Skip to main content
Top
Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1/2017

Open Access 01-12-2017 | Original research

Psychosocial risk and protective factors for the health and well-being of professionals working in emergency and non-emergency medical transport services, identified via questionnaires

Authors: P. Navarro Moya, M. González Carrasco, E. Villar Hoz

Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Issue 1/2017

Login to get access

Abstract

Background

Medical transport (MT) professionals are subject to considerable emotional demands due to their involvement in life-or-death situations and their exposure to the serious health problems of their clients. An increase in the demand for MT services has, in turn, increased interest in the study of the psychosocial risk factors affecting the health of workers in this sector. However, research thus far has not distinguished between emergency (EMT) and non-emergency (non-EMT) services, nor between the sexes. Furthermore, little emphasis has been placed on the protective factors involved. The main objective of the present study is to identify any existing differential exposure – for reasons of work setting (EMT and non-EMT) or of gender – to the various psychosocial risk and protective factors affecting the health of MT workers.

Methods

Descriptive and transversal research with responses from 201 professionals.

Results

The scores obtained on the various psychosocial scales in our study – as indicators of future health problems – were more unfavourable for non-EMT workers than they were for EMT workers. Work setting, but not gender, was able to account for these differences.

Discussion

The scores obtained for the different psychosocial factors are generally more favourable for the professionals we surveyed than those obtained in previous samples.

