Evidence map›Paper›PMID 41313176›Full record

SynthesisJournal of global health2025

Overview of the prevalence of job satisfaction and turnover intention among emergency medical services personnel: a meta-analysis.

Garry Huang, Wei-Kang Hung, Reymond Ngolombe, Christopher Maona, Burnett Chila Chiona, Kondwani Joseph Banda

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Garry HuangTaipei Medical University Shuang Ho Campus, School of Health Care Administration, New Taipei City, Taiwan.
Wei-Kang HungNational Taiwan Normal University, Department of Civic Education and Leadership, Taipei, Taiwan.
Reymond NgolombeNational Taipei University of Nursing and Health Sciences, School of Nursing, Taipei, Taiwan.
Christopher MaonaEkwendeni College of Health Sciences, Department of Medical Surgical Nursing, Mzimba, Malawi.
Burnett Chila ChionaTaipei Medical University, International PhD Program in Gerontology and Long-Term Care, Taipei, Taiwan.
Kondwani Joseph BandaTaipei Medical University, School of Nursing, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Emergency medical services (EMS) personnel, including paramedics, emergency medical technicians (EMTs), and firefighters are subjected to substantial occupational stressors that diminish job satisfaction and increase turnover rate, ultimately affecting efficient delivery of pre-hospital emergency care. Therefore, we performed the first meta-analysis to determine the prevalence of job satisfaction and turnover intention among EMS personnel, including paramedics, emergency medical technicians (EMTs), and firefighters. Methods: We comprehensively searched Web of Science, PubMed, Cochrane Library, Embase, and EBSCOhost until March 2025. The pooled prevalence of job satisfaction and turnover intention was analysed using the Freeman-Tukey double-arcsine transformation model in R software. Cochran's Q and statistics assessed heterogeneity and subgroup analysis explored moderator variables. Results: A total of 25 studies with 59 562 EMS personnel were included. The pooled prevalence of job satisfaction was 63% (95% confidence interval (CI) = 53%, 72%), with estimates of 71% for EMTs, 62% for firefighters, and 54% for paramedics. Job satisfaction was 56% during the COVID-19 pandemic and 65% in the pre-pandemic period. The pooled prevalence of turnover intention was 29% (95% CI = 24%, 36%), with estimates of 28% for paramedics, 22% for EMTs, and 17% for firefighters. Turnover intention was 34% during COVID-19 pandemic and 27% in the pre-pandemic period. Conclusions: Approximately, 63% of EMS personnel report job satisfaction, while 29% express intent to leave the profession. Mental health support, workload management, and professional development opportunities should be promoted among EMS personnel to further enhance job satisfaction and mitigate turnover intention. Registration: PROSPERO: CRD420251027283.

Indexed as

Emergency Medical ServicesEmergency Medical TechniciansFirefightersJob SatisfactionPersonnel TurnoverCOVID-19HumansIntentionPrevalence

Identifiers

PMID41313176
PMCPMC12662026

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.