Burnout and Related Factors Among 112 Emergency Health Service Workers in Samsun Province

Abstract

This study aimed to determine burnout levels and associated factors among healthcare workers employed in 112 Emergency Health Services under the Samsun Provincial Health Directorate, specifically within the Provincial Ambulance Service Chief Physician's jurisdiction. This cross-sectional study was conducted among 617 healthcare workers employed in the Command Control Center and Emergency Health Services stations affiliated with the Provincial Ambulance Service Chief Physician in Samsun Province between July and September 2020. The sample size was calculated to be 342 participants, and the study was completed with the data from 337 individuals. A questionnaire developed by the researchers included questions on sociodemographic characteristics and the Maslach Burnout Inventory. The survey was administered both physically and online, with voluntary participation. Of the participants, 40.7% were male, and 59.3% were female. Median scores on the Maslach Burnout Inventory were 29.0 (range: 9–45) for emotional exhaustion, 10.0 (range: 5–24) for depersonalization, and 29.0 (range: 8–40) for personal accomplishment. Emotional exhaustion scores were significantly higher among women and high school graduates. Depersonalization scores were elevated among physicians and individuals who experienced mobbing or violence. Participants with children and those with more than 10 years of professional experience had lower personal accomplishment scores. Logistic regression analysis revealed that being female increased the likelihood of emotional exhaustion by 2.3 times, while being a high school graduate increased it by 5.0 times. Poor economic conditions were associated with a 2.4-fold increase in depersonalization, and insufficient security measures increased it by 1.7 times. Personal accomplishment scores were found to improve with age but was 1.6 times lower with longer years of professional experience. This study found that burnout levels were higher among women, high school graduates, physicians, and individuals subjected to mobbing and violence while working in 112 Emergency Health Services. Given the elevated risk of burnout among healthcare professionals, further research is warranted to explore its causes and develop effective solutions. © 2025, Ondokuz Mayis Universitesi. All rights reserved.