This report presents a comprehensive literature review on the management of Post-Traumatic Stress Disorder (PTSD) among frontline staff in the ambulance service. The author, a Locality Manager within an NHS Trust, investigates the increasing rates of PTSD, anxiety, and depression among their staff, emphasizing the impact on sickness absence. The review explores the causes, symptoms, and effects of PTSD, including intrusion, avoidance, alterations in cognition and mood, and alterations in reactivity and arousal. The report also examines the role of occupational factors, such as the demanding pre-hospital environment and unpredictable shift patterns, in contributing to mental health issues. The author utilizes sickness absence data, a GANT chart, and a PICO table to structure their research and analysis. The literature review covers various studies highlighting the importance of training, support, and early intervention strategies. The report concludes with a discussion of the challenges and the need for improved management strategies to support the well-being of ambulance staff, and suggests practical solutions for the NHS, emphasizing the importance of building welfare into everyday working practice.
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