与紧急医疗临床医生离开EMS相关的因素
Christopher B Gage1,2, Christine B Cooke1, Jonathan R Powell1,2
1National Registry of Emergency Medical Technicians, Columbus, Ohio.
Prehospital emergency care
|December 4, 2024
概括
高压力和流行病影响推动紧急医疗服务 (EMS) 劳动力周转率. 工作不满意度显著增加了EMT和护理人员离开现场的可能性,突出了需要保留策略的需要.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 劳动力研究 劳动力研究
背景情况:
- 紧急医疗服务 (EMS) 在美国面临着重大的劳动力流动挑战.
- 流行病相关的压力因素加剧了对EMS临床医生的现有压力.
- 了解当前的营业额驱动因素对于改善EMS劳动力稳定性至关重要.
研究的目的:
- 确定与紧急医疗技术人员 (EMT) 和护理人员离开EMS的可能性相关的因素.
- 分析EMS专业人士提到的潜在离开的主要原因.
- 调查工作满意度对EMS劳动力保留的影响.
主要方法:
- 全国注册的民用急救医生和护理人员 (18-85岁) 的横截面分析.
- 调查数据收集于2021年10月至2022年4月的人口统计数据,职位角色和离职可能性.
- 多变量后勤回归用于评估影响离开意图的因素,控制共变量.
主要成果:
- 7.1%的EMT和7.9%的护理人员打算在12个月内离开EMS.
- 压力,COVID-19和教育是离职的首要原因;工作不满意度显示出离职的几率明显更高 (救护人员的OR=11.91,护理人员的OR=13.46).
- 与护理人员相比,EMT可能离开的年龄更小,经验更少,而且与护理人员相比,全职工作的可能性更小.
结论:
- 虽然压力和流行病因素有助于EMS营业额,但工作不满是最有力的驱动因素.
- 留守战略应侧重于提高工作满意度,以减轻员工离职.
- 对工作满意度的决定因素进行进一步的研究对于提高EMS专业的保留是必不可少的.
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