Conclusion

The significant differences observed between EMT and non-EMT personnel raise important questions regarding the organization of work in companies that carry out both services at the same time in the same territory. The relationships among the set of risk/protective factors suggests a need for further investigation into working conditions as well as a consideration of the workers’ sense of coherence and subjective well-being as protective factors against occupational burnout syndrome.
Literature
1.
go back to reference Bellingan G, Olivier T, Batson S, Webb A. Comparison of a specialist retrieval team with current United Kingdom practice for the transport of critically ill patients. Intensive Care Med. 2000;26(6):740–4. 10.1007/s001340051241.CrossRefPubMed Bellingan G, Olivier T, Batson S, Webb A. Comparison of a specialist retrieval team with current United Kingdom practice for the transport of critically ill patients. Intensive Care Med. 2000;26(6):740–4. 10.​1007/​s001340051241.CrossRefPubMed
2.
go back to reference Lowthian JA, Jolley DJ, Curtis AJ, Currell A, Cameron PA, Stoelwinder JU, McNeil JJ. The challenges of population ageing: accelerating demand for emergency ambulance services by older patients, 1995-2015. Med J Aust. 2011;194(11):574–8.PubMed Lowthian JA, Jolley DJ, Curtis AJ, Currell A, Cameron PA, Stoelwinder JU, McNeil JJ. The challenges of population ageing: accelerating demand for emergency ambulance services by older patients, 1995-2015. Med J Aust. 2011;194(11):574–8.PubMed
4.
go back to reference Leka S, Jain A, Iavicoli S, Tecco C. An evaluation of the policy context on psychosocial risks and mental health in the workplace in the European Union: achievements, challenges, and the future. Biomed Res Int. 2015:18. 10.1155/2015/213089. Leka S, Jain A, Iavicoli S, Tecco C. An evaluation of the policy context on psychosocial risks and mental health in the workplace in the European Union: achievements, challenges, and the future. Biomed Res Int. 2015:18. 10.​1155/​2015/​213089.
8.
go back to reference Halpern J, Maunder RG, Schwartz B, Gurevich M. Attachment insecurity, responses to critical incident distress, and current emotional symptoms in ambulance workers. Stress Health. 2012;28(1):51–60. 10.1002/smi.1401.CrossRefPubMed Halpern J, Maunder RG, Schwartz B, Gurevich M. Attachment insecurity, responses to critical incident distress, and current emotional symptoms in ambulance workers. Stress Health. 2012;28(1):51–60. 10.​1002/​smi.​1401.CrossRefPubMed
16.
go back to reference WHO. Emergency medical services systems in the European Union. Denmark: Publications of the WHO Regional Office for Europe; 2008. WHO. Emergency medical services systems in the European Union. Denmark: Publications of the WHO Regional Office for Europe; 2008.
17.
go back to reference Robinson V, Goel V, Macdonald RD, Manuel D. Inter-facility patient transfers in Ontario: do you know what your local ambulance is being used for? Healthcare Policy. 2009;4(3):53-66. Robinson V, Goel V, Macdonald RD, Manuel D. Inter-facility patient transfers in Ontario: do you know what your local ambulance is being used for? Healthcare Policy. 2009;4(3):53-66.
19.
go back to reference Fundación para la Prevención de Riesgos Laborales. Decálogo de actuaciones ergonómicas y psicosociales preventivas desde una perspectiva de género en el sector del Transporte Sanitario. Madrid: SGS Tecnos; 2011. Fundación para la Prevención de Riesgos Laborales. Decálogo de actuaciones ergonómicas y psicosociales preventivas desde una perspectiva de género en el sector del Transporte Sanitario. Madrid: SGS Tecnos; 2011.
20.
go back to reference Berger W, Figueira I, Maurat AM, Bucassio ÉP, Vieira I, Jardim SR, Coutinho E, Mari JJ, Mendlowicz MV. Partial and full PTSD in Brazilian ambulance workers: prevalence and impact on health and on quality of life. In Journal of Traumatic Stress. 2007;20:637–42.CrossRef Berger W, Figueira I, Maurat AM, Bucassio ÉP, Vieira I, Jardim SR, Coutinho E, Mari JJ, Mendlowicz MV. Partial and full PTSD in Brazilian ambulance workers: prevalence and impact on health and on quality of life. In Journal of Traumatic Stress. 2007;20:637–42.CrossRef
25.
go back to reference Alarcon GM. A meta-analysis of burnout with job demands, resources, and attitudes. J Vocat Behav. 2011;79(2):549–62.CrossRef Alarcon GM. A meta-analysis of burnout with job demands, resources, and attitudes. J Vocat Behav. 2011;79(2):549–62.CrossRef
26.
go back to reference Bakker AB, Demerouti E, Sanz-Vergel AI. Burnout and work engagement: the JD–R approach. Annu Rev Organ Psych Organ Behav. 2014;1:389–411.CrossRef Bakker AB, Demerouti E, Sanz-Vergel AI. Burnout and work engagement: the JD–R approach. Annu Rev Organ Psych Organ Behav. 2014;1:389–411.CrossRef
27.
