Occupational Burnout in Pre-Hospital Emergency Personnel in Iran: A Systematic Review and Meta-Analysis

Ali Sahebi, Mohamad Golitaleb, Katayoun Jahangiri

Abstract


Background: Occupational burnout, as a reaction to persistent work pressures, reduces efficiency, wastes manpower, and causes physical and psychological complications. The aim of this study was to determine the frequency and intensity of occupational burnout among pre-hospital emergency staff in Iran.

Materials and Methods: This study was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data resources included Scientific Information Database (SID), Magiran, Islamic World Science Citation Center (ISC), Irandoc, PubMed, Scopus, Web of Science, and Google Scholar.

Results: Initially, 178 articles were extracted, and then 13 articles were finally analyzed. Overall, 2034 pre-hospital emergency personnel were examined. Mean of occupational burnout in term of frequency, respectively for emotional exhaustion (16.78, 95% CI = 8.89-24.67, I2 = 62.30%, p = 0.004), depersonalization (11.57, 95% CI = 6.97-16.18, I2 = 68.50%, p = 0.001) and the lack of personal accomplishment (16.11, 95% CI = 8.60 -23.62, I2 = 74.70%, p = 0 <001) were determined. Also, in term of intensity, respectively for emotional exhaustion (17.90, 95% CI = 8.24-27.57, I2 = 64.80, p = 0.004), depersonalization (11.20, 95% CI = 6.80-16.22, I2 = 49.60%, p = 0.044) and the lack of personal accomplishment (23.45, 95% CI = 13.41 -33.49, I2 = 84.80%, p = 0 <001) were determined.

Conclusions: According to findings, depersonalization and lack of personal accomplishment had moderate and high-level, respectively. Therefore, it is necessary health policymakers pay special attention to identifying and resolving the causes of occupational burnout in this population.



Keywords


Burnout, emergency medical services, emergency medical technicians, Professional

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References


Baier N, Roth K, Felgner S, Henschke C. Burnout and safety outcomes-a cross-sectional nationwide survey of EMS-workers in Germany. BMC Emerg Med 2018;18:24.

Sheikhkanlooye Milan J, Fadaei Yushanloie KH, Hoseinzadeh F, Mohammadpour Y, Bahrami B, Farshbaf Mani Sefat F. Predicting job burnout according to organizational climate and work ethics with the mediation of job motivation in Urmia emergency medical staff in 2017. J Adv Pharm Edu Res 2020;10:43-7.

Juliá-Sanchis R, Richart-Martínez M, García-Aracil N, José-Alcaide L, Piquer-Donat T, Castejón-de-la-Encina ME. Measuring the levels of burnout syndrome and empathy of Spanish emergency medical service professionals. Australas Emerg Care 2019;22:193-9.

Leszczyński P, Panczyk M, Podgórski M, Owczarek K, Gałązkowski R, Mikos M, et al. Determinants of occupational burnout among employees of the emergency medical services in Poland. Ann Agric Environ Med 2019;26:114-9.

ALmutairi MN, Mahalli AA. Burnout and coping methods among emergency medical services professionals. J Multidiscip Healthcare 2020;13:271-9.

Durand AC, Bompard C, Sportiello J, Michelet P, Gentile S. Stress and burnout among professionals working in the emergency department in a French university hospital: Prevalence and associated factors. Work 2019;63:57-67.

Motie MR, Kalani MR, Samadi A, Eshaghi H, Ghobadi P. Prevalence of job stressors in male pre-hospital emergency technicians.J Fundam Mental Health 2010; 12: 420-429. [Persian].

Asghari E, Khaleghdoust T, Asgari F, Kazemnejad E. Effective factors on nurses’ job satisfaction. J Holist Nurs Midwifery 2010;20:1-7.

Crowe RP, Fernandez AR, Pepe PE, Cash RE, Rivard MK, Wronski R, et al. The association of job demands and resources with burnout among emergency medical services professionals. J Am College Emerg Physicians Open 2020;1:6-16.

Dubale BW, Friedman LE, Chemali Z, Denninger JW, Mehta DH, Alem A, et al. Systematic review of burnout among healthcare providers in sub-Saharan Africa. BMC Public Health 2019;19:1247.

Khatiban M, Hosseini S, Bikmoradi A, Roshanaei G, Karampourian A. Occupational burnout and its determinants among personnel of emergency medical services in Iran. Acta Medica Iranica 2015;29:711-6.

Cicchitti C, Cannizzaro G, Rosi F, Maccaroni R, Menditto VG. Burnout syndrome in pre-hospital and hospital emergency. Cognitive study in two cohorts of nurses. Recenti Prog Med 2014;105:275-80.

Wu S, Zhu W, Wang Z, Wang M, LAN Y. Relationship between burnout and occupational stress among nurses in china. J Adv Nurse 2007;59:233-9.

Ferraro L, La Cascia C, De Santis A, Sideli L, Maniaci G, Orlando IM, et al. A cross-sectional survey on burnout prevalence and profile in the Sicilian population of ambulance driver-rescuers. Prehosp Disaster Med 2020;35:133-40.

De Stefano C, Philippon AL, Krastinova E, Hausfater P, Riou B, Adnet F, et al. Effect of emergency physician burnout on patient waiting times. Intern Emerg Med 2018;13:421-8.

