국내 응급구조사의 이직의도 관련 요인에 대한 메타분석

초록

Purpose: This study aimed to synthesize empirical findings on factors affecting the turnover intention of EMT-Paramedics in Korea through a meta-analysis and to identify variables with significant effect sizes. Methods: This descriptive meta-analysis included seven Korean studies published up to May 2025 that reported correlation coefficients between turnover intention and related variables among paramedics. A systematic literature search was performed following PRISMA guidelines. Effect sizes were calculated using Comprehensive Meta-Analysis 3.0, and heterogeneity and publication bias were assessed. Results: The personal characteristics of paramedics that showed the largest effects on turnover intention included lack of job autonomy (ES = -1.510), interpersonal conflict (ES = -1.510), self-efficacy (ES = -1.160), and organizational commitment (ES = -0.874). Job stress, compensation, and working conditions had moderate effects, while sleep-related variables had small effects. Overall heterogeneity was high (Q = 432.175, I2 = 93.753). Conclusion: Turnover intention is influenced by multidimensional factors across psychological, organizational, and health domains. Priority should be given to organizational interventions that enhance autonomy, reduce interpersonal conflict, and support psychological well-being. Longitudinal studies are recommended to explore causal pathways.

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