go back to reference Beer D, Leon T, Pienaar J, Rothmann S. Work overload, burnout, and psychological ill-health symptoms: a three-wave mediation model of the employee health impairment process. Anxiety Stress Coping. 2016;29(4):387–99.CrossRefPubMed Beer D, Leon T, Pienaar J, Rothmann S. Work overload, burnout, and psychological ill-health symptoms: a three-wave mediation model of the employee health impairment process. Anxiety Stress Coping. 2016;29(4):387–99.CrossRefPubMed
28.
go back to reference Hu NC, Chen JD, Cheng TJ. The associations between long working hours, physical inactivity, and burnout. J Occup Environ Med. 2016;58(5):514–8.CrossRefPubMed Hu NC, Chen JD, Cheng TJ. The associations between long working hours, physical inactivity, and burnout. J Occup Environ Med. 2016;58(5):514–8.CrossRefPubMed
29.
go back to reference Marchand A, Durand P, Haines V, Harvey S. The multilevel determinants of Worker’s mental health: results from the SALVEO study. Soc Psychiatry Psychiatr Epidemiol. 2015;50:445–59.CrossRefPubMed Marchand A, Durand P, Haines V, Harvey S. The multilevel determinants of Worker’s mental health: results from the SALVEO study. Soc Psychiatry Psychiatr Epidemiol. 2015;50:445–59.CrossRefPubMed
30.
go back to reference Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory manual. 3rd ed. Palo alto: Consulting Psychologists Press; 1996. Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory manual. 3rd ed. Palo alto: Consulting Psychologists Press; 1996.
32.
go back to reference Orasmas A, González A, Vergara A. Evaluación y factorización del MIB-GA. Revista cubana de salud y trabajo. 2007;8(1):37–45. Orasmas A, González A, Vergara A. Evaluación y factorización del MIB-GA. Revista cubana de salud y trabajo. 2007;8(1):37–45.
34.
go back to reference Sterud T, Hem E, Lau B, Ekeberg Ø. A comparison of general and ambulance specific stressors: predictors of job satisfaction and health problems in a nationwide one-year follow-up study of Norwegian ambulance personnel. Journal of Occupational Medicine and Toxicology. 2011;6(1):10. 10.1186/1745-6673-6-10.CrossRefPubMedPubMedCentral Sterud T, Hem E, Lau B, Ekeberg Ø. A comparison of general and ambulance specific stressors: predictors of job satisfaction and health problems in a nationwide one-year follow-up study of Norwegian ambulance personnel. Journal of Occupational Medicine and Toxicology. 2011;6(1):10. 10.​1186/​1745-6673-6-10.CrossRefPubMedPubMedCentral
35.
go back to reference Young KM, Cooper CL. Occupational stress in the ambulance service: a diagnostic study. Health Manpow Manag. 1997;23(4–5):140–7. Young KM, Cooper CL. Occupational stress in the ambulance service: a diagnostic study. Health Manpow Manag. 1997;23(4–5):140–7.
36.
go back to reference Grigsby D, Knew MM. Work-stress burnout among paramedics. Psychol Rep. 1988;63:55–64.CrossRef Grigsby D, Knew MM. Work-stress burnout among paramedics. Psychol Rep. 1988;63:55–64.CrossRef
38.
go back to reference Streb M, Häller P, Michael T. PTSD in paramedics: resilience and sense of coherence. Behav Cogn Psychother. 2014;42(4):452–63.CrossRefPubMed Streb M, Häller P, Michael T. PTSD in paramedics: resilience and sense of coherence. Behav Cogn Psychother. 2014;42(4):452–63.CrossRefPubMed
41.
go back to reference Dejo M. Sentido de coherencia, afrontomiento y sobrecarga en cuidadores familiares de ancianos con enfermedad crónica. Avances En Psicologia Latinoamericana. 2007;25(1):64–71. 10.1002/mrm.22600. Dejo M. Sentido de coherencia, afrontomiento y sobrecarga en cuidadores familiares de ancianos con enfermedad crónica. Avances En Psicologia Latinoamericana. 2007;25(1):64–71. 10.​1002/​mrm.​22600.
42.
go back to reference Naudé JL, Rothmann S. Work-related well-being of emergency workers in Gauteng. South African J Psychol. 2006;36(1):63–81.CrossRef Naudé JL, Rothmann S. Work-related well-being of emergency workers in Gauteng. South African J Psychol. 2006;36(1):63–81.CrossRef
43.
go back to reference Cummins RA, Cahill J. Avances en la comprensión de la calidad de vida subjetiva Progress in understanding subjective quality of life. Intervención Psicosocial. 2000;9(2):185–98. Cummins RA, Cahill J. Avances en la comprensión de la calidad de vida subjetiva Progress in understanding subjective quality of life. Intervención Psicosocial. 2000;9(2):185–98.
44.
go back to reference Brough P. A comparative investigation of the predictors of work-related psychological well-being within police, fire and ambulance workers. N Z J Psychol. 2005;34(2):127–34. Brough P. A comparative investigation of the predictors of work-related psychological well-being within police, fire and ambulance workers. N Z J Psychol. 2005;34(2):127–34.
46.
go back to reference Prati G, Pietrantoni L, Cicognani E. Coping strategies and collective efficacy as mediators between stress appraisal and quality of life among rescue workers. Int J Stress Manag. 2011;18(2):181–95. 10.1037/a0021298.CrossRef Prati G, Pietrantoni L, Cicognani E. Coping strategies and collective efficacy as mediators between stress appraisal and quality of life among rescue workers. Int J Stress Manag. 2011;18(2):181–95. 10.​1037/​a0021298.CrossRef
