The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of job stress and burnout on the quality of life among 119 EMTs

119 구급대원의 직무스트레스, 소진이 삶의 질에 미치는 영향

  • Yun, Yu-Jin (Department of Emergency Medical Services, Daejeon University) ;
  • Hong, Sun-Woo (Department of Emergency Medical Services, Daejeon University)
  • 윤유진 (대전대학교 응급구조학과) ;
  • 홍선우 (대전대학교 응급구조학과)
  • Received : 2018.10.21
  • Accepted : 2018.12.16
  • Published : 2018.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study examined the associations of job stress and burnout with the quality of life (QOL) among 119 emergency medical technicians (EMTs). Methods: Using a descriptive correlational design, 260 EMTs working in D City or S City completed the questionnaires. Hierarchical multiple regression analysis was conducted to determine the predictors of QOL among 119 EMTs. Results: Overall, there was relatively low job stress among 119 EMTs. There were significant differences in job stress and burnout by general characteristics, especially regarding those of gender, service career, job rank, and self-reported health. In a hierarchical multiple regression, general characteristics explained 29% of QOL (Model I, F=16.369, p<.001). The explanatory power for QOL increased to 49% upon adding job stress (Model II, F=18.737, p<.001), and 59% upon adding burnout (Model III, F=22.621, p<.001). In the last model, self-reported health (${\beta}=.316$, p<.001), job demand (${\beta}=-.130$, p=.009), job insecurity (${\beta}=-.136$, p=.010), lack of reward (${\beta}=-.189$, p=.001), emotional exhaustion (${\beta}=-.196$, p=.004) and lack of personal accomplishment (${\beta}=-.334$, p<.001) were significant predictors of QOL among 119 EMTs. Conclusion: Based on the results, it is necessary to assess and manage job stress and burnout systematically among EMTs, and to develop health improvement programs for better QOL.