Moshtagh Eshgh Z, Aghaeinejad AA, Peyman A, Amirkhani A, Taghinezhad F, Sheikhi AA. The relationship between occupational stresses with job burnout in pre-hospital emergency staff. Hakim Jorjani J 2015;2:33-41. [Persian].

Ebadi A, Froutan R, Malekzadeh J. The design and psychometric evaluation of the emergency medical services resilience scale (EMSRS). Int Emerg Nurs 2019;42:12-8.

Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med 2009;6:e1000097.

Vandenbroucke JP, von Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the reporting of observational studies in epidemiology (STROBE): Explanation and elaboration. Int J Surg 2014;12:1500-24.

Yousefi K, Larijani HA, Golitaleb M, Sahebi A. Knowledge, attitude and performance associated with disaster preparedness in Iranian nurses: A systematic review and meta-analysis. Adv J Emerg Med 2019;3:e42.

Sahebi A, Jahangiri K, Sohrabizadeh S, Golitaleb M. Prevalence of workplace violence types against personnel of emergency medical services in Iran: A systematic review and meta-analysis. Iran J Psychiatry 2019;14:325-34.

Moradi Z, Eslami AA, Hasanzadeh A. Job burnout status among pre-hospital emergency technicians. Iran J Emerg Med 2015;2:28-32. [Persian].

Eslami AliAbadi H, Asadi F. Burnout among emergency medical services (EMS) staff. Q J Nurs Manag 2017;5:62-70. [Persian].

Ghaniyoun A, Shakeri K, Heidari M. The association of psychological empowerment and job burnout in operational staff of Tehran emergency center. Indian J Crit Care Med 2017;21:563-7.

Moradchelle A, Noyani A, Yekesadat M, Seidabadi A, Azizeddin S, Largani HA, et al. A survey on the status of job burnout among pre-hospital emergency personnel in Shahroud. Iran J Emerg Med 2019;6:11. [Persian].

Ebrahimi H, Navidian A, Ameri M, Sadeghi M. Burnout, dimensions and its related factors in the operational staff of medicine emergency. J Health Promot Manag 2014;3:16-26. [Persian].

Haji Mohammad Hoseini M, Ghanbari Afra L, Aliakbarzade Arani Z, Abdi M. Mental health and job burnout among pre-hospital emergency care personnel. Health Emerg Disasters 2017;2:89-94.

Shahsavani A, Aghaeinezhad AA, Royani Z. Investigation of job burnout and its related factors in pre-hospital emergency medical staff. Navid No 2019;21:29-39. [Persian].

Shareinia H, Khalilian R, Bloochi Beydokhti T, Javadi H. Relationship between job satisfaction and burnout among prehospital emergency staff. Q J Nurs Manag 2017;6:9-19. [Persian].

Khatiban M, Hosseini S, Beikmoradi A. Burnout in the personnel of the emergency medical services in Hamadan province. Scientific J Hamadan Nurs Midwifery Faculty 2012;20:5-15. [Persian].

Rezaei Ronaghi J, Paravar M, Rezaei M, Ebrahimi H. Relationship between burnout and social support in emergency medical personnel in Kashan city. J Knowledge Health 2017;11:63-72. [Persian].

Bahadori M, Ravangard R, Raadabadi M, Hosseini-Shokouh SM, Behzadnia MJ. Job stress and job burnout based on personality traits among emergency medical technicians. Trauma Mon 2019;24:24-31.

Akbar Aghaeinejad A, Eshgh ZM, Peyman A, Sabzi Z. The relationship between occupational burnout to mental health in pre-hospital emergency personnel. Adv Environ Biol 2014;20:754-61.

Gómez-Urquiza JL, La Fuente-Solana D, Emilia I, Albendín-García L, Vargas-Pecino C, Ortega-Campos EM. Prevalence of burnout syndrome in emergency nurses: A meta-analysis. Crit Care Nurse 2017;37:e1-9.

Kalemoglu M, Keskin O. Burnout syndrome at the emergency service. Scand J Trauma Resusc Emerg Med 2006;14:37-40.

Boland LL, Kinzy TG, Myers RN, Fernstrom KM, Kamrud JW, Mink PJ, et al. Burnout and exposure to critical incidents in a cohort of emergency medical services workers from Minnesota. West J Emerg Med 2018;19:987-95.

Dall’Ora C, Griffiths P, Ball J, Simon M, Aiken LH. Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: Findings from a cross-sectional study of 12 European countries. BMJ Open 2015;5:e008331.

Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, et al. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc 2015;90:1600-13.

Tarcan GY, Tarcan M, Top M. An analysis of relationship between burnout and job satisfaction among emergency health professionals. Total Qual Manag Bus 2017;28:1339-56.

Moukarzel A, Michelet P, Durand AC, Sebbane M, Bourgeois S, Markarian T, Bompard C, Gentile S. Burnout syndrome among emergency department staff: Prevalence and associated factors. Biomed Res Int 2019;2019. doi: 10.1155/2019/6462472.

Maslach C, Schaufeli WB, Leiter MP. Job burnout. Ann Rev Psychol 2001;52:397-422.

Tuesca-Molina R, Urdaneta M, Lafaurie M, Torres G, Serpa D. Burnout syndrome in nurses of the metropolitan area of Barranquilla. Salud Uninorte 2006;22:84-91.

Taleghani F, Ashouri E, Saburi M. Empathy, burnout, demographic variables and their relationships in oncology nurses. Iran J Nurs Midwifery Res 2017;22:41.


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