47.
go back to reference Real Decreto 1397/2007 del Boletin Oficial del Estado del Técnico en Emergencias Sanitarias, España. 2007. Real Decreto 1397/2007 del Boletin Oficial del Estado del Técnico en Emergencias Sanitarias, España. 2007.
48.
go back to reference Tous J, Bonasa MP, Mayor C. Escala clima psicosocial en el trabajo: desarrollo y validación Universitat Rovira i Virgili Work Psychosocial Scale caDevelopment and Validation. 2011;41:51–65. Tous J, Bonasa MP, Mayor C. Escala clima psicosocial en el trabajo: desarrollo y validación Universitat Rovira i Virgili Work Psychosocial Scale caDevelopment and Validation. 2011;41:51–65.
49.
go back to reference Maslach C, Jackson SE. Inventario burnout de Maslach. Madrid: TEA Ediciones; 1997. Maslach C, Jackson SE. Inventario burnout de Maslach. Madrid: TEA Ediciones; 1997.
50.
go back to reference Ballesteros S, Lorrio S, Rollán J. Desgaste profesional en los técnicos de emergencias sanitarias del soporte vital básico del país vasco. Emergencias. 2012;24(1):13–8. Ballesteros S, Lorrio S, Rollán J. Desgaste profesional en los técnicos de emergencias sanitarias del soporte vital básico del país vasco. Emergencias. 2012;24(1):13–8.
51.
go back to reference Martínez M, Centeno C, Sanz A, Del Valle ML. Estudio sobre el Síndrome de Burnout en Profesionales de Enfermería de Cuidados Paliativos del País Vasco. Revista de Medicina. 2009;53(1):3–8. Martínez M, Centeno C, Sanz A, Del Valle ML. Estudio sobre el Síndrome de Burnout en Profesionales de Enfermería de Cuidados Paliativos del País Vasco. Revista de Medicina. 2009;53(1):3–8.
52.
go back to reference Virués J, Martínez P, del Barrio JL, Lozano LM. Validación transcultural de la escala de sentido de coherencia de Antonovsky (OLQ-13) en ancianos mayores de 70 años. Med Clin. 2007. doi:10.1157/13100935. Virués J, Martínez P, del Barrio JL, Lozano LM. Validación transcultural de la escala de sentido de coherencia de Antonovsky (OLQ-13) en ancianos mayores de 70 años. Med Clin. 2007. doi:10.​1157/​13100935.
53.
go back to reference Lau ALD, Cummins RA, McPherson W. An investigation into the cross-cultural equivalence of the personal wellbeing index. Soc Indic Res. 2005;72(3):403–30.CrossRef Lau ALD, Cummins RA, McPherson W. An investigation into the cross-cultural equivalence of the personal wellbeing index. Soc Indic Res. 2005;72(3):403–30.CrossRef
54.
go back to reference Casas F, Coenders G, Cummins RA, González M, Figuer C, Malo S. Does subjective well-being show a relationship between parents and their children? J Happiness Stud. 2008;9(2):197–205.CrossRef Casas F, Coenders G, Cummins RA, González M, Figuer C, Malo S. Does subjective well-being show a relationship between parents and their children? J Happiness Stud. 2008;9(2):197–205.CrossRef
55.
go back to reference Olson CL. On choosing a test statistic in multivariate analysis of variance. Psychol Bull. 1976;83(4):579–86.CrossRef Olson CL. On choosing a test statistic in multivariate analysis of variance. Psychol Bull. 1976;83(4):579–86.CrossRef
56.
go back to reference Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate Data Analysis. New Jersey: Prentice Hall; 2009. Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate Data Analysis. New Jersey: Prentice Hall; 2009.
57.
go back to reference Field A. Discovering statistics using SPSS: Brighton: Sage publications; 2009. Field A. Discovering statistics using SPSS: Brighton: Sage publications; 2009.
59.
go back to reference Cummins RA, Eckersley R, Pallant J, Van Vugt J, Misajon R. Developing a national index of subjective wellbeing: the Australian unity wellbeing index. Soc Indic Res. 2003;64:159–90. Cummins RA, Eckersley R, Pallant J, Van Vugt J, Misajon R. Developing a national index of subjective wellbeing: the Australian unity wellbeing index. Soc Indic Res. 2003;64:159–90. 
60.
go back to reference Real Decreto 836/2012 del Boletin Oficial del Estado de las Caracterísitcas técnicas, el equipamiento sanitario y la dotación de personal de los vehículos de transporte sanitario por carretera, España. 2012. Real Decreto 836/2012 del Boletin Oficial del Estado de las Caracterísitcas técnicas, el equipamiento sanitario y la dotación de personal de los vehículos de transporte sanitario por carretera, España. 2012.
Metadata
Title
Psychosocial risk and protective factors for the health and well-being of professionals working in emergency and non-emergency medical transport services, identified via questionnaires
Authors
P. Navarro Moya
M. González Carrasco
E. Villar Hoz
Publication date
01-12-2017
Publisher
BioMed Central
DOI
https://doi.org/10.1186/s13049-017-0433-6

Other articles of this Issue 1/2017

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1/2017 Go to the issue