caa a22 4500 606210865 CHVBK 20210128101035.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s10926-014-9562-1 doi (NATIONALLICENCE)springer-10.1007/s10926-014-9562-1 Development of a Comprehensive Programme to Prevent and Reduce the Negative Impact of Railway Fatalities, Injuries and Close Calls on Railway Employees [Elektronische Daten] [Cécile Bardon, Brian Mishara] Aim This article presents a strategy to prevent trauma, support and care for railway personnel who experience critical incidents (CI) on the job, usually fatalities by accident or suicide. Method We reviewed all publications on CI management, support and care practices in the railway industry, as well as practices in place in Canada (unpublished protocols). Semi structured interviews were conducted with 40 train engineers and conductors involved in CIs and the content was coded and analysed quantitatively. Results Employees' satisfaction with the help received after the incident varies according to the behaviour of the local manager, company officers and police, the level of compliance with existing company protocols to help them, the presence of unmet expectations for support and care, their perceived competency of clinicians they consulted and the level of trust toward their employers. Conclusion On the basis of the interview results, the review of existing railway practices and discussions with railway stakeholders, a model protocol was developed for a comprehensive workplace prevention, support and care protocol to reduce the negative impact of railway critical incidents on employees. This protocol includes preventive actions before traumatic events occur, immediate responses at the site of incident, interventions within the first few days after the incident and longer term support and interventions provided by the company and by outsourced experts. Springer Science+Business Media New York, 2015 Railway nationallicence Fatalities nationallicence Workplace nationallicence Trauma nationallicence Prevention nationallicence Intervention nationallicence Bardon Cécile Center for Research and Intervention on Suicide and Euthanasia (CRISE), Université du Québec À Montréal (UQAM), c.p. 8888, Succ. Centre-Ville, H3C 3P8, Montréal, QC, Canada aut Mishara Brian Center for Research and Intervention on Suicide and Euthanasia (CRISE), Université du Québec À Montréal (UQAM), c.p. 8888, Succ. Centre-Ville, H3C 3P8, Montréal, QC, Canada aut Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/3(2015-09-01), 557-568 1053-0487 25:3<557 2015 25 10926 https://doi.org/10.1007/s10926-014-9562-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10926-014-9562-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bardon Cécile Center for Research and Intervention on Suicide and Euthanasia (CRISE), Université du Québec À Montréal (UQAM), c.p. 8888, Succ. Centre-Ville, H3C 3P8, Montréal, QC, Canada aut NATIONALLICENCE 700 1- Mishara Brian Center for Research and Intervention on Suicide and Euthanasia (CRISE), Université du Québec À Montréal (UQAM), c.p. 8888, Succ. Centre-Ville, H3C 3P8, Montréal, QC, Canada aut NATIONALLICENCE 773 0- Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/3(2015-09-01), 557-568 1053-0487 25:3<557 2015 25 10926