Exiting the Emergency Medical Services Profession and Characteristics Associated with Intent to Return to Practice

Cash, Rebecca E.; Crowe, Remle P.; Agarwal, Riddhima; Rodriguez, Severo; Panchal, Ashish R.

doi:10.1080/10903127.2017.1339749

Cited by 16 publications

(18 citation statements)

References 13 publications

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“…Furthermore, there have been significant increases in demands for emergency care, including in the prehospital setting (4,5). Conversely, many emergency medical services (EMS) agencies are struggling with recruitment and retention of well-trained personnel, particularly paramedics that are A c c e p t e d M a n u s c r i p t trained at the advanced life support level (6)(7)(8)(9). EMS workforce shortages are even more evident in rural areas, where access to education programs may be limited (6).…”

Section: Introductionmentioning

confidence: 99%

Geographic Distribution of Accredited Paramedic Education Programs in the United States

Cash¹,

Clay²,

Leggio³

et al. 2021

Prehospital Emergency Care

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Background: The geographic distribution and access to paramedic education programs is unclear but often cited as a reason for emergency medical services (EMS) workforce shortages. Our aims were: 1) to examine the spatial distribution of accredited paramedic programs, and 2) to compare characteristics of communities with and without existing programs. Methods: We performed a cross-sectional study of US paramedic education programs accredited by the Commission on Accreditation of Allied Health Education Programs as of April 2020. Program locations were geocoded to county, and population estimates from the US Census Bureau were used to determine the adult population within the program's potential catchment area (30, 50, 100 miles). Clustering of programs was examined using Moran's I. We compared community characteristics obtained from the 2018 American Community Survey, 2018-2019 Area Health Resources Files, and 2018 National Emergency Department Inventory between counties with and without programs. Logistic regression models were used to determine associations of community characteristics and existence of a paramedic program, controlling for urbanicity. Results: There were 790 paramedic program locations in the US, located in 596/3142 (19%) counties. Every state, except Rhode Island and Washington, DC, had at least one paramedic program site. The population within potential catchment areas ranged from 182 million (30 miles) to 248 million (100 miles), representing 73% to 99% of the US adult population, respectively. However, among counties classified as rural (n=644), this decreased to 22% (30 miles) to 95% (100 miles). There was significant clustering of programs (p<0.001). There were significantly higher odds of having a paramedic program for counties classified as metro compared to non-metro (OR 4.42, 95% CI 3.60-5.42) and with the presence of healthcare resources (e.g., emergency department in the county: OR 2.42, 95% CI 1.87-3.14). Conclusions: Approximately 73% of the US adult population lives within 30 miles of an existing paramedic education program; however, this decreases to 22% in rural areas. Geographic barriers to accessing paramedic education remain a challenge for ongoing efforts to address the rural EMS workforce shortage.

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Section: Introductionmentioning

confidence: 99%

Geographic Distribution of Accredited Paramedic Education Programs in the United States

Cash¹,

Clay²,

Leggio³

et al. 2021

Prehospital Emergency Care

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“…Data collection tools included the Ethical Climate Questionnaire developed by Victor and Cullen, and the Intention to Leave the Service Questionnaire designed by Seashore ( 13 - 17 ). The Ethical Climate Questionnaire was designed in 1988 and had 26 items in five dimensions: care and attention ( 1 - 7 ), law ( 8 - 11 ), rules ( 12 - 15 ), instrumental ( 16 - 22 ), and independence ( 23 - 26 ). The care dimension is related to the ethical standards of each person in the organization, but the law dimension shows the ethical standards of the organization.…”

Section: Methodsmentioning

confidence: 99%

“…According to studies conducted in this field, emergency medical personnel have been the most likely to leave the service in the health system ( 7 ). Prior to the COVID-19, the number of employees leaving the service was approximately ten percent ( 7 , 8 ), which in the current situation has almost tripled to about 30 percent ( 9 ). Mirzaei et al found that during the COVID-19 outbreak, job stressors have led to an increase in nurses’ turnover intention ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

Ethical work climate and the intention to leave the service in emergency medical technicians during the COVID-19 pandemic

Mousavi¹,

Kamali²,

Eyvanaki³

2023

jmehm

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Emergency medical technicians (EMTs) are very likely to leave the profession due to their obligation to work in critical situations such as the COVID-19 pandemic. This study aimed to investigate the relationship between the ethical work climate and the intention to leave the service among EMTs. In this descriptive correlational study, 315 EMTs working in Zanjan province were surveyed using the census method in 2021. The research tools included the Ethical Work Climate and the Intention to Leave the Service questionnaires. Data were analyzed using SPSS software version 21. We found the mean (SD) score of the organization's ethical workclimate to be 73.93 (±12.53), and the intention to leave the service12.54 (±4.52), which are at a moderate level.A statistically significant positive correlation existed between thesevariables (r = 0.148, P = 0.017). Also, there was a statisticallysignificant relationship between age and employment status amongthe demographic variables, and the ethical work climate and the intention to leave (P < 0.05).Our findings indicate that ethical work climate is one of the influential but less noticed factors that affect the performance of EMTs. Therefore, it is suggested that managers implement measures to develop a positive ethical work climate to reduce the tendency to leave the service among EMTs.

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“…Consequently, the maintenance of an adequate workforce of EMS clinicians is crucial to the continued delivery of effective, safe, and equitable prehospital care. Recently, there has been heightened concern regarding the stability of the EMS workforce with significant data describing the impact of EMS turnover on the available workforce 2–5 . However, the challenges associated with the entry of EMS clinicians into the workforce remain unclear.…”

Section: Introductionmentioning

confidence: 99%

“…Recently, there has been heightened concern regarding the stability of the EMS workforce with significant data describing the impact of EMS turnover on the available workforce. [2][3][4][5] However, the challenges associated with the entry of EMS clinicians into the workforce remain unclear.…”

Section: Introductionmentioning

confidence: 99%

Paramedic educational program attrition accounts for significant loss of potential EMS workforce

et al. 2023

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Exiting the Emergency Medical Services Profession and Characteristics Associated with Intent to Return to Practice

Cited by 16 publications

References 13 publications

Geographic Distribution of Accredited Paramedic Education Programs in the United States

Geographic Distribution of Accredited Paramedic Education Programs in the United States

Ethical work climate and the intention to leave the service in emergency medical technicians during the COVID-19 pandemic

Paramedic educational program attrition accounts for significant loss of potential EMS workforce

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