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Occupational Stress among Japanese Emergency Medical Technicians: Hyogo Prefecture

Published online by Cambridge University Press:  28 June 2012

Naoki Okada ,
Noboru Ishii ,
Minori Nakata  and
Shinichi Nakayama
Naoki Okada*
Affiliation:
Department of Disaster and Emergency Medicine, Kobe University Graduate School of Medicine, Japan
Noboru Ishii
Affiliation:
Department of Disaster and Emergency Medicine, Kobe University Graduate School of Medicine, Japan
Minori Nakata
Affiliation:
Center for Musculoskeletal Research, University of Gävle, Sweden
Shinichi Nakayama
Affiliation:
Hyogo Prefecture Emergency Medical Center, Japan
*
MD 7-5-1, Kusunoki-cho, Chuo-ku, Kobe City, Hyogo Prefecture, 650-0017, Japan E-mail: [email protected]
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Abstract

Introduction:

As prehospital care became emphasized in emergency medical services in Japan, qualification as a “paramedic” was established in 1991 as a requirement for national qualification as a emergency medical technician (EMT).With recent increases in emergency transportation, the responsibilities of paramedics have become more complex and demand a higher level of competency; however, no method of evaluating occupational stress among Japanese EMTs currently exists.

Methods:

A questionnaire survey of the working conditions and health of 2,017 EMTs in Hyogo Prefecture was conducted. To analyze stress levels among these EMTs, the survey was divided into two categories: (1) physical stress; and (2) mental stress.

Results:

The number of responses was 1,551 (76.9%) and the average age of the respondents was 35.4 years. The lower back, neck, and shoulders were most frequently subjected to physical stress, which was related to the daily operations as an EMT. Mental stress was reported more frequently by those who were older or qualified paramedics.

Discussion:

The high frequency of lower back pain suggests the need for improvement in the work environment and periodic education.

Conclusions:

Although job satisfaction among paramedics was high, they were exposed to greater mental stress. Therefore, systematic management of stress must be developed and established.

Keywords

emergency medical serviceemergency medical technicianmental stressoccupational stressparamedic, questionnaire surveysomatic stressstress management
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 20 , Issue 2 , April 2005 , pp. 115 - 121
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2005

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References

1.Japanese Association of Education for Paramedics: Standard Textbook for Japanese Paramedics. 6th ed. Tokyo: Herusu Publishing, 2002.Google Scholar
2.Fire and Disaster Management Agency, Japanese Ministry of Public Management, Home Affairs, Posts and Telecommunications, Japan: White Paper on Fire and Disaster Management. Tokyo: Gyosei, 2002.Google Scholar
3.Elling, R: Stress as related to the emergency medical technican-P. emergency medical technican Journal 1980;4:32–34.Google Scholar
4.Heribson, RJ: National emergency medical services burnout survey. Journal of Emergency Medical Services 1984;9:48–50.Google Scholar
5.Mitchell, JT: The 600 run limit. Journal of Emergency Medical Services 1984;9:52–54.Google ScholarPubMed
6.Cydulka, RK, Lyons, J, Moy, A, et al. : The follow-up report of occupational stress in urban emergency medical technican paramedics. Ann Emerg Med 1989;18:1151–1156.CrossRefGoogle Scholar
7.James, A: Perceptions of stress in British Ambulance Service. Work and Stress 1988;2:319–326.CrossRefGoogle Scholar
8.Hammer, JS, Mattews, JJ, Lyons, JS, et al. : Occupational stress within the paramedic profession; An initial report of stress levels compared to hospital employees. Ann Emerg Med 1986;15:536–539.CrossRefGoogle ScholarPubMed
9.Young, KM, Cooper, CL: Occupational stress in the ambulance service: A diagnostic study. Health Manpower Management 1997;23(4):140–147.Google Scholar
10.Federiuk, CS, O'Brien, K, Jui, J, Schmidt, TA: Job satisfaction of paramedics: The effects of gender and type of agency of employment. Ann Emerg Med 1993;22:657–662.CrossRefGoogle ScholarPubMed
11.Boudreaux, E, Jones, GN, Mandry, C, Brantley, PJ: Patient care and daily stress among emergency medical technicians. Prehosp Disast Med 1996;11:188–194.CrossRefGoogle ScholarPubMed
12.Cydulka, RK, Emerman, CL, Shade, B, Kubincanek, J: Stress levels in emergency medical services personnel: A national survey. Prehosp Disast Med 1997;12:136–140.CrossRefGoogle ScholarPubMed
13.Japanese Ministry of Health, Welfare and Labor: The Health Survey on Labor Conditions. Tokya: Gyosei, 2002.Google Scholar
14.Yoshida, Y: A questionnaire survey for the advancement of the Japanese emergency medical system. Kindai Shobo 1999;11:31–39.Google Scholar
15.Clohessy, S, Ehlers, A: PTSD symptoms, response to intrusive memories and coping in ambulance service workers. British Journal of Clinical Psychology 1999;38:251–265.CrossRefGoogle ScholarPubMed
16.Kishi, Y: Stress management for medical personnel. Jemergency medical services 2002;10:8–11.Google Scholar
17.Everly, GS, Mitchell, J: Critical Incident Stress Management (critical incident stress management); A New Era and Standard of Care in Crisis Intervention. 2nd ed. Chevron Publishing Co.: Ellicott City, MD, 1999.Google Scholar
18.Noy, S: The traumatic process: Conceptualization and treatment. Prehosp Disast Med 2004;19(1):37–45.CrossRefGoogle ScholarPubMed
19.Ruzek, JI, Young, BH, Cordova, MJ, Brian, WF: Integration of disaster mental health services with emergency medicine. Prehosp Disast Med 2004;19(1):46–53.CrossRefGoogle ScholarPubMed
20.Gray, MJ, Maguen, S, Litz, BT: Acute psychological impact of disaster and large-scale trauma: Limitations of traditional interventions and future practice recommendations. Prehosp Disast Med 2004;19(1):64–72.CrossRefGoogle Scholar
21.Palm, KM, Polusny, MA, Follette, VM: Vicarious traumatization: Potential hazards and interventions for disaster and trauma workers. Prehosp Disast Med 2004;19(1):73–78.CrossRefGoogle ScholarPubMed
22.Igarashi, Y: Critical incident stress management at the Tokyo Fire Department. Jemergency medical services 2002;10:12–18.Google Scholar