Chronic Stress andAssociated Coping Strategies Among Volunteer EMS Personnel

Abstract

Objective. This study assessed the chronic (everyday) stress experiences andcoping strategies among volunteer Emergency Medical Services personnel. Methods. An anonymous, self-report survey using standardized measures of burnout (the Maslach Burnout Inventory) andcoping (the Coping Mechanisms Checklist) was completed by a convenience sample of volunteer Emergency Medical Services personnel serving one of six participating ambulance companies in Suffolk County, New York. Results. Survey responders included 139 of 175 volunteers who were recruited to participate (response rate = 79%). Alarming percentages of participants scored high on emotional exhaustion (92%) anddepersonalization (99%); however, 75% also reported high levels of personal accomplishment. The use of several coping strategies were concerning. Significant differences were found in coping strategies used between genders andnumber of years served; women were more likely to talk with significant others (97% vs. 81.7%, chi-square = 6.849, p < 0.001), whereas men were more likely to indicate that they pick andchoose calls to go on (67% vs. 49%, chi-square = 4.062, p = 0.044). Participants with 6+ years were more likely than those with fewer years to “keep thoughts/feelings to self” (95.6% vs. 81.2%, chi-square = 5.72, p = 0.017) and“engage in risky behaviors” (47.82% vs. 30.43%, chi-square = 3.68, p = 0.055). Approximately half of responders indicted that they do the bare minimum required to stay an active member of their ambulance company (53%). ANOVAs revealed that use of several coping strategies were significantly associated with depersonalization andpersonal accomplishment scores. Conclusion. Gender, years of experience, the types of coping strategies used, andhigh levels of depersonalization andemotional exhaustion must be considered when developing mental health programs for chronic stress among volunteer Emergency Medical Services personnel.

Key words:

• voluntary workers
• adaptations
• psychological
• emergency medical technicians
• general adaptation syndrome
• stress

Notes

*The term “black humor” originates with the CMC instrument found in the literature; the term was not created by the authors.