Degree

Bachelor of Science (B.S.)

Major(s)

Microbiology; Interdisciplinary Studies

Document Type

Immediate Campus-Only Restricted Access

Abstract

Burnout among emergency medical service (EMS) providers is commonly recognized as a significant threat to provider wellbeing, patient care, and workforce stability. Prior research has largely relied on national, quantitative approaches that obscure local variation and fail to adequately capture underlying mechanisms. This study aimed to characterize the prevalence, correlates, and drivers of burnout among Mississippi EMS providers using an explanatory-sequential mixed methods design.

Phase 1 consisted of a statewide survey of 501 practicing EMS professionals, incorporating the Copenhagen Burnout Inventory (CBI) along with occupational and demographic characteristics. Phase 2 involved 17 semi-structured interviews with Phase 1 survey respondents to contextualize and augment quantitative findings. Quantitative analyses included descriptive statistics, Welch’s ANOVA, correlation analyses, and regression modeling, while qualitative analyses utilized the thematic analysis framework.

Overall, 50.1% of respondents met the criteria for overall burnout. Burnout severity was strongly associated with intent to leave the EMS workforce (β = 8.5, p < .001). Significant differences in burnout severity were observed across certification levels and agency types. No significant geographic variation was detected across state health districts. Qualitative findings indicate four primary pathways by which burnout develops: operational burden, agency environment, psychological trauma, and occupational entrapment. These pathways interact at statewide, regional, organizational, and individual levels to produce burnout.

Findings suggest that Mississippi is facing a structural burnout crisis, with overall burnout highly prevalent and structurally driven rather than an inherent feature of the profession. Effective mitigation of Mississippi’s burnout crisis necessitates coordinated, multi-level interventions that adequately address all identified pathways to burnout.

Date Defended

4-22-2026

Thesis Director

Dr. David Buys

Second Committee Member

Dr. Holli Seitz

Third Committee Member

Dr. Damon Darsey

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Digital Object Identifier (DOI)

https://doi.org/10.54718/EBWV7469