Relationships of work-related psychosocial risks,stress, individual factors and burnout – Questionnaire survey among emergency physicians and nurses

摘要

Background: Psychosocial risks represent a great challenge for safety and health protection at work in Europe. The purpose of thisstudy has been to determine the relationships of psychosocial risks arising from work, stress, personal characteristics and burnoutamong physicians and nurses in the Emergency Medical Service (EMS). Material and Methods: We performed a cross-sectionalstudy based on a questionnaire survey which contained the Copenhagen Psychosocial Questionnaire (COPSOQ) and CopenhagenBurnout Inventory (CBI). Results: A total of 88 physicians and 80 nurses completed the survey. Physicians demonstratedhigher emotional (mean (M) ± standard deviation (SD) = 74.57±16.85) and cognitive (M±SD = 75.95±13.74) demands as comparedto nurses. Both groups had high sensory demands and responsibilities at work, in spite of the low degree of their autonomy. Themeaning of work, commitment to the workplace, and insecurity at work were high for both groups. Among all participants, stressfulbehavior and reactions were within the limits of low values ( 40) and coping strategies showed high values ( 60). Personaland patient-related burnout was high for both groups, where physicians were significantly affected by work-related burnout. Theinfluence at work, degree of freedom at work, social support, sense of coherence, mental health, and problem-focused copingare negatively related to work-related burnout. Conclusions: Based on personal factors and coping styles, emergency physiciansand nurses are representing a self-selective professional group that meets high work demands, great responsibility, strong commitmentand insecurity at work. Burnout of physicians and nurses in the EMS tends to be ignored, although it has severe consequenceson their mental and general health. Med Pr 2017;68(2):167–178