First responders experience work-related challenges in higher magnitudes than other occupations. Organizational elements may mitigate or exacerbate burnout for first responders during public health emergencies (e.g., COVID-19). This mixed methods study of first responders in the United States aims to (1) assess the relationship between a trauma-informed organizational climate (TIC) and burnout; (2) analyze the moderating effect of TIC on role strain and burnout; and (3) identify how a TIC can mitigate contributors to burnout. Survey data (n = 3,517) of first responders demonstrate that a TIC (of safety, trust, choice, collaboration, and empowerment) negatively correlates with burnout. Further, a TIC moderates the positive relationship between role strain and burnout. Interviews of first responders (n = 91) reveal that fewer employee interactions, lack of rule-following behaviors, impaired communication, staffing shortages, and limited time off contribute to burnout. Open communication, resource provision, collaboration opportunities, and creative problem-solving enhance work climate.

中文翻译：

---

COVID-19 期间创伤知情的组织氛围及其对急救人员倦怠的影响

急救人员比其他职业面临更大的与工作相关的挑战。组织因素可能会减轻或加剧突发公共卫生事件（例如，COVID-19）期间急救人员的倦怠。这项针对美国急救人员的混合方法研究旨在 (1) 评估创伤知情组织氛围 (TIC) 与倦怠之间的关系；(2)分析TIC对角色紧张和倦怠的调节作用；(3) 确定 TIC 如何减轻倦怠的影响因素。对急救人员的调查数据（n  = 3,517）表明，TIC（安全、信任、选择、协作和授权）与倦怠呈负相关。此外，TIC 调节了角色压力和倦怠之间的正相关关系。对急救人员 ( n  = 91) 的采访显示，员工互动减少、缺乏遵守规则的行为、沟通障碍、人员短缺和休息时间有限都会导致倦怠。开放的沟通、资源提供、协作机会和创造性的问题解决能力改善了工作氛围。