Burnout and Exposure to Critical Incidents in a Cohort of Emergency Medical Services Workers from Minnesota
| Autor: | Pamela J. Mink, Russell N. Myers, Tyler G. Kinzy, Karl M. Fernstrom, Andrew C. Stevens, Lori L. Boland, Jonathan W. Kamrud |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Emergency Medical Services Adolescent Cross-sectional study dispatcher Minnesota education lcsh:Medicine critical incidents Burnout Occupational burnout Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine Surveys and Questionnaires Depersonalization Emergency medical services Medicine Humans 030212 general & internal medicine Emotional exhaustion Burnout Professional Original Research burnout business.industry lcsh:R lcsh:Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine emergency medical services General Medicine lcsh:RC86-88.9 Middle Aged paramedic Emergency Medical Dispatcher Distress Emergency Medical Technicians Cross-Sectional Studies Logistic Models Family medicine Emergency Medicine Absenteeism Female medicine.symptom business |
| Zdroj: | Western Journal of Emergency Medicine, Vol 19, Iss 6 (2018) Western Journal of Emergency Medicine Boland, Lori L.; Kinzy, Tyler G.; Myers, Russell N.; Fernstrom, Karl M.; Kamrud, Jonathan W.; Mink, Pamela J.; et al.(2018). Burnout and Exposure to Critical Incidents in a Cohort of Emergency Medical Services Workers from Minnesota. Western Journal of Emergency Medicine, 19(6). doi: 10.5811/westjem.8.39034. Retrieved from: http://www.escholarship.org/uc/item/1wn2k7ng |
| ISSN: | 1936-9018 |
| Popis: | Author(s): Boland, Lori L.; Kinzy, Tyler G.; Myers, Russell N.; Fernstrom, Karl M.; Kamrud, Jonathan W.; Mink, Pamela J.; Stevens, Andrew C. | Abstract: Introduction: Very little quantitative data on occupational burnout and exposure to critical incidents are available from contemporary United States emergency medical services (EMS) cohorts. Given that burnout has been associated positively with turnover intentions and absenteeism in EMS workers, studies that uncover correlates of burnout may be integral to combating growing concerns around retention in the profession. Methods: We administered a 167-item electronic survey that included the Maslach Burnout Inventory (MBI) and a modified version of the Critical Incident History Questionnaire (n=29 incident types) to paramedics, emergency medical technicians (EMTs), and dispatchers of a single ambulance service. We defined the presence of burnout as a high score on either the emotional exhaustion or depersonalization subscales of the MBI. Results: Survey respondents who provided regular 911 response at the time of the survey and completed the MBI portion of the survey were included in our analysis (190 paramedics/EMTs, 19 dispatchers; 54% response). The overall prevalence of burnout was 18%, with prevalence reaching 32% among dispatchers. The seven pediatric critical incident types presented in the survey accounted for seven of the top eight rated most difficult to cope with, and severity ratings for pediatric critical incidents did not differ by parental status (all pg0.30). A significant number of respondents reported that they had been threatened with a gun/weapon (43%) or assaulted by a patient (68%) at least once while on duty. Being over the age of 50, a parent, or in a committed relationship was associated with reduced odds of burnout in unadjusted models; however, these associations did not remain statistically significant in multivariate analysis. Increasing tertile of career exposure to critical incidents was not associated with burnout.Conclusion: Medical dispatchers may be an EMS subgroup particularly susceptible to burnout. These data also demonstrate quantitatively that in this EMS agency, responders find pediatric critical incidents especially distressing and that violence against responders is commonplace. In this study, a simple measure of career exposure to potentially critical incidents was not associated with burnout; however, individual reactions to incidents are heterogeneous, and assessment tools that more accurately enumerate encounters that result in distress are needed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|