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MELBOURNE 
 BRUNSWICK 
 BUNDOORA  
 FISHERMANS BEND 
 POINT COOK 
 HAMILTON 
  HO CHI MINH CITY 
 HANOI 
 
 
Shiftwork damages paramedics health: research 
 
More than 10 per cent of Melbourne paramedics suffer from severe or extremely 
severe depression, according to new research. 
 
A total of 342 Metropolitan Ambulance service staff on shiftwork rosters completed 
a survey, which also revealed that: 
 
 
paramedics are at greater risk of chronic fatigue than other shiftworkers; 
 
almost 25 per cent of paramedics suffer from an above-normal degree of 
anxiety; and 
 
almost 40 per cent suffer from stress. 
 
Most paramedics in the survey worked at least 48 hours a week: two 10-hour 
dayshifts and two 14-hour nightshifts. It seems likely that many also worked 
overtime. 
 
The research was carried out by Associate Professor Andrew Francis from the 
Division of Psychology within RMITs School of Health Sciences, with principal 
researcher James Courtney and colleague Professor Susan Paxton, both from La 
Trobe University. Mr Courtney began the research while undertaking Honours 
study at RMIT. 
 
Associate Professor Francis said poor sleep quality was the key factor in 
explaining why Melbourne paramedics were at increased risk of fatigue, 
depression, anxiety and stress. 
 
Paramedics are paying the cost of rotating shiftwork, he said. Only 30 per cent of 
paramedics are good sleepers. Thats not surprising when they have to start work 
at 7am on dayshifts, and when long nightshifts require a quick turnaround. 
 
Mr Courtney said: Ambulance services need to be provided 24 hours a day, but 
the way those services are staffed needs to be reconsidered.  
 
Paramedics on 14-hour nightshifts, in particular, are likely to be particularly tired  
and that poses a high and potentially unsustainable demand on their ability to think 
quickly and effectively where lives can be at risk. 
 
For interviews: Associate Professor Andrew Francis, (03) 9925 7782 or 0400 
180 262, or James Courtney, 0488 333 348. 
 
For general media enquiries: RMIT University Communications, David Glanz, 
(03) 9925 2807 or 0438 547 723, or La Trobe University Media and 
Communications, Lisa Prowling, (03) 9479 5353. 
 
25 October, 2010