Nikola Bajan

Background/Objectives: Retention of healthcare professionals in the workforce, their employment, and the improvement of working conditions largely depend on identifying the factors that influence their departure and their health. The study was conducted during the period from January to June 2021. This study aimed to examine the association between specific work-related stressors and work ability. The initial hypothesis was that general and specific occupational stressors negatively associate with work ability among healthcare professionals in emergency medical intervention teams. Methods: The study was designed as a cross-sectional comparative study. It was conducted among nurses and physicians in pre-hospital emergency medical services, employed full-time in intervention teams, while the control group consisted of employees from dispatch and call-receiving units. The study was conducted on the 840 participants, representing 43.3% of all healthcare professionals employed in pre-hospital emergency medical services in the Republic of Croatia. In addition to questions on participants’ personal characteristics, the following instruments were used: 1. a validated Questionnaire on Workplace Stressors among hospital healthcare professionals; and 2. the international standardized Work Ability Index (WAI) questionnaire for assessing work ability. Participants completed the questionnaires in paper form. Results: On average, the participants demonstrated lower levels of stress compared to reference values, both for overall stress and for individual stress factors, while their work ability, assessed using the Work Ability Index (WAI), ranged from very good to excellent. The control group showed higher levels of stress across all factors and lower work ability. However, the control group was older on average, generally had lower levels of education, and consisted more often of women—personal characteristics that may influence the examined variables. Lower stress levels and better work ability were associated with job satisfaction, ambition, and the fact that participants were working in their desired profession. Frequent sick leave (absenteeism) was highly correlating with both higher stress levels and poorer work ability. Conclusions: Greater job satisfaction and higher motivation have a positive impact on stress levels and employees’ work ability. The study results can serve as a starting point for institutional management in designing feasible decisions aimed at improving satisfaction, health, the work environment, and the work ability of emergency medical service personnel, as well as making these institutions more attractive for recruitment and retention of employees both in their positions and within the profession.

Aim: To examine the association between the nursing work environment, job satisfaction, and work ability among emergency medical service nurses.Methods: This pilot cross-sectional study was conducted among nurses working in emergency medical services in two Croatian counties between May and July 2024. Data were collected using a self-administered questionnaire including sociodemographic items and two validated instruments (PES-NWI and WAI). Nonparametric tests, correlation analysis, and bivariate and multivariate logistic regression were applied.Results: Overall, 90 participants (92.8%) had good or excellent work ability (WAI). Staffing and Resource Adequacy differed significantly across work settings (P = 0.002), with lower WAI among dispatch or non-emergency transport staff (median 38.8) compared with Team I (median 43.0) and Team II (median 44.5) (P < 0.001). Work ability was significantly correlated with the nursing practice environment, job satisfaction, and belief in upcoming healthcare reforms, with the strongest association observed between job satisfaction and belief in healthcare improvements (Spearman's rho = 0.725). In multivariate logistic regression, nurses’ participation in hospital work predicted excellent work ability (OR 1.81; 95% CI 1.16–2.83).Conclusion: The findings suggest that characteristics of the nursing work environment are associated with job satisfaction and work ability among emergency care nurses, highlighting the potential importance of supportive leadership, adequate staffing, and opportunities for professional participation.Keywords: emergency nursing, workplace environment, job satisfaction, pilot study