Evidence map›Paper›PMID 32155192›Full record

ArticlePloS one2020

First look at emergency medical technician wellness in India: Application of the Maslach Burnout Inventory in an unstudied population.

Kathryn W Koval, Benjamin Lindquist, Christine Gennosa, Aditya Mahadevan, Kian Niknam, Sanket Patil, G V Ramana Rao, Matthew C Strehlow, Jennifer A Newberry

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Kathryn W KovalDepartment of Emergency Medicine, Medical University of South Carolina, Charleston, SC, United States of America.ORCID 0000-0002-2865-0027
Benjamin LindquistDepartment of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA, United States of America.
Christine GennosaCollege of Medicine, Medical University of South Carolina, Anderson, SC, United States of America.
Aditya MahadevanUniversity of San Diego, San Diego, CA, United States of America.
Kian NiknamDepartment of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA, United States of America.
Sanket PatilNational Reference Simulation Centre, SGT University, Budhera, Gurugram Haryana, India.ORCID 0000-0003-2708-1739
G V Ramana RaoGVK Emergency Management and Research Institute, Devar Yamzal, Secunderabad, Telangana, India.
Matthew C StrehlowDepartment of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA, United States of America.
Jennifer A NewberryDepartment of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA, United States of America.
Stanford University · USMedical University of South Carolina · USGVK Emergency Management and Research Institute · INShree Guru Gobind Singh Tricentenary University · INUniversity of San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProfessional wellness is critical to developing and maintaining a health care workforce. Previous work has identified burnout as a significant challenge to professional wellness facing emergency medical technicians (EMTs) in many countries worldwide. Our study fills a critical gap by assessing the prevalence of burnout among emergency medical technicians (EMTs) in India.

methodsThis was a cross-sectional survey of EMTs within the largest prehospital care organization in India. We used the Maslach Burnout Inventory (MBI) to measure wellness. All EMTs presenting for continuing medical education between July-November 2017 from the states of Gujarat, Karnataka, and Telangana were eligible. Trained, independent staff administered anonymous MBI-Medical Personnel Surveys in local languages.

resultsOf the 327 EMTs eligible, 314 (96%) consented to participate, and 296 (94%) surveys were scorable. The prevalence of burnout was 28.7%. Compared to EMTs in other countries, Indian EMTs had higher levels of personal accomplishment but also higher levels of emotional exhaustion and moderate levels of depersonalization. In multivariate regression, determinants of burnout included younger age, perceived lack of respect from colleagues and administrators, and a sense of physical risk. EMTs who experienced burnout were four times as likely to plan to quit their jobs within one year.

conclusionThis is the first assessment of burnout in EMTs in India and adds to the limited body of literature among low- and middle-income country (LMIC) prehospital providers worldwide. Burnout was strongly associated with an EMT's intention to quit within a year, with potential implications for employee turnover and healthcare workforce shortages. Burnout should be a key focus of further study and possible intervention to achieve internationally recognized targets, including Sustainable Development Goal 3C and WHO's 2030 Milestone for Human Resources.

Indexed as

AdultBurnout, ProfessionalCross-Sectional StudiesEmergency Medical TechniciansEmergency TreatmentEmotionsFemaleHealth WorkforceHumansIndiaJob SatisfactionMalePersonnel TurnoverPrevalenceSurveys and Questionnaires

Identifiers

PMID32155192
PMCPMC7064236
OpenAlexW3012421177

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.