Psychological analysis of the dependence of the level of personal and situational anxiety on the seniority and level of education emergency medical services staff

The activities of emergency medical workers are closely related to high psycho- emotional and physical stress. Such a connection has a direct impact on professional activities: the effectiveness of medical services, success in achieving professional heights, including the quality of life. It is worth noting that the productivity of professional activities exponentially depends on the adequacy of the individual›s mental states. Purpose. Psychological analysis of the dependence of the level of personal and situational anxiety of medical workers of general- purpose mobile emergency medical teams on the work experience in the emergency care system and the level of education, in order to assess the productivity and effectiveness of medical services. Materials and methods. The material for the study was the results of a survey (according to the author›s questionnaire) of 121 emergency medical workers of the city of Ufa in substations located in different areas of the city. Anxiety analysis was carried out using the standard Spielberger–Khanin method. Results. Analysis of the level of personal anxiety showed a sharp increase in this indicator (p<0.05) for paramedics with work experience from 4 to 10 years (41.4±3.89 Spielberger–Khanin scale) and doctors with work experience over 10 years (41.0±2.02 Spielberger–Khanin scale). The level of situational anxiety is most pronounced (p<0.05) for doctors with more than four years of work experience (20.0±0.02 vs 19.4±3.70 (paramedics & nurses) [comparison from 4 to 10 years] and 23.4±2.82 vs 18.4±1.99 (paramedics); 19.5±2.71 (nurses) [comparison over 10 years] Spielberger–Khanin scale). For paramedics, there is an insignificant increase (9.4%) in the reactive anxiety indicator in comparison with up to 3 years of work and the period of work from 4 to 10 years, with a subsequent decrease (9.5%) with work more than 10 years. Conclusions: Research of personal and situational anxiety in close connection with the most important parameters of education and work experience for emergency medical workers allows to individualize and unify the approach to stabilizing the anxiety indicators of medical workers of general mobile teams. In addition, to more accurately identify the necessary methods for correcting emerging risks and, as a result, to improve the productivity and efficiency of medical services provided by emergency medical workers in the Russian Federation and abroad.

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