SynthesisFrontiers in public health2026
Factors associated with work-life balance among emergency physicians, nurses, and paramedics: a systematic review.
Synthesis in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: This systematic review aimed to identify and synthetically evaluate factors asso ciated with work-life balance (WLB) among emergency physicians, emergency nurses, and paramedics. Methods: The review was conducted in accordance with the PRISMA 2020 guidelines and was prospectively registered in the PROSPERO database. A comprehensive search of PubMed, Scopus, Web of Science, and CINAHL was performed, encompassing English-language publications from 2015 to 2025. Inclusion criteria were defined using the PICOS framework. Methodological quality was appraised using Joanna Briggs Institute (JBI) critical appraisal tools. Furthermore, the overall certainty and confidence in the evidence were assessed using the GRADE (for quantitative data) and GRADE-CERQual (for qualitative data) frameworks. Results: From 202 identified records, 11 studies met the inclusion criteria: 10 quantitative cross-sectional studies and one qualitative study. The findings indicate that the primary determinants of WLB impairment among emergency personnel include high occupational stress, Effort-Reward Imbalance (ERI), Work-Family Conflict (WFC), shift-work patterns, and adverse organizational characteristics, such as staffing shortages and limited team support. Numerous studies demonstrated robust associations between WLB disturbances and professional burnout, deterioration of somatic and mental health, sleep disorders, and diminished job satisfaction. According to GRADE criteria, the certainty of quantitative evidence was predominantly rated as low or very low; however, the qualitative study provided evidence of moderate-to-high confidence (GRADE-CERQual). Discussion: The findings underscore the critical necessity of implementing multilevel organizational interventions aimed at enhancing working conditions, mitigating work-family conflict (WFC), and bolstering team-based support. Such strategies are pivotal for safeguarding the occupational well-being of the emergency medicine workforce. Addressing these structural determinants is essential to ensure long-term staff retention and the sustainability of emergency care systems. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251237774, identifier: CRD420251237774.
Indexed as
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Registered trials
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.