Cited by 396Stress and Burnout ResearchOccupational Health and BurnoutWorkplace Health and Well-being

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Acute and chronic job stressors among ambulance personnel: predictors of health symptoms

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van der Ploeg, E, Kleber, R J·2003·Occupational and Environmental Medicine

DOI 10.1136/oem.60.suppl_1.i40PMC PMC1765729

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Abstract

OBJECTIVES: To predict symptomatology (post-traumatic distress, fatigue, and burnout) due to acute and chronic work related stressors among ambulance personnel. METHODS: Data were gathered from 123 ambulance workers in The Netherlands in a longitudinal design. At two measurements they completed standardised questionnaires to assess health symptoms, such as the Impact of Event Scale, the Maslach Burnout Inventory, and the Checklist Individual Strength. Acute stressors were assessed with specific questions, and chronic work related stressors were measured with the Questionnaire on the Experience and Assessment of Work. RESULTS: Most of the ambulance workers had been confronted with acute stressors in their work. They also reported more chronic work related stressors than a reference group. Of the participants, more than a tenth suffered from a clinical level of post-traumatic distress, a tenth reported a fatigue level that put them at high risk for sick leave and work disability and nearly a tenth of the personnel suffered from burnout. Best predictors of symptomatology at time 2 were lack of social support at work and poor communication, such as not being informed about important decisions within the organisation. CONCLUSIONS: Ambulance personnel are at risk to develop health symptoms due to work related stressors. Although, acute stressors are related to health symptoms, such as fatigue, burnout, and post-traumatic symptoms, it was not found to predict health symptoms in the long term. Main risk factors have to do with social aspects of the work environment, in particular lack of support from the supervisor as well as colleagues and poor communication. When implementing workplace interventions these social aspects need to be taken into account.

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Background
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Authors: van der Ploeg, E., & Kleber, R. J.
Affiliations: Utrecht University (NL)
Corresponding author: Kleber, R J
ORCID: Kleber, R J
Venue: Occupational and Environmental Medicine
Publisher: BMJ
Published: 2003-06
Volume: 60
Issue: suppl 1
Pages: i40-i46
ISSN: 0007-1072 (ISSN-L)
1351-0711
1470-7926
DOI: 10.1136/oem.60.suppl_1.i40
PMC: PMC1765729
OpenAlex: W2103482302
Cited by: 396
References: 35
Citations by year: 2026: 8 · 2025: 12 · 2024: 15 · 2023: 21 · 2022: 21 · 2021: 24 · 2020: 24 · 2019: 31 · 2018: 25 · 2017: 15 · 2016: 20 · 2015: 23 · 2014: 15 · 2013: 35 · 2012: 18
FWCI: 8.82
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Occupational and Environmental Medicine (publishedVersion)
PubMed Central (publishedVersion)
Research portal (Tilburg University) (publishedVersion)
PubMed (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
Funders: Universiteit Utrecht
Nederlandse Organisatie voor Wetenschappelijk Onderzoek
Universiteit van Tilburg
Topics: Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
Keywords: ambulance personnel, occupational stress, acute stressors, chronic stressors, post-traumatic stress, fatigue, burnout, social support at work, workplace communication, occupational health, emergency medical services
MeSH terms: Adult, Ambulances, Burnout, Professional, Emergency Medical Technicians, Fatigue, Female, Humans, Longitudinal Studies, Male, Mental Health, Netherlands, Occupational Diseases, Risk Factors, Stress Disorders, Post-Traumatic

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Acute and chronic job stressors among ambulance personnel: predictors of health symptoms

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