress from confrontation with traumatic events when responding to a disaster. A reliable measure is needed to assess rescue workers' work-related stress from their surveillance of a disaster scene to help prevent severe PTSD and depressive symptoms. The purpose of this study was to develop and validate the Work-Related Stress Scale (WRSS) designed to measure stress in rescue workers after responding to traumatic mass-casualty events. An exploratory sequential mixed methods procedure was employed. The qualitative phase of the item generation component involved in-depth interviews of 7 experienced rescue workers from multiple specialties who had taken part in 1 or 2 mass-casualty events: the 2018 Hualien earthquake or the 2016 Tainan earthquake. In the quantitative phase, a modified Delphi approach was used to achieve consensus ratings by the same 7 raters on the items and to assess content validity. Construct validity was determined by confirmatory factor analysis using a broader sample of 293 rescue workers who had taken part in 1 of 2 mass-casualty events: the 2018 Hualien earthquake or the 2021 Hualien train derailment. The final WRSS consists of 16 items total and 4 subscales: Physical Demands, Psychological Response, Environmental Interruption, and Leadership, with aggregated alphas of 0.74-0.88. The WRSS was found to have psychometric integrity as a measure of stress in rescue workers after responding to a disaster.<p /> <p>Language: en</p>",
language="en",
issn="1661-7827",
doi="10.3390/ijerph18168340",
url="http://dx.doi.org/10.3390/ijerph18168340"
}