Nirel Nurit, Goldwag Rachel, Feigenberg Zvi, Abadi David, Halpern Pinchas
Myers-JDC-Brookdale Institute, POB 3886, 91037 Jerusalem, Israel.
Prehosp Disaster Med. 2008 Nov-Dec;23(6):537-46. doi: 10.1017/s1049023x00006385.
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.
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.
Cross-sectional study conducted through telephone interviews of a random sample of 50% of the graduates of paramedic courses in Israel (excluding conscripted soldiers).
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.
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.
以色列护理人员的数量在增加。尽管有这种增长且发挥着重要作用，但紧急医疗组织缺乏有关其工作特点的信息。
本研究的目的是考察护理人员的工作特点、工作生活质量、使他们留在该职业的因素，或者相反，使他们离开该职业的因素。
通过电话访谈对以色列护理课程毕业生（不包括应征士兵）的50%随机样本进行横断面研究。
吸引护理人员投身该职业的因素与工作的本质——救援和拯救——以及对其所涉及内容的热爱、兴趣和多样性有很大关系。工作压力源于缺乏行政支持、文书工作、工作时间长、工作与家庭生活失衡以及薪资问题。压力并非来自应对责任、在不确定条件下工作的压力以及从平静状态突然过渡到紧急情况。工作中的不满是由职业倦怠、工作负担过重和健康状况不佳引起的。妨碍他们工作能力的身心健康与职业倦怠感和转行意愿有关。
关于健康、工作满意度和职业倦怠之间关系的研究结果，再加上在十年内，目前在职的护理人员中有一半将达到难以胜任工作的年龄这一事实，得出有必要重新考虑该职业的最佳服务年限的结论。还需要做出组织安排以改变年长护理人员的工作程序。
