ArticleJournal of the American College of Emergency Physicians open2025
National Evaluation of Emergency Medical Services Clinician Burnout and Workforce-Reducing Factors.
Article in Journal of the American College of Emergency Physicians open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Turnover intention and its predictors among Emergency Medical Services (EMS) professionals: a systematic review and meta-analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Pooled it
- Greater perceived stress and lower self-regulation associated with substance use behaviors in a national sample of United States emergency medical service clinicians.Drug and alcohol dependence · 2026Article
- Preparedness of the Emergency Medical Services Educational System: Pandemic Barriers and Adaptations.Journal of the American College of Emergency Physicians open · 2026Article
- Agency-Level Turnover Rates of Emergency Medical Service Clinicians and Their Characteristics.Journal of the American College of Emergency Physicians open · 2026Article
- Associations of Health Care System Deficiency-Related Patient Deterioration With Burnout, Depressive Symptoms, and Sleep Problems Among Emergency Medical Service Providers: Cross-Sectional Study.JMIR public health and surveillance · 2026Article
- Driving in emergency medical service settings: a cross-sectional study of clinical psychological factors and perceived stress in a sample of ambulance drivers.Frontiers in public health · 2026Article
- Workplace violence and burnout among emergency medical service workers and nurses in Germany: a cross-sectional study.Human resources for health · 2025Article
- Association Between Organizational Culture and Emergency Medical Service Clinician Turnover.International journal of environmental research and public health · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Objectives: Limited recent national data exist measuring burnout levels among emergency medical services (EMS) clinicians and the potential impact of burnout on workforce strength and stability. We aimed to measure current EMS burnout and its association with workforce-reducing factors. Methods: In April 2022, a random sample of nationally certified EMS clinicians was sent a survey that included the Copenhagen Burnout Inventory (CBI) to assess for burnout in 3 dimensions: personal, work-related, and patient-related. Descriptive statistics (count and percentage) and multivariable logistic regression (odds ratio [OR] and 95% CI) were used to identify and measure each domain of burnout and the relationship between these domains and workforce-reducing factors. Results: From 1838 survey responses (9% response rate), prevalence of EMS burnout was high in the personal (52%), work-related (49%), and patient-related (23%) domains. Burnout was higher for paramedics than for emergency medical technicians across all domains. Higher odds of reporting 10 or more sick days was observed for those with personal (OR, 2.66; 95% CI, 1.70-4.15), work-related (OR, 1.99; 95% CI, 1.31-3.01), or patient-related burnout (OR, 1.85; 95% CI, 1.20-2.86). Higher odds of reporting likelihood to leave the EMS profession was observed for those with personal (OR, 3.06; 95% CI, 2.16-4.33), work-related (OR, 3.34; 95% CI, 2.35-4.74), or patient-related burnout (OR, 3.42; 95% CI, 2.39-4.90). Conclusion: Nationally certified EMS clinicians demonstrated high burnout in 2022. Combined with increased absenteeism and intent to leave the profession associated with these high levels of burnout, these findings suggest that a renewed and deliberate focus on EMS clinician well-being is needed to ensure job satisfaction and workforce stability.
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