title: Patient care and daily stress among emergency medical technicians.
abstract: BACKGROUND
  There is conflicting research regarding the extent to which patient care is a source of stress for emergency medical technicians (EMTs). Some research indicates that it is important, whereas other studies suggest that it takes a "back seat" to administrative and organizational problems. This study sought to explore this issue further by investigating the relationship between caring for patients, daily workday stress, and daily non-workday stress among EMTs.
  
  
  METHODS
  All EMTs employed by East Baton Rouge Parish Emergency Medical Services were eligible for participation. After the study was described, subjects completed a demographic information sheet and informed consent was obtained. Participants then completed 30 days of monitoring with a standardized measure of daily stress (the Daily Stress Inventory) and a measure of patient care stress designed for use in this study (Emergency Call Questionnaire).
  
  
  RESULTS
  A very large portion of the variance in the EMTs' overall daily workday stress was associated with patient care (r = 0.677, p < 0.001). Additionally, patient care stress on workdays significantly predicted overall daily stress on the following nonworkday (i.e., postworkday) (r = 0.633, p < 0.001). Finally, EMTs who had stressful pre-workdays rated their patient care as more stressful on the following workday (r = 0.512, p < 0.01).
  
  
  CONCLUSIONS
  Results suggest that patient care is a critical factor in daily stress among EMTs, both on workdays and post-workdays, providing preliminary evidence for a carryover effect. Evidence also suggests that stress on the day before work may influence EMTs' perceptions of their patients on workdays.
authors.affiliation: Louisiana State University, Department of Psychology, Baton Rouge, USA.
authors.forename: E
authors.initials: E
authors.lastname: Boudreaux
authors.forename: G N
authors.initials: GN
authors.lastname: Jones
authors.forename: C
authors.initials: C
authors.lastname: Mandry
authors.forename: P J
authors.initials: PJ
authors.lastname: Brantley
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D002055:Burnout, Professional / Q000517:prevention & control / Q000523:psychology*; D004634:Emergency Medical Technicians / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011369:Professional-Patient Relations; D012307:Risk Factors; D011795:Surveys and Questionnaires