RESEARCH PAPER
Determinants of occupational burnout among employees of the Emergency Medical Services in Poland
 
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1
University of Natural Sciences and Humanities, Siedlce, Poland
2
Medical University, Warsaw, Poland
3
Andrzej Frycz Modrzewski University, Krakow, Poland
 
KEYWORDS:
TOPICS:
ABSTRACT:
Introduction:
Occupational burnout is a multifaceted phenomenon and a problem often encountered among medical personnel. An example of such a group are workers of the Emergency Medical Services (EMS). The aim of the present study was to make an attempt to assess the level of job burnout among professionally active employees of the EMS and to compare the different occupational groups (paramedics, nurses of the system, doctors of the system) according to four analyzed factors.

Material and methods:
A cross-sectional study was performed using an on-line questionnaire. Four factors impacting the level of burnout were analyzed: 1) attitude to work; 2) workload; 3) contact with the patient; 4) attitude to stress). The minimum possible result on the scale is 36 points and the maximum – 252. Data were analysed by means of the Cronbach’s alpha coefficient, the Spearman correlation, the Ramsey RESET test, the Chow test, VIF statistics.

Results:
The average score for occupational burnout was 131.0 points (SD ± 31.47). The tool’s reliability measured by means of Cronbach’s alpha was 0.910). Both nurses and doctors obtained higher results throughout the scale (βstand.0.147 and 0.215). Significant differences were shown between the group working only in the Helicopter Emergency Medical Service (HEMS) teams and the other services (land EMS, emergency rooms, etc.) at the level of p < 0.000.

Conclusions:
EMS employees encounter varying degrees of threat by occupational burnout. Doctors working in the system are shown to have the highest level of burnout, while paramedics the lowest. Among all the jobs analyzed, the lowest level of occupational burnout has been demonstrated by employees of HEMS.

CORRESPONDING AUTHOR:
Piotr Leszczyński   
Siedlce University of Natural Sciences and Humanities, ul. Bolesława Prusa 14, 08-110 Siedlce, Poland
 
