Investigating the Relationship between Perceived Organizational Support ‎and Resilience of Staff Employees Working at the Tehran Emergency ‎‎Organization

Document Type : Original Article

Authors

1 Emergency Medical Services Organization of Tehran Province, Ministry of Health & Medical Education, Tehran, Iran

2 Department of Health Services Management, School of Health Management and Information Science, Iran University of Medical Sciences, Tehran, Iran

10.30476/jhmi.2025.105933.1271

Abstract

Introduction: The present study aimed to investigate the relationship between perceived
organizational support and the resilience of administrative staff working in the Tehran
Emergency Organization in 2023
Methods: A cross-sectional design was employed to investigate the correlation between
perceived organizational support and resilience among administrative staff at the Tehran
Emergency Organization in 2023. A convenience sample of 60 employees was randomly
selected from the organization’s administrative staff. Data collection relied on the
Connor-Davidson Resilience Scale (CD-RISC) and the Perceived Organizational Support
Questionnaire. The reliability and validity of both scales were established in previous research.
Data analysis involved descriptive statistics, Pearson correlation, and regression analysis to
examine the relationship between the study variables.
Results: Findings revealed that participants exhibited poor levels of resilience and perceived
organizational support. Statistical analysis indicated a weak positive correlation between
resilience and managerial support, suggesting a limited association. Regression analysis failed
to establish a significant predictive relationship between organizational support and resilience.
These results challenge the strong correlation between these variables among administrative
staff in the Tehran Emergency Organization.
Conclusion: Results underscore the critical need for enhanced organizational support to
bolster employee resilience and optimize prehospital emergency service delivery. Targeted
interventions, such as resilience training, stress management programs, and improved
organizational support systems, are recommended to mitigate occupational stressors’ impact
and enhance prehospital emergency personnel’s overall well-being.

Keywords

Main Subjects


  1. Olani AB, Beza L, Sultan M, Bekelcho T, Alemayehu M. Prehospital emergency medical service utilization and associated factors among critically ill COVID-19 patients treated at centers in Addis Ababa, Ethiopia. PLOS Glob Public Health. 2023;3(2):e0001158. doi: 10.1371/journal.pgph.0001158.

  2. Poomsaidorn S, Laohasiriwong W, Soeung K. Prehospital emergency medical services utilization for critical patients and its determinants in Thailand. J Southwest Jiaotong University. 2021;56(5):515-23.

  3. Martin-Rodriguez F, Sanz-Garcia A, Castro-Portillo E, Delgado-Benito JF, Del Pozo Vegas C, Ortega Rabbione G, et al. Prehospital troponin as a predictor of early clinical deterioration. Eur J Clin Invest. 2021;51(11):e13591. doi: 10.1111/eci.13591.

  4. Walk CT, Ross A, Kranker L, Whitmill M, Ballester M, Parikh PP, et al. The Oregon District Shooting: Reviewing the Pre-Hospital Protocols and the Role of the Resident During a Multiple Casualty Event. Am Surg. 2023;89(12):6215-20. doi: 10.1177/00031348221114044.

  5. Olave-Rojas D, Nickel S. Modeling a prehospital emergency medical service using hybrid simulation and a machine learning approach. Simulation Modelling Practice and Theory. 2021;109:102302.

  6. Bayram JD. Emergency medicine in Lebanon: overview and prospect. J Emerg Med. 2007;32(2):217-22. doi: 10.1016/j.jemermed.2006.12.007.

  7. Bedard AF, Mata LV, Dymond C, Moreira F, Dixon J, Schauer SG, et al. A scoping review of worldwide studies evaluating the effects of prehospital time on trauma outcomes. Int J Emerg Med. 2020;13(1):64. doi: 10.1186/s12245-020-00324-7.

  8. He SC, Wu S, Wang C, Wang DM, Wang J, Xu H, et al. Interaction between job stress, serum BDNF level and the BDNF rs2049046 polymorphism in job burnout. J Affect Disord. 2020;266:671-7. doi: 10.1016/j.jad.2020.01.181.

  9. Minnie L, Goodman S, Wallis L. Exposure to daily trauma: The experiences and coping mechanism of Emergency Medical Personnel. A cross-sectional study. African journal of emergency medicine. 2015;5(1):12-8.

  10. Saberi HR, Moravveji SAR, Ghoraishi F, Heidari Z. Post-traumatic stress disorder in Kashan and Arak emergency medicine departments' staffs during 2009. Feyz Medical Sciences Journal. 2009;12(5):1-6.

  11. Kelly M, Soles R, Garcia E, Kundu I. Job Stress, Burnout, Work-Life Balance, Well-Being, and Job Satisfaction Among Pathology Residents and Fellows. Am J Clin Pathol. 2020;153(4):449-69. doi: 10.1093/ajcp/aqaa013.

  12. Dasgupta SA, Suar D, Singh S. Impact of managerial communication styles on employees' attitudes and behaviours. Employee relations. 2012;35(2):173-99.

