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

The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.

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

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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Research works printed but not linked: 9

  1. 1979, Psychiatr Opin, 16, 12
  2. 2001, Gedrag & Organisatie, 14, 142
  3. 1985, Ned Tijdschr Psychol, 40, 164
  4. 1989, Acta Psychiatr Scand, 80, 1
  5. 1994, J Psychosom Res, 5, 383
  6. Maslach C, Jackson SE. Maslach Burnout Inventory: manual research edition. Paolo Alto, CA: University of California, Consulting Psychologist Press, 1986.
  7. 1991, Health Manpow Manage, 17, 4
  8. 1993, J Soc Behav Pers, 8, 189
  9. 1999, Gedrag & Organisatie, 6, 397

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Metadata

Authors
van der Ploeg, E., & Kleber, R. J.
Affiliations
Utrecht University (NL)
Corresponding author
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
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
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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