Thielmann Beatrice, Ifferth Malwine, Böckelmann Irina
Institute of Occupational Medicine, Faculty of Medicine, Otto von Guericke University Magdeburg, Leipziger Str. 44, 39120 Magdeburg, Germany.
Healthcare (Basel). 2024 Sep 15;12(18):1860. doi: 10.3390/healthcare12181860.
BACKGROUND/OBJECTIVES: The stress levels in emergency services are enormous. The resulting stress can range from psychological irritation to burnout. This study examines the importance of resilience in the German EMS and its significance for the risk of irritation and burnout among EMS personnel.
A quantitative cross-sectional online survey was conducted among 285 EMS personnel in Germany. Resilience was measured by the RS-13 Scale, irritation by the Irritation Scale (IS), and burnout by the Maslach Burnout Inventory (MBI). Sociodemographic and job-related data were also collected. A classification into resilient groups was used to compare stress levels.
More than one-third (39%) of the participants had a low level of resilience. EMS personnel with high levels of resilience had significantly lower scores on the cognitive and emotional irritation dimensions, as well as on the burnout dimensions of emotional exhaustion and cynicism.
Resilience plays an important role in the safety culture of emergency services. The results support the hypothesis that high levels of resilience lead to less stress and help people cope better with stress. Almost two-fifths of the participants had lower resilience, underscoring the need for safe communication and targeted measures to strengthen resilience. Regular training, a supportive work environment, and promoting team cohesion and social support can improve emergency responders' mental health and job performance. Future research should develop specific intervention strategies and evaluate their effectiveness to ensure the long-term health of emergency responders and improve the quality of emergency care.
背景/目的：紧急服务中的压力水平极大。由此产生的压力范围从心理刺激到职业倦怠。本研究探讨了复原力在德国紧急医疗服务中的重要性及其对紧急医疗服务人员产生刺激和职业倦怠风险的意义。
对德国285名紧急医疗服务人员进行了一项定量横断面在线调查。采用RS - 13量表测量复原力，采用刺激量表（IS）测量刺激程度，采用马氏职业倦怠量表（MBI）测量职业倦怠。还收集了社会人口统计学和与工作相关的数据。通过将参与者分类为具有复原力的群体来比较压力水平。
超过三分之一（39%）的参与者复原力水平较低。复原力水平高的紧急医疗服务人员在认知和情绪刺激维度以及情感耗竭和玩世不恭的职业倦怠维度上的得分显著较低。
复原力在紧急服务的安全文化中起着重要作用。结果支持了这样的假设，即高水平的复原力会导致压力减轻，并帮助人们更好地应对压力。近五分之二的参与者复原力较低，这突出了进行安全沟通和采取针对性措施以增强复原力的必要性。定期培训、支持性的工作环境以及促进团队凝聚力和社会支持可以改善急救人员的心理健康和工作表现。未来的研究应制定具体的干预策略并评估其有效性，以确保急救人员的长期健康并提高紧急护理的质量。
