Stress, Work Overload, Burnout, and Satisfaction among Paramedics in Israel

Stress, Work Overload, Burnout, and Satisfaction among Paramedics in Israel
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DOI:
10.1017/s1049023x00006385
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发表时间:
2008-12-01
影响因子:
2.2
通讯作者:
Halpern, Pinchas
Halpern, Pinchas
中科院分区:
医学4区
文献类型:
--
作者:
Nirel, Nurit;Goldwag, Rachel;Halpern, Pinchas

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简介:以色列的护理人员人数正在增加。尽管急救医疗机构不断发展并发挥着重要作用,但它们缺乏有关其工作特点的信息。目的:本研究的目的是检查护理人员的工作特点、他们的工作生活质量、使他们继续工作的因素。专业,或者相反,让他们远离它。方法:通过电话采访对以色列50%的护理课程毕业生进行随机抽样的横断面研究(不包括应征士兵)。吸引护理人员从事这一职业的因素与这份工作的本质有很大关系--救援和拯救--以及对它所涉及的东西的热爱,以及兴趣和多样性。工作压力来自于缺乏行政支持、文书工作、长时间工作、工作和家庭生活之间的不平衡以及工资。它们不是来自必须科普责任、在不确定条件下工作的压力以及从平静局势突然转变为紧急情况。工作中的不满是由倦怠、工作超负荷和健康状况不佳引起的。妨碍其工作能力的身心健康与职业倦怠感和转行意愿有关。关于健康、工作满意度和职业倦怠之间关系的研究结果,再加上在十年内,目前雇用的护理人员中有一半将达到他们很难完成工作的年龄,得出的结论是,有必要重新考虑该专业的最佳服务年限。还需要作出组织安排,改变老年护理人员的工作程序。
Introduction: The number of paramedics in Israel is increasing. Despite this growth and important role, the emergency medical organizations lack information about the characteristics of their work.Objective: The objective of this study was to examine the characteristics of the paramedics' work, the quality of their working lives, the factors that keep them in the profession, or conversely, draw them away from it.Methods: Cross-sectional study conducted through telephone interviews of a random sample of 50% of the graduates of paramedic courses in Israel (excluding conscripted soldiers).Results: The factors that attract paramedics to the profession have much to do with the essence of the job-rescuing and saving-and a love of what it involves, as well as interest and variety. Pressures at work result from having to cope with a lack of administrative support, paperwork, long hours, imbalance between work and family life, and salary. They do not come from having to cope with responsibility, the pressure of working under uncertain conditions, and the sudden transition from calm situations to emergencies. Dissatisfaction at work is caused by burnout, work overload, and poor health. Physical and mental health that impedes their ability to work is related to a sense of burnout and the intention to change professions.Conclusions: The findings about the relationships between health, job satisfaction, and burnout, coupled with the fact that within a decade, half of the currently employed paramedics will reach an age at which it is hard for them to perfdrm their job, lead to the conclusion that there is a need to reconsider the optimum length of service in the profession. There also is a need to form organizational arrangements to change the work procedures of aging paramedics.