Multiple Dimensions of Work Intensity: Ambulance Work as Edgework

Granter, Edward; Wankhade, Paresh; McCann, Leo; Hyde, Paula; Hassard, John

doi:10.1177/0950017018759207

Cited by 74 publications

(71 citation statements)

References 71 publications

(103 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…EMS professionals find themselves in the most stressful workplace and thus are at high burnout risk, because of an inadequate working environment such as tight work schedules, health and safety, and clashes with patients or their relatives, as well as emotional circumstances like case acuity and crucial care judgments. 18 Alarming percentages of EMS personnel scored highly on both emotional exhaustion and depersonalization (63% and 40%, respectively). In addition, a significant proportionperceived low levels of personal achievement (41.9%).…”

Section: Discussionmentioning

confidence: 99%

<p>Burnout and Coping Methods among Emergency Medical Services Professionals</p>

ALmutairi¹,

El.Mahalli²

2020

JMDH

View full text Add to dashboard Cite

Purpose: To determine levels of burnout among emergency medical services (EMS) professionals and the coping strategies they use to alleviate burnout and measure the association between burnout vs sociodemographic and work-related characteristics and coping strategies of EMS professionals. Methods: This was a cross-sectional survey study conducted among 270 active-duty EMS professionals. The Maslach Burnout Inventory (MBI)-Health Services Survey was used to assess burnout. There are three scales of burnout: depersonalization, emotional exhaustion, and personal achievement. Coping Methods Checklist (CMC) was used to assess coping strategies. Univariate descriptive statistics were used to explore sociodemographic characteristics of participants, level of burnout, and coping strategies. Primary bivariate analyses were used to determine variables significantly correlated with each of the three MBI scores. Multiple linear regression models were used to explore correlation between variables measured in the survey with each of the three MBI scales (emotional exhaustion, depersonalization, and personal accomplishment). Results: EMS professionals perceived high levels of emotional exhaustion and depersonalization and low levels of personal achievement. The most frequently used coping strategies were talking with colleagues (87.4%), looking forward to being off duty (82.6%), and thinking about the positive benefits of work (81.1%). CMC7 (thinking about the positive benefits of work) contributed most to variations in emotional exhaustion, depersonalization, and personal achievement. Saudis had lower emotional exhaustion and depersonalization. Conclusion: This study might provide evidence to formulate comprehensive training on how EMS workers can cope with burnout.

show abstract

Section: Discussionmentioning

confidence: 99%

<p>Burnout and Coping Methods among Emergency Medical Services Professionals</p>

ALmutairi¹,

El.Mahalli²

2020

JMDH

View full text Add to dashboard Cite

show abstract

“…In turn, this has often created the impression of extremes occurring within the everyday as opposed to uniquely in macro-extreme contexts. Thus, work intensification has several negative side-effects across organizational settings including stress and illness (Green 2004;McCann et al 2008;Granter et al 2019). Importantly, other extreme features have infiltrated 'usual' or everyday lived experience (De Certeau 1984) producing for many a toxic amalgam of banality, bullying, rudeness, marginalisation, gossip, moaning, mundanity and even boredom.…”

Section: Connecting Work Intensification and Extremes With Organizatimentioning

confidence: 99%

“…In the UK context, the emergency services have undergone substantial challenges and transformations in the light of, inter alia: changing demographics; partial privatisation; new public management initiatives; and, post-2008 crisis austerity (National Audit Office NAO 2017; Gurkov and Settles 2011; Knies 2015; Wiesel and Modell 2014). It is acknowledged by the wider public that emergency services personnel are regularly called upon to engage with incidents which involve severe, demanding, and even stark scenes and experiences (Granter et al 2019). The work of the ambulance professionals has been characterised as a dangerous occupation (Maguire et al 2014) and residing in the extreme and risky category of extremes (Hällgren, Rouleau and De Rond, 2018).…”

Section: Insert Table 1 Herementioning

confidence: 99%

“…The over-prioritisation of 'red' calls (8-minute response to life-threatening emergencies) is often cited as one of the main reasons for crew dissatisfaction due to the fact that it tends to be driven by organizational and political reporting imperatives rather than genuine medical necessity (Wankhade 2018;NAO 2017). This 'extreme and normal' duality has been overlooked in the literature as the emphasis has rather tended to be primarily on ambulance professionalization and work intensification (Granter et al 2019;McCann et al 2015) or ambulance culture (Wankhade et al 2018;Wankhade et al 2015).…”

Section: Work Intensification and Drivers Of The Intense-extreme/ Munmentioning

confidence: 99%

See 1 more Smart Citation

Work intensification and ambidexterity - the notions of extreme and ‘everyday’ experiences in emergency contexts: surfacing dynamics in the ambulance service

Wankhade

Stokes

Tarba

et al. 2019

Public Management Review

Self Cite

View full text Add to dashboard Cite

Many organizational contexts have experienced radical changes resulting in work intensification. Whilst emergency services face evident 'macro-extreme' challenges (emergencies, major traumas) employees also experience parallel, everyday 'routine' in microsettings. How such micro-episodes interact with macro-extreme dynamics remains underexplored providing an opportunity to extend literature on micro-foundational organizational ambidexterity. This paper empirically examines these dynamics in the UK Ambulance Service by developing a conceptual model to explore the exploitative and explorative shifts and manifestations of work intensification. The findings demonstrate a recognition of macro-type intense-extremes impacts but less appreciation of their interaction with micro-situational mundane-extremes.

show abstract

“…Subsequently, the agenda for the study and critique of work has developed from the deskilling thesis to take in issues such as managerial control (Friedman, 1977;Burawoy, 1979), work intensification (Elger, 1991;Hassard et al, 2009;Granter et al, 2019) and surveillance and evaluation (Moore, 2018;Allan et al, 2019).…”

mentioning

confidence: 99%

Introduction to the special issue: The enactment of neoliberalism in the workplace: The degradation of the employment relationship

Thomas

McArdle

Saundry

2019

Competition & Change

View full text Add to dashboard Cite

This article introduces readers to the special issue on 'the enactment of neoliberalism in the workplace'. We argue that contemporary developments such as zero-hours contracts, casualization and platform work are part of a neoliberal regime of deregulation and flexibilization that renders employment precarious and work degraded. Thus, the degradation of work that Braverman wrote of should be extended to include aspects of the employment relationship, acknowledging the crucial relationship between the mode of employment and the experience of work. In short, we assert that the quality of work is intimately connected to the quality of employment. The neoliberal agenda is played out in and around organizations through management decisions on employment and work, which, in turn, have significant and complex connections to a range of wider social, economic and political issues, such as poverty and welfare systems. The articles in our special issue explore and analyse several dimensions of the changes taking place and whilst presenting a rather gloomy view of contemporary work and employment they do demonstrate continued scope for resistance.

show abstract

Multiple Dimensions of Work Intensity: Ambulance Work as Edgework

Cited by 74 publications

References 71 publications

<p>Burnout and Coping Methods among Emergency Medical Services Professionals</p>

<p>Burnout and Coping Methods among Emergency Medical Services Professionals</p>

Work intensification and ambidexterity - the notions of extreme and ‘everyday’ experiences in emergency contexts: surfacing dynamics in the ambulance service

Introduction to the special issue: The enactment of neoliberalism in the workplace: The degradation of the employment relationship

Contact Info

Product

Resources

About