Date

12-4-2025

Department

School of Health Sciences

Degree

Doctor of Philosophy in Health Sciences (PhD)

Chair

Keith Pelletier

Keywords

Cognitive Fatigue, EMS personnel, decision-making abilities

Disciplines

Medicine and Health Sciences

Abstract

The purpose of this dissertation was to delve into the urgent and pervasive issue of cognitive fatigue in Emergency Medical Services (EMS) personnel, a critical yet often overlooked aspect of healthcare delivery. EMS personnel operate in high-stress, unpredictable environments, frequently working long hours and overnight shifts, which can lead to significant fatigue. This study aimed to identify the primary causes of cognitive fatigue in this population, examine its impact on decision-making abilities and patient care outcomes, and evaluate the effectiveness of current fatigue management strategies. The research employed a comprehensive mixed-methods approach, combining quantitative data from surveys and qualitative data from semi-structed interviews. The findings of this research are expected to significantly contribute to a deeper understanding of cognitive fatigue in EMS personnel, its implications for healthcare delivery, and the development of effective strategies to mitigate its effects. The study underscores the importance of addressing cognitive fatigue in EMS personnel as a matter of occupational health and safety and as a factor in the quality of patient care. This research is significant as it contributes to the academic discourse on fatigue in healthcare professionals and provides practical, actionable recommendations for EMS organizations, policy-makers, and practitioners to improve working conditions and patient care outcomes.

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