REFERENCES (29):
1. Bańkowka A. Occupational burnout syndrome – symptoms and risk factors. Pol Nurs. 2016; 2(60): 256–260, http://doi.org/10.20883/pielpo....
2. Maslach C, Schaufeli WB, Leiter MP. Job Burnout. Ann Rev Psych. 2001; 52: 397–422, http://doi.org/10.1146/annurev....
3. Toppinen-Tanner S, Väänaänen A, Kalimo R, Jäppinen P. Burnout as a Predictor of Medically Certified Sick-Leave Absences and Their Diagnosed Causes. Behav Med. 2005; 31(1): 18–32, http://doi.org/10.3200/BMED.31....
4. Sęk H. ed. Professional burnout. Causes and prevention. PWN, Warszawa. 2012.
5. Janczewska E, Sierdziński J. Comparative evaluation of most commonly used 0methods and statistical techniques in scientific publications on professional burnout syndrome amongst health care employees. Hyg Pub Health. 2014; 49(4): 759–764.
6. Froutan R, Khankeh HR, Fallahi M, Ahmadi F, Norouzi K. Pre-hospital burn mission as a unique experience: a qualitative study. Burns. 2014; 40(8): 1805–12, http://doi.org/10.1016/j.burns....
7. Halpern J, Maunder RG, Schwartz B, Gurevich M.The critical incident inventory: characteristics of incidents which affect emergency medical technicians and paramedics. BMC Emerg Med. 2012; 3, 12:10, http://doi.org/10.1186/1471–22....
8. Wilson W, Raj JP, Narayan G, Ghiya M, Murty S, Joseph B. Quantifying burnout among emergency medicine professionals. J Emergen. Trauma Shock. 2017; 10(4): 199.
9. Andruszkiewicz A, Sobczak M, Banaszkiewicz M. Empatia a wypalenie zawodowe w grupie pielęgniarek. Wyzwania dla procesu kształcenia. Pielęgniarstwo XXI wieku. 2012; 2 (39): 27–30.
10. Gwarda K, Sienkiewicz Z, Kaczyńska A, Gotlib J. Zespół wypalenia zawodowego wśród personelu pielęgniarskiego zatrudnionego w oddziałach intensywnej terapii. Pielęgniarstwo XXI wieku. 2015; 2 (51): 56–60.
11. Ogińska J, Żuralska R. Wypalenie zawodowe wśród pielęgniarek pracujących na oddziałach neurologicznych. Probl Pielęgniarstwa. 2010; 4 (18): 435–442.
12. Wyderka M, Kowalska H, Szeląg E. Wypalenie zawodowe jako problem występujący wśród pielęgniarek. Pielęgniarstwo Pol. 2009; 4 (34): 265–275.
13. Owczarek K, Olczyk K, Wójtowicz S. Badanie zjawiska wypalenia zawodowego u pielęgniarek pracujących w wybranych oddziałach szpitalnych. Med Dyd Wych. 2009; 1: 28–38.
14. Bragard I, Dupuis G, Fleet R. Quality of work life, burnout, and stress in emergency department physicans: a qualitative review. Eur J Emerg Med. 2015; 22(4): 227–234.
15. Schaufeli W, Enzmann D. The burnout companion to study and practice a critical analysis. London: Taylor & Francis: 1998.
16. Strelau J, Jaworowska A, Wrześniewski K, Szczepaniak P. CISS – Kwestionariusz Radzenia Sobie w Sytuacjach Stresowych – podręcznik. Pracownia Testów Psychologicznych, Warszawa: 2007.
17. Leszczyński P. Analiza kompetencji zawodowych ratowników medycznych w wybranych jednostkach ratowniczych. Edukacja Ustawiczna Dorosłych. 2013; 4(83): 71–82.
18. Leszczyński P, Charuta A, Gotlib J, Kołodziejczak B, Roszak M, Zacharuk T. Distance Learning Methods in Continuing Education of Paramedics. Studies in Logic, Grammar and Rhetoric on Logical, Statistical and Computer Methods in Medicine, 2017; 51(64): 53–70.
19. Wejnarski A, Gajek Villebæk PA, Leszczyński P. Prospective evaluation of interactive project of Emergency Medicine Exam with the use of multimedia computer devices. Critic Care Innov. 2018; 1(1): 1–15.
20. Al Enazi S, AlEnzie AN. Stress and burnout among Red Crescent paramedic ambulance workers in Riyadh. Integr Traum Emerg Med. 2018; 6: 2–10.
21. Dębska G, Cepuch G. Professional burnout in nurses working in the primary health care. Probl Piel. 2008; 16 (3): 273.279.
22. Wilczek-Różycka E, Zaczyk I, Obrzut K. Professional burnout of palliative care nurses. Piel Zdr Publ. 2017; 26(1): 77–83.
23. Collopy KT, Kivlehan SM, Snyder SR. Are you under stress in EMS. Understanding the slippery slope of burnout and PTSD. EMS World. 2012; 41(10): 47–50.
24. Gałązkowski R, Michalak G. Model realizacji lotów nocnych wykonywanych przez śmigłowce Lotniczego Pogotowia Ratunkowego. Med Og Nauk Zdr. 2012; 18(4), 383–386.
  WWW
25. Joost HP, Wageningen B, Hoogerwerf N, Biert J. Helicopter Emergency Medical Service Patient Transport Safe at Night? Air Med J. 2014; 33(6): 296–298. http://.doi.org/10.1016/j.amj.....
26. ADRIAENSSENS, Jef; DE GUCHT, Véronique; MAES, Stan. Determinants and prevalence of burnout in emergency nurses: A systematic review of 25 years of research. Inter J Nurs Stud. 2015, 52(2): 649–661.
27. Krogstad U, Hofoss D, Hjortdahl P. Doctor and nurse perception of Inter-professional co-operation in hospitals. Int J Qual Health Care. 2004; 16(6): 491–497. http://doi.org/10.1093/intqhc/....
28. Khatiban M, Hosseini S, Bikmoradi A, Roshanaei Gh, Karampourian A, Occupational burnout and its determinants among personnel of Emergency Medical Services in Iran. Acta Med Iran. 2015; 53 (11): 711–6.
29. O’connor K, Neff DM, Pitman S. Burnout in mental health professionals: A systematic review and meta-analysis of prevalence and determinants. Europ Psych. 2018; 53: 74–99.
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