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

Published online by Cambridge University Press:  28 June 2012

Nurit Nirel ,
Rachel Goldwag ,
Zvi Feigenberg ,
David Abadi  and
Pinchas Halpern
Nurit Nirel*
Affiliation:
Myers-JDC-Brookdale Institute
Rachel Goldwag
Affiliation:
Myers-JDC-Brookdale Institute
Zvi Feigenberg
Affiliation:
Magen David Adom (MDA)
David Abadi
Affiliation:
Magen David Adom (MDA)
Pinchas Halpern
Affiliation:
Sourasky Medical Center
*
Myers-JDC-Brookdale InstitutePOB 3886, 91037 Jerusalem, Israel E-mail: nuritn@jdc.org.il
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Abstract

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 perform 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.

Keywords

burnoutemergency medical servicesIsraelparamedicssatisfactionstresswork overload
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 23 , Issue 6 , December 2008 , pp. 537 - 546
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2008

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References

1.Pozner, CN, Zane, R, Nelson, SJ, Levine, M: International EMS systems: The United States: Past, present and future. Resuscitation 2004;60(3):239–244.CrossRefGoogle ScholarPubMed
2.Okada, N, Ishii, N, Nakata, M, Nakayama, S: Occupational stress among Japanese emergency medical technicians: Hyogo prefecture. Prehospital Disast Med 2005;20(2):115–121.Google Scholar
3.Murphy, SA, Beaton, RD, Pike, KC, Cain, KC: Firefighters and paramedics: Years of service, job aspirations, and burnout. AAOHN Journal 1994;42(11):534–540.CrossRefGoogle ScholarPubMed
4.Alexander, DA, Klein, S: Ambulance personnel and critical incidents, impact of accidents and emergency work on mental health and emotional well-being. British J Psychiatry 2001;178:76–81.Google Scholar
5.Schaufeli, W, Buunk, BP: Burnout: An Overview of 25 Years of Research and Theorizing. In: MJ, Schabracq, Winnbust, JAM, Cooper, CL (eds), The Handbook of Work and Health Psychology, 2nd Edition. West Sussex, England: Wiley, 2003, pp 383–429.Google Scholar
6.Maslach, C: Burnout: The Cost of Caring. Englewood Cliffs, NJ: Prentice Hall, 1982.Google Scholar
7.Vettor, SM, Kosinski, FA: Work-stress burnout in emergency medical technicians and the use of early recollections. Journal of Employment Counseling 2000;37(4):216–228.Google Scholar
8.Landon, BE, Reschovsky, J, Blumenthal, D: Changes in career satisfaction among primary care and specialist physicians, 1997–2001. JAMA 2003;289(4):442–99.Google Scholar
9.McMurray, JE, Williams, E, Schwartz, MD, Douglas, J, Van Kirk, J, Konrad, R, Gerrity, M, Bigby, JA, Lizer, M: Physician job satisfaction, developing a model using qualitative data. J Intern Med 1997;12:711–714.Google Scholar
10.Williams, ES, Konrad, TR, Lizner, M, Mcurray, J: Physician practice and patient characteristics related to primary care physicians physical and mental health: Results from the physician worklife study. Health Serv Res 2002;37(1):121–143.Google ScholarPubMed
11.Judge, TA, Watanabe, S: Another look at the job satisfaction-life satisfaction relationship. J Appl Psychol 1993;6:934–948.Google Scholar
12.Judge, TA: Does affective disposition moderate the relationship between job satisfaction and voluntary turnover? J Appl Psychol 1993;3:395–401.Google Scholar
13.Leong, CS, Furnham, A, Cooper, CL: The moderating effects of organizational commitment on the occupational stress outcome relationship. Human Relation 1996;49:1345–1363.Google Scholar
14.Cooper, CL, Rout, U, Faragher, B: Mental health, job satisfaction, and job stress among general practitioners. BMJ 1989;298(6670):366–370.Google Scholar
15.Rodgers, LM: A five year study compering early retirements on medical grounds in ambulance personnel with those in other groups of health service staff. part II: causes of retirements. Occ Med 1998;48(2):119–132.Google Scholar
16.French, JRP Jr, Caplan, RD, Van Harrison, R, (eds), The Mechanism of Job Stress and Strain. Chichester, UK: Wiley, 1982.Google Scholar
17.Shirom, A, Westman, M, Shamai, O, Carel, RS: Effects of work overload and burnout on cholesterol and triglycerides levels: the moderating effects of emotional reactivity among male and female employees. J Occup Health Psychol 1997;2(4):275–288.Google Scholar
18.Nirel, N, Shirom, A, Ismail, S: The relationship between job overload, burnout and job satisfaction, and the number of jobs of Israeli consultants. Harefuah 2004;143(11):779–784 (Hebrew).Google ScholarPubMed
19.Melamed, S, Shirom, A: The role of cortisol in the association between chronic burnout and disease. Israel Journal of Occupational Health 1998;2:151–155.Google Scholar
20.Warr, P, Cook, J, Wall, T: Scales for the measurement of some work attitudes and aspects of psychological well-being. J Occu Psychol 1979;52:129–148.Google Scholar
21.S, Mullarkey, Wall, TD, Warr, PB, Clegg, CW, Stride, C., (eds), Measures of Job Satisfaction, Mental Health and Job Related Well-Being. Institute of Work Psychology and ESRC Center for Organization and Innovation. Sheffield, UK: University of Sheffield, 1999.Google Scholar
22.Van der Ploeg, E, Kleber, RJ: Acute and chronic job stressors among ambulance personnel: predictors of health symptoms. Occup Environ Med 20058;60(1):140–146.Google Scholar
23.Grigsby, DW, McKnew, MA: Work stress and burnout among paramedics. Psychol Rep 1988;63:55–64.CrossRefGoogle Scholar
24.Baudreaux, E, Mandry, C., Brantley, PJ: Patient care and daily stress among emergency medical technicians. Prehospital Disast Med 1996;11(3):188–194.CrossRefGoogle Scholar
25.Spitzer, WJ, Neely, K: Critical incident stress: the role of hospital-based social work in developing a statewide intervention system for first-responders delivering emergency services. Soc Work Health Care 1992;18(1):39–58.Google Scholar