ArticleJournal of safety research2020
Stress, burnout and diminished safety behaviors: An argument for Total Worker Health® approaches in the fire service.
Article in Journal of safety research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Emergency First Responders and Professional Wellbeing: A Qualitative Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Drivers, processes, and outcomes related to burnout and moral injury in the public safety workforce: a scoping review.Frontiers in health services · 2026Review
- Ketamine-Assisted Group Therapy for Work-Related Stress in First Responders and Frontline Health Care Workers.Psychedelic medicine (New Rochelle, N.Y.) · 2025Article
- Elucidating the relationship between burnout and sleep disturbances among firefighters: a network analysis.BMC public health · 2025Article
- Treating job-related stress with psychedelic group therapy: a case series on group ketamine-assisted psychotherapy for healthcare workers and first responders.Therapeutic advances in psychopharmacology · 2025Article
- Relationships between effective safety training, safety knowledge and personal protective equipment related behaviors among firefighters.Journal of safety research · 2024Article
- Maintaining the working state of firefighters by utilizing self-concept clarity as a resource.BMC public health · 2024Article
- Firefighter Stress, Anxiety, and Diminished Compliance-Oriented Safety Behaviors: Consequences of Passive Safety Leadership in the Fire Service?Fire (Basel, Switzerland) · 2023Article
- Organizational Factors and Their Impact on Mental Health in Public Safety Organizations.International journal of environmental research and public health · 2022Review
- How Work-Family Conflict Influenced the Safety Performance of Subway Employees during the Initial COVID-19 Pandemic: Testing a Chained Mediation Model.International journal of environmental research and public health · 2022Article
- Size matters: How safety climate and downstream outcomes vary by fire department organization type.Injury epidemiology · 2022Article
- Applying the Social Vulnerability Index as a Leading Indicator to Protect Fire-Based Emergency Medical Service Responders' Health.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
introductionFirefighting is stressful work, which can result in burnout. Burnout is a safety concern as it can negatively impact safety outcomes. These impacts are not fully understood within the fire service. Further, the fire service needs support that safety strategies are needed to protect and promote the health and wellbeing of firefighters.
methodsStructural equation modeling was completed to examine a hypothesized model that linked stress and burnout to diminished safety behavior outcomes among a sample of career firefighters.
resultsFindings support a full mediation model. Firefighter stress perceptions were positively associated with burnout and burnout was negatively associated with safety compliance behavior, personal protective equipment behavior, safe work practices, and safety citizenship behavior.
conclusionsThese results illustrate the negative impact of health impairment on firefighter safety behaviors. Practical Applications: These outcomes suggest that interventions aimed at protecting and promotion firefighter health are needed. Total Worker Health® (TWH) approaches may provide the framework for these interventions.
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Registered trials
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.