The Impact of Working Overtime or Multiple Jobs in Emergency Medical Services

Rivard, Madison K.; Cash, Rebecca E.; Chrzan, Kirsten; Panchal, Ashish R.

doi:10.1080/10903127.2019.1695301

Cited by 29 publications

(29 citation statements)

References 21 publications

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“…Consequently, they experience high levels of stress and suffer from chronic stress. Studies showed that 22% of EMS providers deal with stress-related complications [3,4] such as anxiety, irritability, social isolation, sleep disorder [5][6][7][8], job dissatisfaction, burnout [9][10][11], workplace incivility, leaving the profession, suicide [12][13][14] post-traumatic stress disorder, risk behaviors, psychological problems, and depression, and are more likely to commit medical errors [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Perceived occupational stressors among emergency medical service providers: a qualitative study

et al. 2021

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Introduction Emergency medical services (EMS) providers are at continuous exposure to occupational stressors which negatively affect their health and professional practice. This study explored perceived occupational stressors among EMS providers. Methods This qualitative study was conducted from December 2019 to April 2020 using conventional content analysis. Sixteen EMS providers were purposively selected from EMS stations in Hamadan, Iran. Semi-structured interviews (with length of 45–60 min) were held for data collection. Data were analyzed through Graneheim and Lundman’s conventional content analysis approach. Findings Data analysis resulted in the development of two themes, namely critical conditions of EMS provision, and personal and professional conflicts. The six categories of these two themes were complexity of patients’ clinical conditions, interruption of EMS provision, health hazards, interpersonal problems, interprofessional interactions, and legal conflicts. Conclusion Besides the stress associated with emergency patient care, EMS providers face many different occupational stressors. EMS managers can use the findings of the present study to develop strategies for reducing occupational stress among EMS providers and thereby, improve their health and care quality.

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Section: Introductionmentioning

confidence: 99%

Perceived occupational stressors among emergency medical service providers: a qualitative study

et al. 2021

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“…28 In a study of over 18 000 US emergency medical service personnel, 56.4% worked more than one job, and 71.1% depended on this or overtime hours for income security. 29 Whilst salary rates and training vary considerably between the United States and Australia, the results from this study and related literature nonetheless imply that the current working environment might not be economically satisfying for some graduates. Future strategies could focus on increasing financial gain in these positions or allowing for skill development to undertake more roles in the community to maintain job enjoyment.…”

Section: Resultsmentioning

confidence: 61%

Investigating first‐year graduate paramedics’ reason for current work location: A cross‐sectional, data linkage study

Ivec

Beauchamp

Sutton

et al. 2021

Australian J Rural Health

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There is a greater prevalence and burden of disease in rural Australia, including higher rates of chronic disease and mental illness. 1,2 Ensuring an adequate health workforce for rural areas is essential to achieving improved health outcomes. 1 However, in many rural and regional areas of Australia, there is a shortage of health professionals, 3 including paramedics. 1 This might impact on timely and equitable access to health care for populations at greater need. 4

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“…There was a clear tendency that a higher proportion of RGPs in the younger age group participated in OOH work. This may be desired, or may fulfil a requirement to work OOH as part of the specialization course for general practitioners, along with a desire for higher income at the start of the career [25].…”

Section: Discussion Of Resultsmentioning

confidence: 99%

Out-of-hours workload among Norwegian general practitioners – an observational study

Rebnord

Morken

Maartmann-Moe

et al. 2020

BMC Health Serv Res

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Background Repeated studies of working hours among Norwegian regular general practitioners (RGPs) have shown that the average total number of weekly working hours has remained unchanged since 1994 and up until 2014. For both male and female RGPs, the mean total weekly working hours amounted to almost 50 h in 2014. In recent years, Norwegian RGPs have become increasingly dissatisfied. They experience significantly increased workload without compensation in the form of more doctors or better payment. A study from the Norwegian Directorate of Health in 2018 (the RGP study) showed that Norwegian RGPs worked 55.6 h weekly (median 52.5). 25% of the respondents worked more than 62.2 h weekly. Based on data from the RGP study we investigated Norwegian RGP’s out-of-hours (OOH) work, how the working time was distributed, and to what extent the OOH work affected the regular working hours. Methods In early 2018, an electronic survey was sent to all 4640 RGPs in Norway. Each RGP reported how many minutes that were spent that particular day on various tasks during seven consecutive days. Working time also included additional tasks in the municipality, other professional medical work and OOH primary health care. Differences were analysed by independent t-tests, and regression analyses. Results One thousand eighty hundred seventy-six RGPs (40.4%) responded, 640 (34.1%) had registered OOH work. Male RGPs worked on average 1.5 h more doing regular work than did females (p = 0.001) and on average 2.3 h more OOH work than females (p = 0.079). RGPs with no OOH work registered a mean of 1.0 h more clinical work than RGPs working OOH (p = 0.043). There was a large variation in OOH working hours. A linear regression analysis showed that male RGPs and RGPs in rural areas had the heaviest OOH workload. Conclusions One in three Norwegian RGPs undertook OOH work during the registration week in the RGP study. OOH work was done in addition to a sizeable regular workload as an RGP. We found small gender differences. OOH work was not compensated with reduced regular RGP work.

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The Impact of Working Overtime or Multiple Jobs in Emergency Medical Services

Cited by 29 publications

References 21 publications

Perceived occupational stressors among emergency medical service providers: a qualitative study

Perceived occupational stressors among emergency medical service providers: a qualitative study

Investigating first‐year graduate paramedics’ reason for current work location: A cross‐sectional, data linkage study

Out-of-hours workload among Norwegian general practitioners – an observational study

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