Exploring the Hierarchy in Nursing: A Literature Review of Roles and Responsibilities

Abstract

The issue of burnout among paramedics is a serious concern, affecting both their health and the quality of the service they provide to patients. So purpose of this systematic review is to identify the work-related stressors that leads to burnout and interventions to decrease work-place burnout. Frequent triggers of trauma are high demands, traumatic events, shift work, and lack of support from the organization. Also, many psychological interventions like resilience training, cognitive-behavioral therapy (CBT), and mindfulness programs can help people cope with stress more effectively. Implementing organizational strategies, such as peer support programs, workload management, and leadership training, are also essential in both improving job satisfaction and mental health. The interventions themselves are developed but many people do not implement these due to stigma, accessibility and workplace culture issues. This review demonstrates a lack of multisectoral approaches to burnout among paramedics suggesting interventions are often only addressing the individual level and that comprehensive solutions to solve the problem of burnout in paramedics may be lacking. Longitudinal studies that examine the long-term effectiveness of these interventions should be priorities for future research.