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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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