Keywords

References

  1. Park YJ, Kim BW. Correlation between injury and the injury severity score in geriatric traffic accident patients transported by 119 rescue services. Korean J Emerg Med Ser 2016;20(3): 7-19. https://doi.org/10.14408/KJEMS.2016.20.3.007
  2. National Fire Agency. 2016 Statistical yearbook of Ministry of Public Safety and Security. https://www.nfa.go.kr/nfa/
  3. Park KS, Choi SW. The relationship of violence experience with psychosocial stress and burnout in 119 emergency medical technicians in the ICT age. Journal of the KIECS 2016;11(11):1149-58. https://doi.org/10.13067/JKIECS.2016.11.11.1149
  4. Choi ES. A model for post-traumatic stress and burnout in firefighters. J Korean Soc Emerg Med Tech 2001;5:147-64.
  5. Hong SW, Uhm DC, Jun MH. Job stress and work-related musculoskeletal symptoms of 119 emergency medical technicians. Korean J Occup Health Nurs 2010;19(2):223-35.
  6. 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. https://doi.org/10.1037/a0021298
  7. Nirel N, Goldwag R, Feigenberg Z, Abadi D, Halpern P. Stress, work overload, burnout, and satisfaction among paramedics in Israel. Prehosp Disaster Med 2008;23(6):537-46. https://doi.org/10.1017/S1049023X00006385
  8. Alexander DA, Klein S. Ambulance personnel and critical incidents: Impact of accident and emergency work on mental health and emotional well-being. Br J Psychiatry 2001;178:76-81. https://doi.org/10.1192/bjp.178.1.76
  9. van der Ploeg E, Kleber RJ. Acute and chronic job stressors among ambulance personnel: predictors of health symptoms. Occup Environ Med 2003;60(1):40-6. https://doi.org/10.1136/oem.60.suppl_1.i40
  10. Hong HJ, Sung MH. Factors affecting burnout of staff in emergency medical service (focusing on 119 rescuers in Busan and Gyeongnam). Korean J Occup Health Nurs 2012;21(2):164-73. https://doi.org/10.5807/kjohn.2012.21.2.164
  11. Yang CM. Job stress, depression, and quality of life among firefighters in a province. Unpublished master's thesis, Wonkwang University 2014, Iksan, Korea.
  12. Lee KJ, Heo HT, Kim DW, Kim IA, Kim SY, Rho JR et al. The factors related to health-related quality of life(HRQOL), and correlation between occupational stress and HRQOL among municipal fire officers in Incheon. Korean J Occup Environ Med 2009;21(3):267-75.
  13. Choi BR. Association between occupational stress, psychosocial stress and quality of life in 119 ambulance workers. Unpublished doctoral thesis, Wonkwang University 2015, Iksan, Korea.
  14. Ha JH, Kim DI, Seo BS, Kim WS, Ryu SH, Kim SG. Job stress and psychosocial stress among firefighters. Korean J Occup Environ Med 2008;20(2):104-11.
  15. Chang SJ, Koh SB. Development of the Korean Occupational Stress Scale (KOSS). Korean J Stress Res 2005;13:183-97.
  16. Jung HY. A study of relationship among violence experience, coping and burnout of emergency department nurses. Unpublished master's thesis, Inje University 2007, Gimhae, Korea.
  17. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korea Version of WHO Quality of Life Scale abbreviated version(WHOQOL-BREF). Korean J Stress Res 2000;39(3):571-9.
  18. Choi SS, Kim GW. Impact of job-stress on fatigue among 119 rescue workers. Journal of the Korea Academia-Industrial cooperation Society 2016;17(4):433-9. https://doi.org/10.5762/KAIS.2016.17.4.433
  19. Kim TW, Kim KS, Ahn YS. Relationship between job stress and depressive symptoms among field firefighters. Korean J Occup Environ Med 2010;22(4):378-87.
  20. Chang SJ, Cha BS, Koh SB, Kang MG, Koh SR, Park JK. Association between job characteristics and psychosocial distress of industrial workers. Korean J Prev Med 1997;30(1):129-44.
  21. Kim H. Job stress, coping type, and job satisfaction in firefighters. Korean J Occup Health Nurs 2015;24(4):323-30. https://doi.org/10.5807/kjohn.2015.24.4.323
  22. Lee SC, Lee RH, Kong HS. Resolution method of women's EMT stresses at the fire station: Focused on the Gyungbuk province. J Korea Saf Manag Sci 2014;16(1):45-52. https://doi.org/10.12812/ksms.2014.16.1.45
  23. Lee SH, Choi YH. A study on job stress and job satisfaction of 119 relief squads. J Korean Acad Community Health Nurs 2006;17(4):521-9.
  24. Lee JY, Park KW. Job stress factors among firefighters and their priority: the case of Incheon metropolitan fire station. Korean J Public Administration 2011;49(4):331-56.
  25. Jung HY, Lee HJ. Work experiences of nurses working as 119 paramedics. Korean J Occup Health Nurs 2010;19(2):128-39.
  26. Jeon SY, Ha JY. Traumatic events, professional quality of life and physical symptoms among emergency nurses. Korean J Adulth Nurs 2012;24(1):64-73. https://doi.org/10.7475/kjan.2012.24.1.64
  27. Kim JH, Uhm DC, Kim EA. Correlation between violence, burn-out, and self-esteem of 119 rescue workers. Journal of the Korea Academia-Industrial cooperation Society 2010;11(11):4433-40. https://doi.org/10.5762/KAIS.2010.11.11.4433
  28. Park GH. The actual situation and improvement plan of the work environment of the firefighter. KRUMA 2002;12:63-79.
  29. Chae J, Woo SC. A study on the method of revitalization for fire services organization - The solution for conflict between desk officials and outside duty ones. Fire Sci Eng 2009:23(2):85-95.
  30. Hyun HJ, Shin MJ, Lee HJ. Comparison of job stress, quality of life scale and health promotion behaviors in public health officials and general administration officials. Korean J Occup Health Nurs 2016:25(4):320-8. https://doi.org/10.5807/kjohn.2016.25.4.320