The association of job demands and resources with burnout among emergency medical services professionals
The association of job demands and resources with burnout among emergency medical services professionals
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DOI：
10.1002/emp2.12014
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发表时间：
2020-02-01
影响因子：
2.3
通讯作者：
Ferketich, Amy K.
中科院分区：
文献类型：
--
作者：
Crowe, Remle P.;Fernandez, Antonio R.;Ferketich, Amy K.
目的：尽管倦怠与工作场所层面的负面影响有关，但之前的研究主要集中在个人而不是与工作相关的特征上。本研究旨在评估机构之间的倦怠变化和量化的倦怠和工作相关的需求/资源之间的关系，紧急医疗服务（EMS）professionals.Methods：电子问卷发送到所有持牌，执业EMS专业人员在南卡罗来纳州。工作相关的倦怠使用哥本哈根倦怠量表。多变量广义估计方程被用来估计特定的工作需求和资源的优势比（OR），同时调整混杂变量。综合得分被用来同时评估职业倦怠和工作相关的需求和resources.Results之间的关系：在1271 EMS专业人员在248 EMS机构工作，机构级职业倦怠的中位数为35%（四分位距[IQR]：13%至50%）。与工作相关的需求，包括时间压力，与倦怠增加。传统的与工作相关的资源，包括工资和福利，与减少倦怠有关。较无形的工作资源，包括自主权，临床表现反馈，社会支持，并充分的培训表现出较强的协会减少倦怠。EMS专业人员面临高工作要求和低工作资源表现出近10倍的增长，与那些暴露于低要求和高资源的职业倦怠的几率（调整OR [aOR]：9.50，95%置信区间[CI]：6.39-14.10）。高的工作资源衰减的影响，高的工作demands.Conclusion：EMS专业人员经历倦怠的比例变化很大，在EMS机构。工作资源，包括那些反映组织文化，与减少倦怠。总的来说，这些研究结果表明，有机会解决职业倦怠在EMS机构一级。
Objective: Although burnout has been linked to negative workplace-level effects, prior studies have primarily focused on individuals rather than job-related characteristics. This study sought to evaluate variation in burnout between agencies and to quantify the relationship between burnout and job-related demands/resources among emergency medical services (EMS) professionals.Methods: An electronic questionnaire was sent to all licensed, practicing EMS professionals in South Carolina. Work-related burnout was measured using the Copenhagen Burnout Inventory. Multivariable generalized estimating equations were used to estimate odds ratios (ORs) for specific job demands and resources while adjusting for confounding variables. Composite scores were used to simultaneously assess the relationship between burnout and job-related demands and resources.Results: Among 1271 EMS professionals working at 248 EMS agencies, the median agency-level burnout was 35% (interquartile range [IQR]: 13% to 50%). Job-related demands, including time pressure, were associated with increased burnout. Traditional job-related resources, including pay and benefits, were associated with reduced burnout. Less tangible job resources, including autonomy, clinical performance feedback, social support, and adequate training demonstrated strong associations with reduced burnout. EMS professionals facing high job demands and low job resources demonstrated nearly a 10-fold increase in odds of burnout compared with those exposed to low demands and high resources (adjusted OR [aOR]: 9.50, 95% confidence interval [CI]: 6.39-14.10). High job resources attenuated the impact of high job demands.Conclusion: The proportion of EMS professionals experiencing burnout varied substantially across EMS agencies. Job resources, including those reflective of organizational culture, were associated with reduced burnout. Collectively, these findings suggest an opportunity to address burnout at the EMS agency level.