{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:01:12Z","timestamp":1785484872190,"version":"3.56.0"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004738","name":"E-Da Hospital","doi-asserted-by":"publisher","award":["EDAHP113029"],"award-info":[{"award-number":["EDAHP113029"]}],"id":[{"id":"10.13039\/501100004738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["INQUIRY"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Prehospital emergency medical services play a critical role in caring for patients with urgent medical needs. However, the time-pressured and unpredictable nature of this work places substantial stress on emergency medical technicians (EMTs). Over time, such stress may lead to job dissatisfaction and turnover intentions, ultimately undermining the quality of prehospital emergency care and adversely affecting both patient outcomes and EMTs\u2019 physical and psychological well-being. Accordingly, this study aimed to: (1) examine the effects of job engagement on burnout among EMTs; (2) analyze the effects of burnout on EMTs\u2019 job satisfaction; and (3) investigate whether the effects of burnout on job satisfaction differs by age, gender, education, marital status, EMT certification level, and work experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross-sectional study, convenience sampling was used to collect data from 300 EMTs, which were analyzed using partial least squares structural equation modeling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The results reveal that job engagement has significant negative effects on emotional exhaustion and depersonalization, and a significant positive effect on personal accomplishment. Emotional exhaustion and personal accomplishment, in turn, have significant negative and positive effects on job satisfaction, respectively, whereas depersonalization has no significant effect on job satisfaction. Gender and EMT certification level were demonstrated to moderate the effect of emotional exhaustion on job satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Based on these findings, health authorities should closely monitor EMTs\u2019 workload, particularly among male EMTs and those holding advanced EMT certification. Fostering a sense of accomplishment derived from emergency medical work may help mitigate burnout and sustain prehospital emergency care capacity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00469580261462837","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T20:35:08Z","timestamp":1785270908000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Burnout Links Job Engagement to Job Satisfaction: Moderating Effects of Demographics in Emergency Medical Technicians"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6263-2959","authenticated-orcid":false,"given":"Chao Sheng","family":"Chang","sequence":"first","affiliation":[{"name":"E-Da Hospital"},{"name":"I-Shou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6476-6521","authenticated-orcid":false,"given":"Pen-Yuan","family":"Liao","sequence":"additional","affiliation":[{"name":"National United University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8552-3016","authenticated-orcid":false,"given":"Kuang-Ming","family":"Kuo","sequence":"additional","affiliation":[{"name":"National United University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3109\/10903127.2010.493983"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3109\/10903127.2011.621044"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.afjem.2014.10.010"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00037742"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2022.01.028"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.397"},{"key":"e_1_3_3_8_2","first-page":"19","volume-title":"Professional Burnout: Recent Developments in Theory and Research","author":"Maslach C","year":"1993","unstructured":"Maslach C. Burnout: A Multidimensional Perspective. In: Schaufeli WB, Maslach C, Marek T, eds. Professional Burnout: Recent Developments in Theory and Research. 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Statistical Overview of the Number of Emergency Medical Technicians in Municipal and County (City) Fire Departments and the Port Fire Brigade of this Administration. Year 112. https:\/\/www.nfa.gov.tw\/pro\/index.php?code=list&flag=detail&ids=113&article_id=15477. Accessed January 6, 2026."},{"key":"e_1_3_3_27_2","volume-title":"Multivariate Data Analysis","author":"Hair JF","year":"2019","unstructured":"Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate Data Analysis. 8th ed. Cengage; 2019.","edition":"8"},{"key":"e_1_3_3_28_2","volume-title":"Introduction to Mediation, Moderation, and Conditional Process Analysis- A Regression-Based Approach. Methodology in the Social Sciences","author":"Hayes AF","year":"2022","unstructured":"Hayes AF. Introduction to Mediation, Moderation, and Conditional Process Analysis- A Regression-Based Approach. Methodology in the Social Sciences. 3rd ed. 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