Objective To understand the current status of job satisfaction and occupational burnout among pre-hospital emergency personnel in Shanghai, analyze their relationship and influencing factors, and provide a reference for formulating relevant talent policies and optimizing the pre-hospital emergency system.

Methods From July to August 2022, 1 534 pre-hospital emergency personnel in Shanghai, selected by a convenient sampling method, were surveyed using the Minnesota Satisfaction Questionnaire (MSQ) and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Pearson correlation analysis was used to analyze the correlation between job satisfaction and occupational burnout, and multiple linear regression analysis was used to study the influencing factors of job satisfaction.

Results A total of 1 502 valid questionnaires were collected, with a valid response rate of 97.9%. The average total score of job satisfaction among these personnel was (71.19 ± 17.38), and the average total score of occupational burnout was (40.56 ± 17.76). There was a negative correlation between job satisfaction scores and occupational burnout scores (r = -0.557, P < 0.001). Multiple linear regression analysis showed that front-line personnel had a 6.937 lower job satisfaction score than management, and personnel with primary and intermediate or higher professional titles had 2.838 and 5.088 lower job satisfaction scores than personnel without a professional title, respectively. Personnel with 11 to 20 years of pre-hospital emergency work experience had a 3.085 lower job satisfaction score than personnel with ≤ 5 years of experience, and the contracted personnel had a 2.871 lower job satisfaction score than that of public institutions (both P < 0.05); for every 1-point increase in occupational burnout score, job satisfaction score decreased by an average of 0.525 points (P < 0.001).

Conclusions The job satisfaction of pre-hospital emergency personnel in Shanghai was at a medium to high level, and occupational burnout was at a medium level. It is recommended to increase relevant investment in pre-hospital emergency care, improve the incentive system, and provide psychological support and job transfer opportunities to alleviate occupational burnout and effectively improve job satisfaction.