{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T19:00:21Z","timestamp":1780081221776,"version":"3.54.0"},"reference-count":23,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T00:00:00Z","timestamp":1725494400000},"content-version":"unspecified","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,8,21]]},"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To understand the current status of occupational stress, occupational burn-out and sleep quality among ambulance drivers in Hengyang, China and to analyse the relationship between occupational stress, occupational burn-out and sleep quality of ambulance drivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Prehospital emergency centre of third-class hospital in Hengyang, China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>From October 2023 to December 2023, a cross-sectional survey was conducted, with 213 ambulance drivers from Hengyang, China, selected as participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>General demographic questionnaires, the Chinese Occupational Stress Inventory, the Maslach Burnout Inventory and the Pittsburgh Sleep Quality Index were used for data collection and analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Occupational stress among ambulance drivers was positively correlated with occupational burn-out and sleep quality (r=0.528, 0.447, both p&lt;0.01) while occupational burn-out was positively correlated with sleep quality (r=0.394, p&lt;0.01). Occupational burn-out partially mediated the relationship between occupational stress and sleep quality among ambulance drivers, with a mediation effect value of 0.168, accounting for 26.09% of the total effect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The sleep quality of ambulance drivers in Hengyang, China is suboptimal, with occupational stress directly predicting sleep quality. Occupational burn-out plays a partial positive mediating role between occupational stress and sleep quality among ambulance drivers. Reducing occupational stress and burn-out is beneficial for improving the sleep quality of ambulance drivers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-089252","type":"journal-article","created":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T05:13:07Z","timestamp":1725513187000},"page":"e089252","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Current situation and relationship between occupational stress, burn-out and sleep quality among ambulance drivers: a cross-sectional study"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8972-6454","authenticated-orcid":false,"given":"Jianfei","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Burns and Plastic Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaixi","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, The affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujun","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Tong","sequence":"additional","affiliation":[{"name":"Department of Emergency, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Ling","sequence":"additional","affiliation":[{"name":"Department of Emergency, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,9,5]]},"reference":[{"key":"2025121603085473000_14.9.e089252.1","doi-asserted-by":"crossref","first-page":"906","DOI":"10.46234\/ccdcw2020.232","article-title":"Focus and progress of the occupational health initiative","volume":"2","author":"Wang","year":"2020","journal-title":"China CDC Wkly"},{"key":"2025121603085473000_14.9.e089252.2","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-021-10579-1","article-title":"Occupational stress and associated factors among health care professionals in Ethiopia: a systematic review and meta-analysis","volume":"21","author":"Girma","year":"2021","journal-title":"BMC Public Health"},{"key":"2025121603085473000_14.9.e089252.3","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19094986","article-title":"Exercise and occupational stress among firefighters","volume":"19","author":"Soteriades","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"2025121603085473000_14.9.e089252.4","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1089\/tmj.2016.0248","article-title":"A systematic review of the implementation challenges of telemedicine systems in ambulances","volume":"23","author":"Rogers","year":"2017","journal-title":"Telemed E-Health"},{"key":"2025121603085473000_14.9.e089252.5","doi-asserted-by":"crossref","unstructured":"Acharya R , Badhu A , Shah T , et al . n.d. 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