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KMID : 1100620230100030287
Clinical and Experimental Emergency Medicine
2023 Volume.10 No. 3 p.287 ~ p.295
Influence of work and family environment on burnout among emergency medical technicians
Junpei Haruna

Shuji Uemura
Yukiko Taguchi
Saori Muranaka
Sachi Niiyama
Hirotoshi Inamura
Keigo Sawamoto
Hirotoshi Mizuno
Eichi Narimatsu
Abstract
Objective : Burnout among emergency medical technicians is a serious problem affecting delivery of quality emergency medical services. Although the repetitive nature of the job and lower education level requirements for technicians have been reported as risk factors, little is known about the influence of burden of responsibility, degree of supervisor support, and home environment on burnout among emergency medical technicians. This study aimed to test the hypothesis that burden of responsibility, degree of supervisor support, and home environment increase burnout probability.

Methods : A web-based survey was conducted among emergency medical technicians in Hokkaido, Japan from July 26, 2021 to September 13, 2021. A total of 21 facilities were randomly selected from 42 fire stations. Prevalence of burnout was measured using the Maslach Burnout-Human Services Survey Inventory (MBI-HSS). Burden of responsibility was measured using a visual analog scale. Occupational background was also measured. Supervisor support was measured using the Brief Job Stress Questionnaire (BJSQ). Family-work negative spillover was measured using the Japanese version of Survey Work?Home Interaction?NijmeGen (SWING). The cutoff value for burnout syndrome was defined as emotional exhaustion¡Ã27 and/or depersonalization¡Ã10.

Results : A total of 700 survey respondents were included, and 27 surveys with missing data were excluded. The suspected burnout frequency was 25.6%. Covariates were adjusted using multilevel logistic regression model analysis. Low supervisor support (odds ratio, 1.421; 95% confidence interval, 1.136?1.406; P<0.001) and high family-work negative spillover (odds ratio, 1.264; 95% confidence interval, 1.285?1.571; P<0.001) were independent factors associated with higher probability of burnout.

Conclusion : This study indicated that focusing on improvement of supervisor support for emergency medical technicians and creating supportive home environments may assist in reducing burnout frequency.
KEYWORD
Psychological burnout, Emergency medical technicians, Home environment
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