Academic journal article Canadian Journal of Administrative Sciences

Workplace Risks and Stressors as Predictors of Burnout: The Moderating Impact of Job Control and Team Efficacy

Academic journal article Canadian Journal of Administrative Sciences

Workplace Risks and Stressors as Predictors of Burnout: The Moderating Impact of Job Control and Team Efficacy

Article excerpt

Abstract

Air medical healthcare (AMH) professionals care for critically-ill individuals while conveying them to healthcare centres from distant, and frequently dangerous, locations. AMH professionals experience additional health and safety issues beyond the "typical" stressors faced by other healthcare professionals. Therefore, we integrated the safety and psychosocial health literatures to examine the relationship between workplace stressors (risk perception, worries, and patient-care barriers) and two components of burnout (emotional exhaustion; depersonalization), and the moderating impact of job control and team efficacy for 106 Canadian AMH professionals. Worries over medical hassles and barriers to patient care uniquely predicted emotional exhaustion. Lack of perceived control over one's job was related to exhaustion and depersonalization after controlling for stressors. Job control and team efficacy buffered some of the stressor-burnout relationships. Copyright © 2009 ASAC. Published by John Wiley & Sons, Ltd.

JEL Classification: J28

Keywords: job stressors, safety incidents, job control, team efficacy, burnout

Résumé

Les professionnels de la santé qui travaillent dans les avions (AMH) s'occupent des personnes gravement malades tout en les transportant des coins éloignés et le plus souvent dangereux vers des centres de soins. C'est pourquoi les professionnels ont des problèmes de santé et de sécurité particuliers qui viennent s'ajouter aux éléments stressants «.classiques» auxquels les autres professionnels de la santé sont confrontés. Dans la présente étude, nous nous basons sur les publications relatives à la sécurité et à la santé psychosociale pour examiner les relations entre les facteurs stressants dans le milieu de travail (perception du risque, inquiétudes, obstacles aux soins des malades) et deux composantes de la fatigue professionnelle (la fatigue émotionnelle et la dépersonnalisation) auprès de 106 AMH canathens. Nous nous penchons aussi sur l'impact modérateur du contrôle du travail et de l'efficacité collective. Les résultats indiquent (1) que les inquiétudes liées aux complications médicales et aux obstacles aux soins des malades prédisent exceptionnellement l'épuisement émotionnel; (2) qu'une fois les facteurs stressants pris en compte, le manque de contrôle perçu relie à l 'épuisement et la dépersonnalisation; (3) que le contrôle du travail et l'efficacité collective exercent un effet tampon sur la relation facteur stressant-épuisement professionnel. Copyright © 2009 ASAC. Published by John Wiley & Sons, Ltd.

Mots-clés : facteurs de stress au travail, incidents de sécurité, contrôle du travail, efficacité collective, épuisement professionnel

There has been a substantial increase in occupational health and safety (OHS) research in recent years (e.g., Cadieux, Roy, & Desmarais, 2006; Salminen, Kivimaki, Elovainio, & Vahtera, 2003), and mere is a growing body of evidence documenting burnout's deleterious effects on quality of care and physical health. Much of this research has focused on healthcare workers, and has identified the various predictors of employee health and strain (e.g., Aasa, Brulin, Angquiest, & Barnekow-Bergkvist, 2005). Emergency medical responders, such as air medical healdicare (AMH) professionals, face many of the same safety issues and safety incidents (e.g., needlestick injuries Peate, 2001) and psychosocial stressors (e.g., concerns about patient care) that are found in most healthcare settings (Aasa et al.), but diese emergency healthcare providers have all but been ignored in research.

AMH professionals are comprised of individuals from various healthcare professions (e.g., physicians, nurses, paramedics) who are responsible for transporting and caring for critically ill patients from distant locations to healdicare centres. Because of the nature of their jobs, AMH professionals face a number of additional psychological and physical stressors. …

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