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Published in: BMC Emergency Medicine 1/2018

Open Access 01-12-2018 | Research article

Burnout and safety outcomes - a cross-sectional nationwide survey of EMS-workers in Germany

Authors: Natalie Baier, Karsten Roth, Susanne Felgner, Cornelia Henschke

Published in: BMC Emergency Medicine | Issue 1/2018

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Abstract

Background

The association between burnout and patient safety has been analyzed in many studies for nurses, physicians, and residents. However, studies concerning prehospital emergency medical services (EMS) workers are limited, although they are particularly under risk for emotional stress. This study aims to descriptively analyze the overall degree of burnout among EMS-workers, and potential adverse events that might harm patients as well as the relationship between burnout and perceived safety outcomes for EMS-workers in Germany.

Methods

EMS-workers were recruited via German EMS-journals, social media and a professional association to participate in an online survey. The questionnaire includes the ´Maslach Burnout Inventory´ (MBI), the ‘Emergency Medical Services Safety Inventory’ (EMS-SI), and items about job satisfaction and the individual person. Data was descriptively analyzed by calculating frequencies, means, percentages and Pearson correlation coefficients. The association between burnout and patient safety was analyzed using linear and logistic regression models.

Results

A total of n = 1101 questionnaires were considered for data analysis. The vast majority of participants were male, younger than 40 years old, and full-time employees with an EMS-experience of 12 years on average. Between 19.9 and 40% of the participants showed a high degree of burnout in one of the burnout dimensions. Safety compromising behavior was the outcome measure with the highest percentage of participants reporting a negative outcome measure. The dimensions emotional exhaustion and depersonalization were positively associated with the safety outcomes injury and safety compromising behavior. Additionally, experiences, job satisfaction and the intention to leave the current job were significantly associated with the outcome measures.

Conclusion

This is the first study that examines the association between the degree of burnout and patient safety for EMS-workers. The results suggest that an expansion of psychological support for EMS-workers should be considered. Further research should concentrate on the complex relations between working conditions, burnout and patient safety.
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Literature
4.
go back to reference Schaufeli WB, van Dierendonck D. A cautionary note about the cross-national and clinical validity of cut-off points for the Maslach burnout inventory. Psychol Rep. 1995;76:1083–90.CrossRefPubMed Schaufeli WB, van Dierendonck D. A cautionary note about the cross-national and clinical validity of cut-off points for the Maslach burnout inventory. Psychol Rep. 1995;76:1083–90.CrossRefPubMed
9.
go back to reference Leiter MP. Burnout as a developmental process: consideration o models. In: Schaufeli W, Maslach C, Marek T, editors. Professional burnout: Recent developments in theory and research. Philadelphia, Pa., London: Taylor & Francis; 1993. p. 237–50. Leiter MP. Burnout as a developmental process: consideration o models. In: Schaufeli W, Maslach C, Marek T, editors. Professional burnout: Recent developments in theory and research. Philadelphia, Pa., London: Taylor & Francis; 1993. p. 237–50.
10.
go back to reference Bakker AB, Schaufeli W, Sixma HJ, Bosveld W, van Dierendonck D. Patient demands, lack of reciprocity, and burnout: a five-year longitudinal study among general practitioners. J Organ Behav. 2000:425–41. Bakker AB, Schaufeli W, Sixma HJ, Bosveld W, van Dierendonck D. Patient demands, lack of reciprocity, and burnout: a five-year longitudinal study among general practitioners. J Organ Behav. 2000:425–41.
16.
go back to reference Boudreaux E, Mandry C, Brantley PJ. Stress, job satisfaction, coping, and psychological distress among emergency medical technicians. Prehosp Disaster Med. 1997;12:242–9.CrossRefPubMed Boudreaux E, Mandry C, Brantley PJ. Stress, job satisfaction, coping, and psychological distress among emergency medical technicians. Prehosp Disaster Med. 1997;12:242–9.CrossRefPubMed
24.
go back to reference Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory manual: third edition. Palo Alto, California: Consulting Psychologists Press, Inc.; 1996. Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory manual: third edition. Palo Alto, California: Consulting Psychologists Press, Inc.; 1996.
31.
go back to reference Green DE, Walkey FH, Taylor AJW. The three-factor structure of the Maslach burnout inventory: a multicultural, multinational confirmatory study. J Soc. Behav. Personal. 1991;6:453–73. Green DE, Walkey FH, Taylor AJW. The three-factor structure of the Maslach burnout inventory: a multicultural, multinational confirmatory study. J Soc. Behav. Personal. 1991;6:453–73.
33.
go back to reference Cohen J. Statistical power analysis for the behavioral sciences. In: Hillsdale NJ, editor. . 2nd ed: L. Erlbaum Associates; 1988. Cohen J. Statistical power analysis for the behavioral sciences. In: Hillsdale NJ, editor. . 2nd ed: L. Erlbaum Associates; 1988.
38.
go back to reference Spence Laschinger HK, Leiter MP. The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement. J Nurs Adm. 2006;36:259–67.CrossRefPubMed Spence Laschinger HK, Leiter MP. The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement. J Nurs Adm. 2006;36:259–67.CrossRefPubMed
41.
go back to reference Patterson PD, Moore CG, Sanddal ND, Wingrove G, LaCroix B. Characterizing job satisfaction and intent to leave among nationally registered emergency medical technicians: an analysis of the 2005 LEADS survey. J Allied Health. 2009;38:e84–91.PubMed Patterson PD, Moore CG, Sanddal ND, Wingrove G, LaCroix B. Characterizing job satisfaction and intent to leave among nationally registered emergency medical technicians: an analysis of the 2005 LEADS survey. J Allied Health. 2009;38:e84–91.PubMed
Metadata
Title
Burnout and safety outcomes - a cross-sectional nationwide survey of EMS-workers in Germany
Authors
Natalie Baier
Karsten Roth
Susanne Felgner
Cornelia Henschke
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Emergency Medicine / Issue 1/2018
Electronic ISSN: 1471-227X
DOI
https://doi.org/10.1186/s12873-018-0177-2

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