The current study employed a quantitative non-experimental design to examine the relationships between moral injury (MI), perceived supervisor leadership style, and risk of suicidal thoughts and behaviors (STB) in a purposive sample of full-time paramedics who provided patient care as a primary responsibility of their employment with emergency response organizations in Texas. Participants rated their perceptions of MI, leadership behaviors of their current supervisor, and statements related to past and present STB. The findings revealed small-to-medium positive relationships between STB risk and MI dimensions, passive avoidant leadership dimensions, and active management by exception. There were small negative relationships between transformational leadership dimensions, provision of contingent rewards, age, and length of service. There was no significant difference in STB risk between males and females or perceptions of leadership style between paramedics with a past history of STB and those without. Paramedics with a history of STB reported higher MI scores than those without. A stepwise multiple regression with cross-validation provided a predictive model with MI and Idealized Behaviors emerging as significant predictors of STB risk. The current study validated the construct of paramedic MI, provided empirical support for a relationship between leadership and paramedic follower well-being, and established a model for predicting paramedic STB risk based on MI and perceived supervisor leadership.
|Commitee:||Keller, Kenton, Kavli, Suzanne|
|School:||Dallas Baptist University|
|Department:||Gary Cook Graduate School of Leadership|
|School Location:||United States -- Texas|
|Source:||DAI-A 82/9(E), Dissertation Abstracts International|
|Subjects:||Mental health, Management, Health care management|
|Keywords:||EMS, Moral Injury, Suicidal Thoughts and Behaviors, transformational leadership, Supervisor leadership, Texas, Paramedics|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be