Date of Conferral

2023

Degree

Ph.D.

School

Public Policy and Administration

Advisor

Bruce Lindsay

Abstract

Heart attacks have been the leading cause of on-duty firefighter fatalities for many years. Firefighters are subjected to health risks due to occupational practices and exposure to hazards. Firefighter fatality investigative reports suggest that comprehensive medical screenings consistent with the National Fire Protection Association (NFPA) 1582 standard would reduce deaths from heart attacks. The purpose of this study was to explore the extent to which fire departments comply with the NFPA 1582 standard. Using contextual interaction theory and a generic qualitative inquiry design, data were collected from fire departments that had a heart attack-related firefighter fatality incident. Semistructured interviews were conducted with twelve fire chiefs and relevant documents were reviewed. Data analysis was performed using an inductive approach to thematic analysis. The findings revealed that most fire departments were not fully compliant with NFPA1582. Firefighter fatality incidents did not improve compliance in fire departments that were partially or noncompliant with the standard. Fiscal resources, medical resources, and fire chief lack of autonomy to implement policies were among the challenges and barriers to compliance with NFPA 1582. Recommendations to improve compliance with NFPA 1582 include seeking grant-funding opportunities, establishing collaborative relationships with parties with shared responsibility, and providing guidance to members and healthcare professionals on NFPA 1582. The findings of this study have potential implications for positive social change by improving or enhancing the health, safety, and well-being of firefighters to help protect the lives of these first responders.

Download

Share

 
COinS