Quality of life assessment in pre-hospital and hospital emergency healthcare workers: A pilot study


Quality of life
Pre-hospital emergency staff
Hospital emergency staff
Emergency care staff

How to Cite

Nasr Isfahani M, Hatami MH, Sheibani Tehrani D. Quality of life assessment in pre-hospital and hospital emergency healthcare workers: A pilot study . Australasian Journal of Paramedicine [Internet]. 2021Jun.27 [cited 2023Mar.30];18. Available from: https://ajp.paramedics.org/index.php/ajp/article/view/807



Quality of life (QoL) is an important index of general and mental health. Several studies have demonstrated healthcare staff can provide higher quality services to patients when they have a better QoL. Working in emergency care services has a heavy workload therefore poor QoL can lead to poor quality of service to patients. We aimed to assess the QoL in pre-hospital and hospital emergency healthcare workers in Isfahan province in Iran via the WHOQOL-BREF (World Health Organization Quality of Life) questionnaire.


A total of 891 pre-hospital and hospital emergency personnel were selected via the census method. The WHOQOL-BREF questionnaire was filled out by the participants over a period of 1 year.


A total of 891 subjects participated. About 33.7% of the participants were pre-hospital emergency staff, 59.1% emergency department nurses, 5.3% emergency department physicians, and 1.6% emergency medicine specialists. Approximately 412 participants (48.8%) were women and 469 (53.2%) were men (mean age 37.72 ± 11.02 years). QoL in pre-hospital and hospital emergency personnel had the highest mean score in the general health domain (61.43 ± 21.38) and the lowest mean score in the environmental health domain (48.54 ± 17.62). Social relationships with a mean score of 53.30 ± 23.56 were not significantly different to the average (p>0.05). Workplace and work experience had a significant effect on all domains of QoL.


Pre-hospital and hospital emergency personnel in Isfahan province had an optimal QoL, except in environmental health. Therefore, to increase the QoL in this area the periodical evaluation of environmental health is recommended. Appropriate training to create workplace adjustment and work experience can also improve QoL.



Hatami H, Mirjafari S, Mojahedi Jahromi S. Relationship between quality of work life and organizational commitment and productivity in Jahrom University of Medical Sciences. Journal of New Approach in Educational Administration 2011;2:25-40.

Mazaheri M. Overall, and specific life satisfaction domains: preliminary Iranian students norms. Iran J Public Health 2010;39:89.

Ghaffari G, Karimi A, Nozari H. The study of quality of life. Journal of Research in Social Studies and Research in Iran 2012;1:107-34.

Teles MAB, Barbosa MR, Vargas AMD, et al. Psychosocial work conditions and quality of life among primary health care employees: a cross sectional study. Health Qual Life Outcomes 2014;12:72.

d'Alessandro A, Niglio T, Desogus A, d'Alessandro A, Mandolesi D. New acoustic wave therapy improves quality of life in patients with multiple sclerosis and chronic cerebrospinal venous insufficiency. Ann Ital Chir 2015;86:336-9.

WHOQOL-BREF: Introduction, administration, scoring and generic version of the assessment. Geneva: World Health Organization; 1996.

Gholami A, Jahromi LM, Zarei E, Dehghan A. Application of WHOQOL-BREF in measuring quality of life in health-care staff. Int J Prev Med 2013;4:809.

Hooper C, Craig J, Janvrin DR, Wetsel MA, Reimels E. Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. J Emerg Nurs 2010;36:420-7.

Moghaddam Y. Comparative study of the quality of life of nurses working in the emergency department with other nurses. 2nd National Congress of Emergency Medicine 2007, Tehran Medical Emergency Medical Association.

Muindi F, K’Obonyo P. Quality of work life, personality, job satisfaction, competence and job performance: a critical review of literature. European Scientific Journal 2015;11:223-40.

Bragard I, Fleet R, Etienne A-M, et al. Quality of work life of rural emergency department nurses and physicians: a pilot study. BMC Res Notes 2015;8:116.

Motie M, Kalani M, Samadi A, Es-haghi H, Ghobadi P. Prevalence of job stressors in male pre-hospital emergency technicians. Journal of Fundamentals of Mental Health 2010;1:420-9.

Davari F, Isfahani MN, Rezvani M, Omidallah M, Pakravan F. Process management model in the emergency department of a university hospital: reduction of patient waiting times by changes in human resources. J Res Med Dent Sci 2018;6:578-85.

Isfahani MN, Davari F, Azizkhani R, Rezvani M. Decreased emergency department overcrowding by discharge lounge: a computer simulation study. Int J Prev Med 2020;11.

Nedjat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh S. The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: translation and validation study of the Iranian version. Iran J Health Sch 2006;4:1-12.

Abdollahpour I, Salimi Y, Nedjat S, Jorjoran-Shoushtari Z. Quality of life and effective factors on it among governmental staff in Boukan city. Urmia J Med Sci 2011;22:40-7.

De Vries S, Van Dillen SM, Groenewegen PP, Spreeuwenberg P. Streetscape greenery and health: stress, social cohesion and physical activity as mediators. Soc Sci Med 2013;94:26-33.

Fuhrer R, Stansfeld SA, Chemali J, Shipley MJ. Gender, social relations and mental health: prospective findings from an occupational cohort (Whitehall II study). Soc Sci Med 1999;48:77-87.

Howell R, Kern M, Lyubomirsky S. Health benefits: meta-analytically determining the impact of well-being on objective health outcomes. Health Psychology Review 2007;1:83-136.

Rafieian A, Valikhany A, Alinaghian M. A mathematical model for efficient ambulance location based on DSM-MALP integration. J Emerg Manag 2020;18:153-62.

Kok BE, Coffey KA, Cohn MA, et al. How positive emotions build physical health: Perceived positive social connections account for the upward spiral between positive emotions and vagal tone. Psychol Sci 2013;24:1123-32.