Longitudinal Analysis of Burnout in Emergency Medical Services: A Focus on Saudi Arabia

Authors

  • Hadeel Almasry Emergency Medicine Specialist, King Abdullah bin Abdulaziz University Hospital
  • Sara Howaidi Doctor, King Abdullah bin Abdulaziz University Hospital

DOI:

https://doi.org/10.47672/ajhmn.2391

Keywords:

Burnout, Emergency Medical Services (EMS), Saudi Arabia, Longitudinal Study, Healthcare Systems, Mental Health, Occupational Stress, COVID-19 Impact, Cultural Factors, Burnout Mitigation Strategies

Abstract

Purpose: This study aims to conduct a comprehensive longitudinal analysis of burnout among Emergency Medical Services (EMS) professionals in Saudi Arabia, focusing on identifying trends, risk factors, and the effectiveness of interventions over time. The study also seeks to explore the unique cultural, social, and organizational dynamics that contribute to burnout in this context.

Materials and Methods: The research utilizes a mixed-methods approach, combining quantitative data analysis from surveys distributed to EMS professionals across various regions in Saudi Arabia with qualitative interviews to gain deeper insights into the lived experiences of these professionals. The study compares the prevalence and contributing factors of burnout with global data to highlight regional differences and assess the impact of culturally tailored interventions.

Findings: The study finds that burnout among EMS professionals in Saudi Arabia is significantly high, with 65% reporting symptoms, due to long working hours (78%), inadequate organizational support (65%), and cultural expectations (70%). These factors have been exacerbated by the COVID-19 pandemic, with increased workloads (85%), fear of infection (78%), and adherence to safety protocols (80%) further raising burnout levels. Organizational support systems, such as mental health programs and peer support networks, are the most effective in mitigating burnout, proving beneficial for 70% and 65% of EMS professionals, respectively. However, the effectiveness of these interventions depends on the unique challenges faced by EMS workers in the Saudi context, highlighting the need for culturally tailored strategies.

Unique Contribution to Theory, Practice and Policy: This study contributes to the existing body of literature by providing a nuanced understanding of burnout in a culturally specific context. It highlights the importance of culturally tailored interventions and the need for longitudinal studies to track burnout progression over time. The findings offer practical insights for healthcare policymakers and EMS organizations in Saudi Arabia, emphasizing the need for flexible work schedules, enhanced organizational support, and targeted mental health resources. The study also underscores the importance of considering gender differences in burnout experiences, which can inform future policy and intervention strategies.

Downloads

Download data is not yet available.

References

Abareshi, F., Salami, F., Farina, F., Fallahi, M., & Rastaghi, S. (2022). The impact of mental workload, work-related and socio-demographic factors on job burnout among emergency medical staff. Work, 72(4), 1269–1277. https://doi.org/10.3233/wor-210001

ALmutairi, M. N., & El. Mahalli, A. A. (2020). Burnout and Coping Methods among Emergency Medical Services Professionals. Journal of Multidisciplinary Healthcare, 13, 271–279. https://doi.org/10.2147/jmdh.s244303

Beaugard, C. A., Hruschak, V., Lee, C. S., Swab, J. A., Roth, S. G., & Rosen, D. (2022). Emergency medical services on the frontlines of the opioid overdose crisis: the role of mental health, substance use, and burnout. International Journal of Emergency Services, 12(1), 91–102. https://doi.org/10.1108/ijes-11-2021-0073

Boland, L. L., Mink, P. J., Kamrud, J. W., Jeruzal, J., & Stevens, A. C. (2019). Social Support Outside the Workplace, Coping Styles, and Burnout in a Cohort of EMS Providers from Minnesota. Workplace Health & Safety, 67(8), 414–422. https://doi.org/10.1177/2165079919829154

