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An Assessment of Burnout among Emergency Medical Services Professionals
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| 자료유형 | 학위논문 |
|---|---|
| 서명/저자사항 | An Assessment of Burnout among Emergency Medical Services Professionals. |
| 개인저자 | Crowe, Remle Patricia . |
| 단체저자명 | The Ohio State University. Public Health. |
| 발행사항 | [S.l.]: The Ohio State University., 2018. |
| 발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2018. |
| 형태사항 | 245 p. |
| 기본자료 저록 | Dissertations Abstracts International 81-05B. Dissertation Abstract International |
| ISBN | 9781687936950 |
| 학위논문주기 | Thesis (Ph.D.)--The Ohio State University, 2018. |
| 일반주기 |
Source: Dissertations Abstracts International, Volume: 81-05, Section: B.
Advisor: Ferketich, Amy. |
| 이용제한사항 | This item must not be sold to any third party vendors. |
| 요약 | Background: Emergency medical services (EMS) professionals routinely face high demands, physically, mentally, and emotionally. Due to the intense demands characteristic of providing prehospital care, EMS professionals may be at increased risk for occupational burnout. Burnout is a condition characterized by extreme emotional and physical exhaustion that has been associated with negative effects for employees and their workplaces. The overarching goal of this project was to inform the development of interventions to reduce the negative impact of burnout and improve the well-being of EMS professionals. The objectives were three-fold: 1) quantify burnout at the EMS agency level and identify associated agency characteristics, 2) identify specific job characteristics associated with burnout, and 3) quantify the link between burnout, turnover, sickness absence, and occupational injury.Methods: To answer Aims 1 and 2, an electronic questionnaire was designed to assess burnout and job characteristics. The questionnaire was deployed to all licensed, practicing EMS professionals in the state of South Carolina. Agency rosters maintained through the state credentialing information system were used to aggregate data. For Aim 3, an observational cohort study was conducted at a large, county-based EMS agency in North Carolina. Burnout was measured at baseline using an electronic questionnaire. Turnover, sickness absence, and occupational injuries were assessed prospectively using records maintained by the EMS agency. In both studies, burnout was measured using the work-related and patient-related subscales of the Copenhagen Burnout Inventory.Results: The statewide cross-sectional assessment revealed variation in the prevalence of burnout across EMS agencies. Further, annual call volume and the number of EMS employees were agency characteristics associated with the prevalence of both work-related and patient-related burnout. Important job demands associated with both burnout domains included time pressure, posting in an emergency vehicle, and components of the base environment (e.g., having a place to eat/prepare food). Important job resources associated with work-related and patient-related burnout included performance feedback, paid uniforms, tuition assistance, job control, a participatory work environment, respect from supervisors, and adequate training. High job demands and low job resources were associated with a dramatic increase in odds of burnout. The relationship between high job demands and increased odds of burnout as attenuated by high job resources. Meanwhile, the prospective cohort study findings suggested a link between burnout and increased turnover and sickness absence, though statistical significance was not reached. No significant relationship was identified between burnout and occupational injury in this study.Conclusions: Increased burnout may negatively impact EMS professionals and agencies through increased sickness absence and turnover. Variation in burnout between agencies and the strong link between burnout and job characteristics suggest that burnout can be affected at the level of the EMS agency. Increasing job resources may have a positive impact on agencies, especially when job demands are high and not easily modified. |
| 일반주제명 | Epidemiology. Public health. |
| 언어 | 영어 |
| 바로가기 | 
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