119 구급대원의 직무스트레스, 소진이 삶의 질에 미치는 영향
Effects of job stress and burnout on the quality of life among 119 EMTs
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Purpose: This study examined the associations of job stress and burnout with the quality of life (QOL) among 119 emergency medical technicians (EMTs). Methods: Using a descriptive correlational design, 260 EMTs working in D City or S City completed the questionnaires. Hierarchical multiple regression analysis was conducted to determine the predictors of QOL among 119 EMTs. Results: Overall, there was relatively low job stress among 119 EMTs. There were significant differences in job stress and burnout by general characteristics, especially regarding those of gender, service career, job rank, and self-reported health. In a hierarchical multiple regression, general characteristics explained 29% of QOL (Model I, F=16.369, p<.001). The explanatory power for QOL increased to 49% upon adding job stress (Model II, F=18.737, p<.001), and 59% upon adding burnout (Model III, F=22.621, p<.001). In the last model, self-reported health (β=.316, p<.001), job demand (β=-.130, p=.009), job insecurity (β=-.136, p=.010), lack of reward (β=-.189, p=.001), emotional exhaustion (β=-.196, p=.004) and lack of personal accomplishment (β=-.334, p<.001) were significant predictors of QOL among 119 EMTs. Conclusion: Based on the results, it is necessary to assess and manage job stress and burnout systematically among EMTs, and to develop health improvement programs for better QOL.
Abstract
Purpose: This study examined the associations of job stress and burnout with the quality of life (QOL) among 119 emergency medical technicians (EMTs). Methods: Using a descriptive correlational design, 260 EMTs working in D City or S City completed the questionnaires. Hierarchical multiple regression analysis was conducted to determine the predictors of QOL among 119 EMTs. Results: Overall, there was relatively low job stress among 119 EMTs. There were significant differences in job stress and burnout by general characteristics, especially regarding those of gender, service career, job rank, and self-reported health. In a hierarchical multiple regression, general characteristics explained 29% of QOL (Model I, F=16.369, p<.001). The explanatory power for QOL increased to 49% upon adding job stress (Model II, F=18.737, p<.001), and 59% upon adding burnout (Model III, F=22.621, p<.001). In the last model, self-reported health (β=.316, p<.001), job demand (β=-.130, p=.009), job insecurity (β=-.136, p=.010), lack of reward (β=-.189, p=.001), emotional exhaustion (β=-.196, p=.004) and lack of personal accomplishment (β=-.334, p<.001) were significant predictors of QOL among 119 EMTs. Conclusion: Based on the results, it is necessary to assess and manage job stress and burnout systematically among EMTs, and to develop health improvement programs for better QOL.
참고문헌 (30)
- 박유진, "119로 내원한 노인교통사고 환자의 손상과 손상중증도계수의 상관관계 분석", 한국응급구조학회지, 20(3), pp.7~19 (2016), 사단법인 한국응급구조학회
- "Statistical yearbook of Ministry of Public Safety and Security" (2016)[URL]
- 박금숙, "ICT 시대에서 119 구급대원의 폭력경험과 사회심리적 스트레스 및 소진의 연관성", 한국전자통신학회 논문지, 11(11), pp.1149~1158 (2016), 한국전자통신학회
