Department of Emergency Medicine, University of Washington, Seattle, Washington.
Emergency Medical Services Division, Public Health Seattle and King County, Seattle, Washington.
Prehosp Emerg Care. 2023;27(4):413-417. doi: 10.1080/10903127.2023.2175088. Epub 2023 Feb 16.
Burnout has detrimental consequences for health care organizations, clinicians, and the quality of care that patients receive. Prior work suggests that workplace incivility (negative interpersonal acts) contributes to burnout. While workplace incivility is linked to EMS practitioner job dissatisfaction, absenteeism, and planned attrition, the relationship between workplace incivility and burnout has not been evaluated among EMS practitioners. This study aimed to characterize the prevalence and association of burnout and workplace incivility among EMS practitioners.
A cross-sectional survey of EMS personnel in King County, Washington was performed in January to March of 2021 with burnout as the primary outcome and workplace incivility as a secondary outcome. Multivariable logistic regression was used to evaluate associations between outcomes and EMS practitioner factors that included age, sex, race/ethnicity, years of EMS experience, and current job role.
835 completed surveys were received (response rate 25%). The prevalence of burnout was 39.2%. Women were more likely to have burnout than men (59.3% vs. 33.7%, aOR 2.2, 95% CI 1.3-3.7). Workplace incivility was experienced weekly by 32.1% of respondents, with women more likely to experience incivility compared to men (41.9% vs. 27.2%, aOR 2.0, 95% CI 1.2-3.3). Respondents who experienced frequent workplace incivility were more likely to have burnout than those who did not experience frequent incivility (61.9% vs. 38.1%, OR 4.0, 95% CI 3.0-5.5).
The prevalence of burnout and workplace incivility were concerning among EMS practitioners, with women more likely to experience both compared to men. EMS practitioners who experienced frequent workplace incivility were also more likely to have burnout than those who did not experience frequent incivility.
倦怠对医疗保健组织、临床医生和患者所接受的护理质量都有不利影响。先前的研究表明，工作场所粗言秽语（负面的人际行为）会导致倦怠。虽然工作场所粗言秽语与 EMS 从业者的工作不满、缺勤和计划离职有关，但在 EMS 从业者中，工作场所粗言秽语与倦怠之间的关系尚未得到评估。本研究旨在描述 EMS 从业者中倦怠和工作场所粗言秽语的流行情况和关联。
2021 年 1 月至 3 月，对华盛顿州金县的 EMS 人员进行了横断面调查，以倦怠为主要结果，工作场所粗言秽语为次要结果。多变量逻辑回归用于评估结果与 EMS 从业者因素之间的关联，这些因素包括年龄、性别、种族/民族、EMS 工作经验年限和当前工作角色。
共收到 835 份完成的调查问卷（回应率为 25%）。倦怠的患病率为 39.2%。与男性相比，女性更有可能出现倦怠（59.3%比 33.7%，优势比 2.2，95%置信区间 1.3-3.7）。每周有 32.1%的受访者经历过工作场所粗言秽语，与男性相比，女性更有可能经历粗言秽语（41.9%比 27.2%，优势比 2.0，95%置信区间 1.2-3.3）。与没有频繁经历过工作场所粗言秽语的受访者相比，经常经历工作场所粗言秽语的受访者更有可能出现倦怠（61.9%比 38.1%，比值比 4.0，95%置信区间 3.0-5.5）。
EMS 从业者中倦怠和工作场所粗言秽语的流行率令人担忧，与男性相比，女性更有可能同时经历这两种情况。与没有频繁经历工作场所粗言秽语的从业者相比，经常经历工作场所粗言秽语的从业者更有可能出现倦怠。
