Influence of working conditions on German paramedics' intention to leave the profession: a cross-sectional study

IntroductionIt is well known that Germany's ambulance service (AS) suffers from a shortage of qualified personnel, which may increase in the following years. For this reason, this study aimed to determine the percentage of AS staff considering leaving their profession and to analyse the possibl...

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Main Authors: Thomas Hofmann, Michael Stanley, Luis Möckel
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Health Services
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Online Access:https://www.frontiersin.org/articles/10.3389/frhs.2025.1548525/full
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author Thomas Hofmann
Thomas Hofmann
Thomas Hofmann
Michael Stanley
Michael Stanley
Luis Möckel
author_facet Thomas Hofmann
Thomas Hofmann
Thomas Hofmann
Michael Stanley
Michael Stanley
Luis Möckel
author_sort Thomas Hofmann
collection DOAJ
description IntroductionIt is well known that Germany's ambulance service (AS) suffers from a shortage of qualified personnel, which may increase in the following years. For this reason, this study aimed to determine the percentage of AS staff considering leaving their profession and to analyse the possible causes.MethodsA self-developed questionnaire and the Employee Experience Questionnaire (EXQ) were used for this cross-sectional study.ResultsA total of 814 AS staff with a mean age of 35.71 [standard deviation (SD) 9.78] years were included in this study. Immediately leaving the AS was the intention of 17.27% of participants, with 2.86% having already resigned, 14.29% taking actions such as applying for a job, and another 14.04% specifically planning to leave the AS in the foreseeable future. Those who plan to leave the AS immediately [3.82 (SD 0.79)] showed significantly lower EXQ scores than the group who plan to stay in the EMS until retirement [4.92 (SD 0.87); pTukey ≤0.001]. At the same time, it is noticeable that EMS staff often suffer from unfavourable working conditions, such as not being granted breaks, work-related calls during free time, and over time, and significant correlations with the planned length of stay in the paramedic service and exit thoughts were identified here.ConclusionUnfavourable working conditions further aggravate the already existing shortage of qualified personnel in the ambulance service, so measures by various decision-makers are imperative.
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spelling doaj-art-29194e70c39b48a6b3eace8cd8ad3d892025-01-31T06:39:59ZengFrontiers Media S.A.Frontiers in Health Services2813-01462025-01-01510.3389/frhs.2025.15485251548525Influence of working conditions on German paramedics' intention to leave the profession: a cross-sectional studyThomas Hofmann0Thomas Hofmann1Thomas Hofmann2Michael Stanley3Michael Stanley4Luis Möckel5Department of Health and Social Sciences, HSD Hochschule Döpfer GmbH, University of Applied Sciences, Potsdam, GermanyGerman Society of Paramedic Sciences (DGRe), Aachen, GermanyFaculty of Health, University Witten/Herdecke, Witten, GermanyGerman Society of Paramedic Sciences (DGRe), Aachen, GermanyOffshore Rescue, Johanniter-Unfall-Hilfe e. V., Berne, GermanyGerman Society of Paramedic Sciences (DGRe), Aachen, GermanyIntroductionIt is well known that Germany's ambulance service (AS) suffers from a shortage of qualified personnel, which may increase in the following years. For this reason, this study aimed to determine the percentage of AS staff considering leaving their profession and to analyse the possible causes.MethodsA self-developed questionnaire and the Employee Experience Questionnaire (EXQ) were used for this cross-sectional study.ResultsA total of 814 AS staff with a mean age of 35.71 [standard deviation (SD) 9.78] years were included in this study. Immediately leaving the AS was the intention of 17.27% of participants, with 2.86% having already resigned, 14.29% taking actions such as applying for a job, and another 14.04% specifically planning to leave the AS in the foreseeable future. Those who plan to leave the AS immediately [3.82 (SD 0.79)] showed significantly lower EXQ scores than the group who plan to stay in the EMS until retirement [4.92 (SD 0.87); pTukey ≤0.001]. At the same time, it is noticeable that EMS staff often suffer from unfavourable working conditions, such as not being granted breaks, work-related calls during free time, and over time, and significant correlations with the planned length of stay in the paramedic service and exit thoughts were identified here.ConclusionUnfavourable working conditions further aggravate the already existing shortage of qualified personnel in the ambulance service, so measures by various decision-makers are imperative.https://www.frontiersin.org/articles/10.3389/frhs.2025.1548525/fullparamedicworking conditionsjob satisfactioncommitmentintention to leaveretention
spellingShingle Thomas Hofmann
Thomas Hofmann
Thomas Hofmann
Michael Stanley
Michael Stanley
Luis Möckel
Influence of working conditions on German paramedics' intention to leave the profession: a cross-sectional study
Frontiers in Health Services
paramedic
working conditions
job satisfaction
commitment
intention to leave
retention
title Influence of working conditions on German paramedics' intention to leave the profession: a cross-sectional study
title_full Influence of working conditions on German paramedics' intention to leave the profession: a cross-sectional study
title_fullStr Influence of working conditions on German paramedics' intention to leave the profession: a cross-sectional study
title_full_unstemmed Influence of working conditions on German paramedics' intention to leave the profession: a cross-sectional study
title_short Influence of working conditions on German paramedics' intention to leave the profession: a cross-sectional study
title_sort influence of working conditions on german paramedics intention to leave the profession a cross sectional study
topic paramedic
working conditions
job satisfaction
commitment
intention to leave
retention
url https://www.frontiersin.org/articles/10.3389/frhs.2025.1548525/full
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