The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness

dc.contributor.advisorCunningham, Charmaine
dc.contributor.authorCermak, Radomir
dc.date.accessioned2025-07-03T13:02:08Z
dc.date.available2025-07-03T13:02:08Z
dc.date.issued2025
dc.date.updated2025-07-03T12:58:48Z
dc.description.abstractThis 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.
dc.identifier.apacitationCermak, R. (2025). <i>The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness</i>. (). University of Cape town ,Faculty of Health Sciences ,Division of Emergency Medicine. Retrieved from http://hdl.handle.net/11427/41521en_ZA
dc.identifier.chicagocitationCermak, Radomir. <i>"The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness."</i> ., University of Cape town ,Faculty of Health Sciences ,Division of Emergency Medicine, 2025. http://hdl.handle.net/11427/41521en_ZA
dc.identifier.citationCermak, R. 2025. The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness. . University of Cape town ,Faculty of Health Sciences ,Division of Emergency Medicine. http://hdl.handle.net/11427/41521en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Cermak, Radomir AB - 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. DA - 2025 DB - OpenUCT DP - University of Cape Town KW - Medicine LK - https://open.uct.ac.za PB - University of Cape town PY - 2025 T1 - The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness TI - The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness UR - http://hdl.handle.net/11427/41521 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/41521
dc.identifier.vancouvercitationCermak R. The impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness. []. University of Cape town ,Faculty of Health Sciences ,Division of Emergency Medicine, 2025 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/41521en_ZA
dc.language.rfc3066Eng
dc.publisher.departmentDivision of Emergency Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.institutionUniversity of Cape town
dc.subjectMedicine
dc.titleThe impact of the COVID-19 pandemic on EMS practitioners in the Western Cape: strategies to enhance wellness
dc.typeThesis / Dissertation
dc.type.qualificationlevelDoctoral
dc.type.qualificationlevelPhD
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