Crowe, R. P., Fernández, A. R. M., Pepe, P. E., Cash, R. E., Rivard, M. K., Wronski, R., Anderson, S., Hogan, T. H., Andridge, R., Panchal, A. R., & Ferketich, A. K. (2020). The association of job demands and resources with burnout among emergency medical services professionals. Journal of the American College of Emergency Physicians Open, 1(1), 6–16. https://doi.org/10.1002/emp2.12014

de Souza Pereira, S., Fornés-Vives, J., Rojas, S. U., Pereira-Junior, G. A., Juruena, M. F., & Cardoso, L. (2021). Confirmatory factorial analysis of the Maslach Burnout Inventory – Human Services Survey in health professionals in emergency services. Revista Latino-Americana de Enfermagem, 29. https://doi.org/10.1590/1518-8345.3320.3386

Dunne, P. J., Lynch, J., Prihodová, L., O’Leary, C., Ghoreyshi, A., Basdeo, S. A., Cox, D. J., Breen, R., Sheikhi, A., Carroll, Á., Walsh, C., McMahon, G., & White, B. (2019). Burnout in the emergency department: Randomized controlled trial of an attention-based training program. Journal of Integrative Medicine, 17(3), 173–180. https://doi.org/10.1016/j.joim.2019.03.009

Durand, A., Bompard, C., Sportiello, J., Michelet, P., & Gentile, S. (2019). Stress and burnout among professionals working in the emergency department in a French university hospital: Prevalence and associated factors. Work, 63(1), 57–67. https://doi.org/10.3233/wor-192908

Javanmardi, K., Gilani, N., Ghafourifard, M., Dadashzadeh, A., Dehghannejad, J., & Feizollahzadeh, H. (2023). The Relationship between COVID-19 Exposure Risk and Burnout in Prehospital Emergency Medical Technicians. Journal of Caring Sciences, 12(2), 123–128. https://doi.org/10.34172/jcs.2023.31742

Juliá-Sanchis, R., Richart-Martínez, M., García-Aracil, N., José-Alcaide, L., Piquer-Donat, T., & la Encina, M. E. C. (2019). Measuring the levels of burnout syndrome and empathy of Spanish emergency medical service professionals. Australasian Emergency Care, 22(3), 193–199. https://doi.org/10.1016/j.auec.2019.04.003

Khazaei, A., Afshari, A., Khatiban, M., Borzou, S. R., Oshvandi, K., Nabavian, M., & Maddineshat, M. (2024). Perceptions of professional challenges by emergency medical services providers: a qualitative content analysis study. BMC Emergency Medicine, 24(1). https://doi.org/10.1186/s12873-024-00955-6

Leszczyński, P., Gotlib, J., Podgórski, M., Owczarek, K., Gałązkowski, R., Mikoś, M., Charuta, A., & Zacharuk, T. (2019). Determinants of occupational burnout among employees of the Emergency Medical Services in Poland. Annals of Agricultural and Environmental Medicine, 26(1), 114–119. https://doi.org/10.26444/aaem/94294

Lin, M., Battaglioli, N., Melamed, M., Mott, S., Chung, A. S., & Robinson, D. (2019). High Prevalence of Burnout Among US Emergency Medicine Residents: Results from the 2017 National Emergency Medicine Wellness Survey. Annals of Emergency Medicine, 74(5), 682–690. https://doi.org/10.1016/j.annemergmed.2019.01.037

Liu, Z. J., Luo, L., Dai, H., Zhang, B., Lin, & Zhang, X. (2024). An important issue of burnout among pre-hospital emergency medical personnel in Chengdu: a cross-sectional study. BMC Emergency Medicine, 24(1). https://doi.org/10.1186/s12873-024-00984-1

Lu, D. W., Shin, J., Wan, C., Rea, T. D., Crowe, R. P., Meischke, H., & Counts, C. R. (2023). Burnout and Workplace Incivility Among Emergency Medical Services Practitioners: A Preliminary Report. Prehospital Emergency Care, 27(4), 413–417. https://doi.org/10.1080/10903127.2023.2175088

Lü, Y., Lei, Y., Chu, D., Jiang, J., Li, Z., Tang, Y., & Rahman, A. A. (2024). Exploring antecedents and outcomes of burnout among emergency department staff using the job demands-resources model: A scoping review protocol. PloS One, 19(3), e0300040. https://doi.org/10.1371/journal.pone.0300040

