119 구급대원의 전문적 정체성과 현장 업무 간의 괴리감이 직무 스트레스와 직무만족도에 미치는 영향
The impact of 119 EMT professional ideal-reality discrepancy on job stress and job satisfaction
Purpose: This study aimed to examine the discrepancy between the professional identity perceived by 119 paramedics and the non-emergency tasks they perform in practice and to investigate how this discrepancy influences job stress and job satisfaction. Methods: In-depth interviews were conducted with 23 paramedics from Korean 119 emergency service nationwide between January 12 and 30, 2026. Data were analyzed using Colaizzi’s phenomenological method. Results: Three categories and ten subcategories were identified. First, participants affirmed their identity as emergency medical professionals and derived job satisfaction from the competent execution of professional responsibilities in pre-hospital settings. Second, factors such as non-emergency dispatches, expanded social welfare roles, marginalization within the emergency medical system, and the burden of responsibility under limited autonomy contributed to increased job stress, revealing a discrepancy between professional ideals and actual work experiences. Third, despite recurring burnout, the participants sustained their duties by accepting this discrepancy and reconstructing their professional identities. Resilience was supported by emotional recovery through peer interactions, expansion of professional meaning to buffer role ambiguity, and reaffirming pride and satisfaction. In this process, job satisfaction serves as a crucial driving force, stabilizing professional identity, and mitigating the negative impacts of job stress. Conclusion: This study highlights the gap between ideals and realities in the work of 119 paramedics and underscores the role of their experiences in shaping professional identity. These findings expand our understanding of identity formation and suggest the need for institutional strategies, including the introduction of a community paramedic system, to support and sustain professional identities.
목차
= Abstract = Ⅰ. 서론 1. 연구의 필요성 Ⅱ. 연구방법 1. 연구설계 2. 연구참여자의 선정 3. 자료수집 및 윤리적 고려 4. 자료 분석 5. 연구의 타당도와 신뢰도 Ⅲ. 연구결과 1. 주제모음 2. 최종적 기술 Ⅳ. 고찰 Ⅴ. 결론 References
한국응급구조학회 [The Korean Society of Emergency Medical Technology]
설립연도
1997
분야
의약학>응급의학
소개
복합 구조적인 산업사회의 발전에 따라 안전사고와 응급상황에서의 구조구급요청자들이 증가하고 있으나 우리나라의 응급의료체계는 아직 그 수준을 따라가지 못하고 있는 실정이다. 이에 우리나라의 응급의료체계를 확립하고 구조구급에 관한 기초학문의 발전에 기여하고자 학회를 창립한다.
간행물
간행물명
한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]