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Stress Levels in EMS Personnel: A National Survey

Published online by Cambridge University Press:  28 June 2012

Rita K. Cydulka ,
Charles L. Emerman ,
Bruce Shade  and
John Kubincanek
Rita K. Cydulka*
Affiliation:
Department of Emergency Medicine, Metro Health Medical Center, Cleveland, Ohio, USA
Charles L. Emerman
Affiliation:
Department of Surgery, Case Western Reserve University, Cleveland, Ohio, USA
Bruce Shade
Affiliation:
City of Cleveland Emergency, Medical Services, Cleveland, Ohio, USA
John Kubincanek
Affiliation:
Department of Emergency Medicine, Metro Health Medical Center, Cleveland, Ohio, USA
*
Department of Emergency Medicine, SI-206, Metro Health Medical Center, 2500 Metro Health Dr, Cleveland, Ohio 44109-1998USA
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Abstract

Objective:

The purpose of this study was to evaluate stress levels in emergency medical services personnel across the United States.

Design:

Confidential, 20-question survey tool, Medical Personnel Stress Survey-Abbreviated (MPSS-R). A total score of 50 indicates average stress levels. A score of 12.5 on the subset measurements of somatic distress, job dissatisfaction, organizational stress, and negative attitudes towards patients indicates average levels of stress. Data were analyzed using ANOVA and t-test.

Interventions:

None.

Results:

A total of 658 of 3,000 emergency medical technicians (EMTs) (22%) completed the survey. The mean value of 69.3±6.3 for the total stress scores was very high Mean values for the subset scores were: somatic distress = 19.6±3.3; organizational stress = 17.3±2.4; job dissatisfaction = 17.0±2.6; negative attitudes towards patients = 15.5±2.3. Characteristics predicting higher stress were EMT-basic (A) licensure, basic life support (BLS) only service provider, volunteer status, new employee working in a small EMS organization, and providing service to a small town.

Conclusion:

Stress levels in EMS personnel were very high, were manifested primarily as somatic distress, secondarily as organizational stress and job dissatisfaction, and lastly as negative patient attitudes. Stress levels and subset manifestations of occupational stress among EMS personnel varied depending on gender, marital status, age, level of training and function, on salaried or volunteer status, length of time as an EMT, and size of the organization, city, and population served. Care should be taken to address stresses peculiar to individual EMS system needs.

Keywords

attitudesdistressEMSEMTjob dissatisfactionoccupational stressorganizational stressparamedicsprehospitalsatisfactionsomatic distressstress
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 12 , Issue 2 , June 1997 , pp. 65 - 69
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1997

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References

1. Cydulka, RK, Lyons, J, Moy, A et al. : The follow-up report of occupational stress in urban EMT paramedics. Ann Emerg Med 1989;18:1151–1156.CrossRefGoogle ScholarPubMed
2. Heribson, RJ: National EMS burnout survey, journal of Emergency Medical Services 1984;9:48–50.Google Scholar
3. Neale, AV: Work stress in emergency medical technicians. J Occup Med 1991;33:991–997.Google ScholarPubMed
4. Allison, EJ, Whitley, CW, Revicki, BA et al. : Specific occupational satisfaction and stresses that differentiate pain in volunteer EMTs. Ann Emerg Med 1987:16:676–679.CrossRefGoogle Scholar
5. Hammer, JS, Mathews, JJ, Lyons, JS et al. : Occupational stress within the paramedic profession: An initial report of stress levels compared to hospital employees. Ann Emer Med 1986;15:536–539.CrossRefGoogle ScholarPubMed
6. Mitchell, JT: The 600 run limit. Journal of Emergency Medical Services 1984;9:52–54.Google ScholarPubMed
7. Elling, R: Stress as related to the EMT-P. EMT Journal 1980;4:32–34.Google Scholar
8. Wilson, WP: Burnout and other stress syndromes. Southern Medical Journal 1986;79:1327–1330.CrossRefGoogle ScholarPubMed
9. Hammer, JS, Jones, JW, Lyons, JS et al. : Measurement of occupational stress in hospital settings: Two validity studies of the measure of self reported stress in medical emergency rooms. General Hospital Psychiatry 1985;7:156–162.CrossRefGoogle ScholarPubMed
10. Personal Communication with Lyons RE: Scoring the Abbreviated MPSS-R.Google Scholar
11. Cydulka, RK, Emerman, CL, Shade, B, Kubincanek, J: Stress levels in EMS personnel: longitudinal study and effect of work schedule. Academic Emergency Medicine 1994;1:240–246.CrossRefGoogle Scholar
12. Beaton, RD, Murphy, SA: Sources of occupational stress among firefighter/EMTs and firefighter/paramedics and correlations with job-related outcomes. Prehospital and Disaster Medicine 1993;8:140–150.CrossRefGoogle ScholarPubMed
13. Gray-Tof, P, Anderson, JG: Stress among hospital nursing staff: Its causes and effects. Social Science Medicine 1981;15:639–649.Google Scholar
14. Fontanarosa, PB: Occupational considerations for the prehospital care provider. Emer Med Clinics NA 1990;8:119–133.CrossRefGoogle ScholarPubMed
15. Motowidlo, SJ, Packard, JS: Occupational Stress: Causes and consequences for job performance. J Appl Psycho 1986;71:618–629.CrossRefGoogle ScholarPubMed
16. Indik, B, Seashore, SE, Slesinger, J: Demographic correlates of psychological strain. J Abnormal and Social Psychology 1964;69:26–38.CrossRefGoogle ScholarPubMed
17. Tung, R, Gmelch, W, Swent, B: Job stress among school administrators: Factorial dimensions and differential effects. J Appl Psycho 1982;67:493–499.Google Scholar
18. Top, SM: Personality hardiness, occupational stress, and burnout in critical care nurses. Research and Nursing in Health 1989;12:179–186.Google Scholar
19. Lewis, KF, Poppe, S, Twomey, J: Survey of perceived stressors and coping strategies among burn unit nurses. Burns 1990;16:1–4.CrossRefGoogle ScholarPubMed
20. Olkinuora, M, Asp, S, Juntunen, J: Stress symptoms, burnout and suicidal thoughts in Finnish physicians. Social Psychiatry and Psychiatric Epidemiology 1990;25:81–86.CrossRefGoogle ScholarPubMed