McGarry, E., & O’Connor, L. (2023). Assessing burnout rates and contributing factors in emergency medical services clinicians. Journal of Workplace Behavioral Health, 1–14. https://doi.org/10.1080/15555240.2023.2292119

Miller, E. (2021). The prevalence of stress and burnout in UK emergency ambulance service workers and its impact on their mental health and well-being. British Paramedic Journal, 5(4), 62–63. https://doi.org/10.29045/14784726.2021.3.5.4.62

Morikawa, M., Uechi, T., Hanaki, N., Goto, Y., Funakoshi, H., Takeuchi, S., Mizobe, M., Yajima, T., Kondo, Y., & Tanaka, H. (2023). Burnout among Japanese emergency medicine physicians: A multicentric questionnaire study. Acute Medicine & Surgery, 10(1). https://doi.org/10.1002/ams2.848

Moukarzel, A., Michelet, P., Durand, A., Sebbane, M., Bourgeois, S., Markarian, T., Bompard, C., & Gentile, S. (2019). Burnout Syndrome among Emergency Department Staff: Prevalence and Associated Factors. BioMed Research International, 2019, 1–10. https://doi.org/10.1155/2019/6462472

Murray, R., Davis, A., Shepler, L. J., Moore-Merrell, L., Troup, W. J., Allen, J. A., & Taylor, J. A. (2019). A Systematic Review of Workplace Violence Against Emergency Medical Services Responders. New Solutions, 29(4), 487–503. https://doi.org/10.1177/1048291119893388

Sporer, C. R. (2021). Burnout in emergency medical technicians and paramedics in the USA. International Journal of Emergency Services, 10(3), 366–389. https://doi.org/10.1108/ijes-03-2020-0012

Tan, M. L., Pek, J. H., & Wong, S. H. (2024). Burnout in emergency department personnel—A continuing concern post pandemic. Hong Kong Journal of Emergency Medicine. https://doi.org/10.1002/hkj2.12008

Thielmann, B., Schwarze, R., & Böckelmann, I. (2023). A Systematic Review of Associations and Predictors for Job Satisfaction and Work Engagement in Prehospital Emergency Medical Services—Challenges for the Future. International Journal of Environmental Research and Public Health, 20(5), 4578. https://doi.org/10.3390/ijerph20054578

Vagni, M., Giostra, V., Maiorano, T., Santaniello, G., & Pajardi, D. (2020). Personal Accomplishment and Hardiness in Reducing Emergency Stress and Burnout among COVID-19 Emergency Workers. Sustainability, 12(21), 9071. https://doi.org/10.3390/su12219071

Vagni, M., Maiorano, T., Giostra, V., Pajardi, D., & Bartone, P. T. (2022). Emergency Stress, Hardiness, Coping Strategies and Burnout in Health Care and Emergency Response Workers During the COVID-19 Pandemic. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.918788

Verougstraete, D., & Hachimi-Idrissi, S. (2019). The impact of burn-out on emergency physicians and emergency medicine residents: a systematic review. Acta Clinica Belgica, 75(1), 57–79. https://doi.org/10.1080/17843286.2019.1699690

Witczak-Błoszyk, K., Krysińska, K., Andriessen, K., Stańdo, J., & Czabański, A. (2022). Work-Related Suicide Exposure, Occupational Burnout, and Coping in Emergency Medical Services Personnel in Poland. International Journal of Environmental Research and Public Health, 19(3), 1156. https://doi.org/10.3390/ijerph19031156

Zakaria, M. I., Remeli, R., Shahamir, M. F. A., Yusuf, M. H. M., Ariffin, M. A. A., & Azhar, A. M. N. (2021). Assessment of burnout among emergency medicine healthcare workers in a teaching hospital in Malaysia during COVID‐19 pandemic. Hong Kong Journal of Emergency Medicine, 28(4), 254–259. https://doi.org/10.1177/1024907921989499

Downloads

Published

2024-08-30

How to Cite

Almasry, H., & Howaidi, S. (2024). Longitudinal Analysis of Burnout in Emergency Medical Services: A Focus on Saudi Arabia. American Journal of Health, Medicine and Nursing Practice, 10(5), 11–35. https://doi.org/10.47672/ajhmn.2391

Issue

Section

Articles