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Published online: 2025-03-11

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Sleep quality and work ability among paramedics: opportunities for intervention in the healthcare system

Kacper Zając1, Magdalena Matuszewska2, Łukasz Rypicz2, Mateusz Rakowski1

Abstract

Introduction: Paramedics face unique professional demands, such as unpredictable emergencies, shift work, and physical and mental stresses. These factors can disrupt sleep rhythms, impair cognitive function, and reduce work capacity. Sleep quality plays a special role in this occupational group, as reduced concentration can affect patient safety. This study aimed to examine the relationship between sleep quality and the ability to work of paramedics.

Material and methods: The cross-sectional study included 117 professionally active paramedics working in the Polish health care system. Data were collected using questionnaires: the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality and Work Ability Index (WAI) to assess work ability. Statistical analyses, including correlations and analysis of variance (ANOVA), were performed using R and SPSS software. Participant anonymity and voluntary participation were ensured, in accordance with research ethics.

Results: The mean sleep quality in the study group was suboptimal (M = 8.68; SD = 3.29), while the mean WAI score indicated good work capacity (M = 37.79; SD = 6.04). There was a significant negative correlation between sleep quality and work ability (r = –0.255; p = 0.0056). ANOVA analysis revealed significant differences in workplace and work quality (F = 2.73; p = 0.033).

Conclusions: The study confirmed that sleep quality significantly affects paramedics' ability to work. Promoting sleep hygiene and optimizing shift schedules can improve professional performance and the quality of patient care. Further research is needed on the long-term effects of shift work and the health consequences in this occupational group.

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