  13. Havermans BM, Brouwers EPM, Hoek RJA, Anema JR, van der Beek AJ, Boot CRL. Work stress prevention needs of employees and supervisors. BMC Public Health. 2018;18(1):642. doi: 10.1186/s12889-018-5535-1.

  14. Rabenu E, Yaniv E. Psychological Resources and Strategies to Cope with Stress at Work. Int J Psychol Res (Medellin). 2017;10(2):8-15. doi: 10.21500/20112084.2698.

  15. Southwick SM, Bonanno GA, Masten AS, Panter-Brick C, Yehuda R. Resilience definitions, theory, and challenges: interdisciplinary perspectives. Eur J Psychotraumatol. 2014;5. doi: 10.3402/ejpt.v5.25338.

  16. Ebrahimian A, Keshavarz-Tork A, Akbari-Shahrestanaki Y, Tourdeh M, Fakhr-Movahedi A. Changes in the prehospital emergency technician's resilience during the COVID-19 pandemic: A web-based cross-sectional study. Health Sci Rep. 2023;6(4):e1223. doi: 10.1002/hsr2.1223.

  17. Wayne SJ, Shore LM, Liden RC. Perceived organizational support and leader-member exchange: A social exchange perspective. Academy of Management journal. 1997;40(1):82-111.

  18. Chen T, Hao S, Ding K, Feng X, Li G, Liang X. The impact of organizational support on employee performance. Employee Relations: The International Journal. 2020;42(1):166-79.

  19. Reitz OE, Anderson MA. An overview of job embeddedness. J Prof Nurs. 2011;27(5):320-7. doi: 10.1016/j.profnurs.2011.04.004.

  20. Fatahi Y, Norouzinia R, Aghabarary M. Professional quality of life and resilience in pre-hospital emergency technicians during COVID-19 in Iran: a cross-sectional study. J Med Ethics Hist Med. 2022;15:15. doi: 10.18502/jmehm.v15i15.11573.

  21. Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):76-82. doi: 10.1002/da.10113.

  22. Mohammadi F, Tehranineshat B, Farjam M, Rahnavard S, Bijani M. The correlation between resilience, self-efficacy and illness perception in patients with type 2 diabetes: a cross-sectional study. Clinical Diabetology. 2022;11(3):175-82.

  23. Keyhani M, Taghvaei D, Rajabi A, Amirpour B. Internal consistency and confirmatory factor analysis of the Connor-Davidson Resilience Scale (CD-RISC) among nursing female. Iranian journal of medical education. 2015;14(10):857-65.

  24. Eisenberger R, Huntington R, Hutchison S, Sowa D. Perceived organizational support. Journal of Applied psychology. 1986;71(3):500.

  25. Eyni S, Ebadi M, Hashemi Z. Corona anxiety in nurses: The predictive role of perceived social support and sense of coherence. Iranian Journal of Psychiatry and Clinical Psychology. 2020;26(3):320-31.

  26. Hellman CM, Fuqua DR, Worley J. A reliability generalization study on the survey of perceived organizational support: The effects of mean age and number of items on score reliability. Educational and psychological measurement. 2006;66(4):631-42.

  27. Poorsoltani H, Aghaei N, Asgari B. Relationship perceived organizational support with Organizational commitment among staff. Sport Management Studies. 2016;8(35):183-98.

  28. Sahebi A, Jahangiri K, Sohrabizadeh S, Golitaleb M. Prevalence of Workplace Violence Types against Personnel of Emergency Medical Services in Iran: A Systematic Review and Meta-Analysis. Iran J Psychiatry. 2019;14(4):325-34.

  29. van der Ploeg E, Kleber RJ. Acute and chronic job stressors among ambulance personnel: predictors of health symptoms. Occup Environ Med. 2003;60 Suppl 1(Suppl 1):i40-6. doi: 10.1136/oem.60.suppl_1.i40.

  30. Ebrahimi H, Navidian A, Ameri M, Sadeghi M. Burnout, dimensions and its related factors in the operational staff of medicine emergency. Journal of Health Promotion Management. 2014;3(3):16-26.

  31. Froutan R, Mahroughi N, Malekzadeh J, Mazlom SR. The effect of stress management training on anxiety and resilience of emergency medical staff. Iranian Journal of Psychiatric Nursing. 2018;6(3):46-53.

  32. Esmaeili S-M, Sadeghi M, Abbasi M, Bahonar E, Sbakian Bandpey B, Ehsani M. The Relationship Between Perceived Stress and Spiritual Intelligence and Resilience of Emergency Medical Technicians. Health, Spirituality and Medical Ethics. 2022;9(4):177-86.

  33. Aalipoor S, Esfahani H. The Relationship Between Occupational Stress And Burnout In The Pre-Hospital Staff. International Journal of Medical Investigation. 2022;11(1):154-62.

  34. Ebadi A, Froutan R. Positive Coping: A Unique Characteristic to Pre-Hospital Emergency Personnel. Electron Physician. 2017;9(1):3575-83. doi: 10.19082/3575.