- 최은숙, "소방대원의 촐동충격스트레스와 소진에 관한 구조모형", 한국응급구조학회지, 5(1), pp.147~164 (2001), 사단법인 한국응급구조학회
- 홍선우, "119 구급대원의 직무스트레스와 근골격계 증상과의 관계", 한국직업건강간호학회지, 19(2), pp.223~235 (2010), 한국직업건강간호학회
- Gabriele Prati, "Coping strategies and collective efficacy as mediators between stress appraisal and quality of life among rescue workers.", International Journal of Stress Management, 18(2), pp.181~195 (2011), American Psychological Association (APA)[DOI]
- Nurit Nirel, "Stress, Work Overload, Burnout, and Satisfaction among Paramedics in Israel", Prehospital and Disaster Medicine, 23(06), pp.537~546 (2008), Cambridge University Press (CUP)[DOI]
- David A. Alexander, "Ambulance personnel and critical incidents", British Journal of Psychiatry, 178(01), pp.76~81 (2001), Royal College of Psychiatrists[DOI]
- E van der Ploeg, "Acute and chronic job stressors among ambulance personnel: predictors of health symptoms", Occupational and Environmental Medicine, 60(1), pp.40i~46 (2003), BMJ[DOI]
- 홍희정, "응급의료종사자의 소진 영향요인 (부산, 경남 지역 119구급대원 중심으로)", 한국직업건강간호학회지, 21(2), pp.164~173 (2012), 한국직업건강간호학회
- Yang CM., "Job stress, depression, and quality of life among firefighters in a province", master, pp.2014
- 이경진, "인천지역 일부 소방공무원의 건강관련 삶의 질과의 관련 요인 및 직무스트레스요인과의 상관성", Annals of Occupational and Environmental Medicine, 21(3), pp.267~275 (2009), 대한직업환경의학회
- Choi BR., "Association between occupational stress, psychosocial stress and quality of life in 119 ambulance workers", doctoral, pp.2015
- 하재혁, "소방공무원의 직무스트레스와 사회심리적 건강", Annals of Occupational and Environmental Medicine, 20(2), pp.104~111 (2008), 대한직업환경의학회
- 장세진, "한국인 직무 스트레스 측정도구(KOSS)", 스트레스 硏究, 13(3), pp.183~197 (2005), 대한스트레스학회
- Jung HY., "A study of relationship among violence experience, coping and burnout of emergency department nurses", master, pp.2007
- Min SK, "Development of Korea Version of WHO Quality of Life Scale abbreviated version(WHOQOL-BREF)", Korean J Stress Res, 39(3), pp.571~579 (2000)
- 최성수, "일부 119 구급대원의 직무스트레스가 피로도에 미치는 영향", 한국산학기술학회논문지, 17(4), pp.433~439 (2016), 한국산학기술학회[DOI]
- 김태우, "현장직 소방공무원에서 직무 스트레스와 우울 증상의 관련성", Annals of Occupational and Environmental Medicine, 22(4), pp.378~387 (2010), 대한직업환경의학회
- Chang SJ, "Association between job characteristics and psychosocial distress of industrial workers", Korean J Prev Med, 30(1), pp.129~144 (1997)
- 김현, "소방공무원의 직무 스트레스, 대처방식, 직무만족", 한국직업건강간호학회지, 24(4), pp.323~330 (2015), 한국직업건강간호학회
- 이성철, "소방관서 내에서 여성구급대원의 스트레스 해소방안: 경상북도를 중심으로", 대한안전경영과학회지, 16(1), pp.45~52 (2014), 대한안전경영과학회[DOI]
- 이성희, "119 구급대원의 직무스트레스와 직무만족도", 지역사회간호학회지, 17(4), pp.521~529 (2006), 한국지역사회간호학회
- 이종열, "직무스트레스 요인과 우선순위에 관한 연구: 인천지역 소방공무원을 중심으로", 행정논총, 49(4), pp.331~356 (2011), 한국행정연구소
- 정희영, "119 구급대원으로 활동하는 간호사의 실무경험", 한국직업건강간호학회지, 19(2), pp.128~139 (2010), 한국직업건강간호학회
- 전소영, "응급실 간호사의 외상 사건 경험과 전문직 삶의 질 및 신체적 증상", 성인간호학회지, 24(1), pp.64~73 (2012), 한국성인간호학회
- 김지희, "119구급대원의 폭력경험과 소진 및 자아존중감 간의 관계", 한국산학기술학회논문지, 11(11), pp.4433~4440 (2010), 한국산학기술학회
- Park GH., "The actual situation and improvement plan of the work environment of the firefighter", KRUMA, 12, pp.63~79 (2002)
- 채진, "소방공무원의 조직 활성화 방안에 관한 연구- 내외근 간의 갈등을 중심으로 -", 한국화재소방학회 논문지, 23(2), pp.85~95 (2009), 한국화재소방학회
- 현혜진, "보건직 공무원과 행정직 공무원의 직무 스트레스, 건강증진행위와 삶의 질 비교", 한국직업건강간호학회지, 25(4), pp.320~328 (2016), 한국직업건강간호학회[DOI]
