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Cited by 16Sleep and Work-Related FatigueStress and Burnout ResearchWorkplace Health and Well-being

Exploring the impact of sleep-related impairments on the perceived general health and retention intent of an Emergency Medical Services (EMS) sample

Blau, Gary·2011·Career Development International
DOI 10.1108/13620431111140147
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Abstract

Purpose Little research has been done in studying the impact of sleep‐related impairments on the perceived health and retention intent of Emergency Medical Service (EMS) workers. This paper aims to fill some of the gaps. Design/methodology/approach This study used a time‐lagged research design to test the impact of three sleep impairments measured in 2005, i.e. sleepiness, relationship difficulty due to sleepiness, and general activity difficulty due to sleepiness, on perceived general health measured in 2006 and 2007, and 2007 intent to leave the EMS profession. Background and work‐related variables, also measured in 2005, were controlled for. A total of 288 complete data EMS repeat‐respondents constituted the study sample across the three years. Although this was only a very small percentage of the total number of respondents, this sample was found to be demographically representative of the incomplete data respondents. Findings The three‐sleep impairment variable set had a collective significant additional impact for explaining both years of subsequent perceived health and retention intent, beyond the controlled‐for background and work‐related variable sets. The perceived general health variable set explained a small but unique amount of additional variance in retention intent beyond the controlled for background, work‐related and sleep impairment variable sets. Originality/value People's lives can depend on the quick and efficient reactions of EMS workers. There has been little prior research studying the impact of sleep impairments on health and retention outcomes using an EMS sample. The results seem promising enough to suggest continued study of the impact of sleep‐related impairments on work outcomes for EMS personnel, and other samples sharing common work stresses.

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  • Self-reported poor sleep patterns had a significantly poor effect on the perceived general health and retention intent of American paramedics.

    “Self-reported poor sleep patterns had a significantly poor effect on the perceived general health and retention intent of American paramedics (Blau, 2011).”

    From Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing (2024) · cites this paper as Blau, 2011

  • Paramedics and emergency service workers have higher rates of depression, anxiety, PTSD, and associated psychological morbidities, as well as a higher risk of burnout and higher risk of mortality.

    “Paramedics and emergency service workers have been reported to have higher rates of depression, anxiety, PTSD, and associated psychological morbidities, as well as a higher risk of burnout and higher risk of mortality (Blau, 2011; Clompus & Albarran, 2016; McIntosh et al., 2016; Sterud, Ekeberg, & Hem, 2006).”

    From Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing (2024) · cites this paper as Blau, 2011

  • Among paramedics, sleep impairment had a significant additional impact on perceived health and intention to leave in following years.

    “Sleep impairment had a significant additional impact that explained following years of perceived health and intention to leave.”

    From Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing (2024) · cites this paper as Blau, G. 2011

  • Required alertness during working shifts significantly impacts sleep while on shift and may also impact sleep patterns off shift, leading to sleep deprivation, severe circadian dysrhythmias, and possibly chronically impaired sleep patterns.

    “This required alertness significantly impacts sleep while on shift and may also impact sleep patterns off shift as well, leading to sleep deprivations, severe circadian dysrhythmias, and possibly chronically impaired sleep patterns [7,13].”

    From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [13]

  • Firefighters experience long, irregular shifts, and unpredictable emergencies, all of which are associated with lowered mood, fatigue and alertness, and disordered sleep.

    “Firefighters experience long, irregular shifts, and unpredictable emergencies, all of which are associated with lowered mood, fatigue and alertness, and disordered sleep [7,30].”

    From Mental Health of Canadian Firefighters: The Impact of Sleep (2021) · cites this paper as [30]

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Authors
Blau, G.
Affiliations
Temple University (US)
Corresponding author
Blau, Gary
ORCID
Blau, Gary
Venue
Career Development International
Publisher
Emerald
Published
2011-06-21
Volume
16
Issue
3
Pages
238-253
ISSN
1362-0436 (ISSN-L)
DOI
10.1108/13620431111140147
OpenAlex
W2075303696
Cited by
16
References
35
Citations by year
2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 4 · 2020: 1 · 2016: 2 · 2015: 1 · 2014: 1 · 2013: 1
FWCI
0.82
Type
journal article
Language
en
Open access
closed
Licence
www.emerald.com/insight/site-policies (tdm)
Locations
Career Development International (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
  • Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
Keywords
sleep-related impairment, sleepiness, general health perception, emergency medical personnel, occupational stress, occupational health

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