Review article: Staff perception of the emergency department working environment: Integrative review of the literature

Johnston, Amy N.B.; Abraham, Louisa; Greenslade, Jaimi; Thom, Ogilvie; Carlström, Eric; Wallis, Marianne; Crilly, Julia

doi:10.1111/1742-6723.12522

Cited by 126 publications

(103 citation statements)

References 46 publications

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“…2 According to Bellow and Gillespie (2014), the primary hospital factor impacting ED overcrowding is a lack of available inpatient beds for patients who enter the hospital through the ED, which leads to boarding. ED overcrowding also contributes to broader issues, such as staff burnout, in an environment where a shortage of trained personnel can make a acquisition of new staff challenging (Johnston et al, 2016). Consequently, a number of studies have noted boarding as a prominent cause of increased wait times for ED care, and as a significant contributing factor to ED overcrowding (Weiss et al, 2005;Bair, Song, Chen, & Morris, 2010;Felton, Residorff, Krone & Laskaris, 2011).…”

Section: Ed Overcrowdingmentioning

confidence: 99%

“…For example, along with increasing the likelihood of patient morbidity and mortality (Hoyle, 2013), persistent and severe overcrowding also leads to an increase in burnout among ED staff (Johnston et al, 2016). For example, along with increasing the likelihood of patient morbidity and mortality (Hoyle, 2013), persistent and severe overcrowding also leads to an increase in burnout among ED staff (Johnston et al, 2016).…”

mentioning

confidence: 99%

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Emergency department resilience to disaster‐level overcrowding: A component resilience framework for analysis and predictive modeling

Davis

Zobel

Khansa

et al. 2019

J of Ops Management

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Overcrowding poses a serious challenge to the operations of health care facilities, especially those with a mandate to provide emergency care. A better understanding of emergency department (ED) performance during disaster‐level overcrowding is a key to increasing a facility's resilience, optimizing patient outcomes, and more effectively allocating resources. With this in mind, this study quantitatively examines the extent to which different factors contribute to the resilience of hospital EDs during disaster‐level overcrowding events. A modeling framework was developed in collaboration with the Carilion Clinic ED, a level one trauma center in Virginia. The testing and analysis of the approach is based on data from actual disaster‐level overcrowding events that occurred in the Spring of 2016. Results indicate that by considering not only the capacity for resisting such events but also the capacity for recovering from them more quickly, hospital decision makers can improve both their operational effectiveness and the patient experience. Furthermore, by using our framework to identify precipitating factors and predict severe overcrowding, hospital decision makers can implement changes to improve the future resilience of their ED to such overcrowding events.

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Section: Ed Overcrowdingmentioning

confidence: 99%

mentioning

confidence: 99%

Emergency department resilience to disaster‐level overcrowding: A component resilience framework for analysis and predictive modeling

Davis

Zobel

Khansa

et al. 2019

J of Ops Management

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“…Likewise, in the integrative review evaluating staff perceptions of the working conditions in EDs by Johnston, Abraham, Greenslade, Thom, Carlstrom, Wallis, and Crilly (2016), the researchers contend that experience, rather than age, gender, or role, plays a key role in one's perception of work-related stress, results similar to the participants of this study.…”

Section: Summary Of Findingssupporting

confidence: 53%

“…Such feelings and concerns may impact the retention of emergency nurses long-term. As a result, Johnston et al (2016) report that "EDs therefore need to achieve a balance that stimulates and challenges staff, without overwhelming them, to retain workers" (p.24).…”

Section: Summary Of Findingsmentioning

confidence: 99%

“…Decreased job satisfaction was described as resulting from the stressful working conditions that occur during situations of crowding. In the study by Johnston et al (2016), the researchers acknowledged that EDs have become particularly stressful working environments due to the increasing acuity of presenting patients, resulting in high pressure and high volume workloads. For many emergency nurses in this study, placing value on their role as a nurse and meeting professional standards and expectations was reported as being important.…”

Section: Summary Of Findingsmentioning

confidence: 99%

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The experiences of emergency nurses working during situations of crowding

Clark¹

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Identifying the Emergency Medicine Personality: A Multisite Exploratory Pilot Study

Jordan

Linden

Maculatis

et al. 2018

AEM Education and Training

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Objectives: This study aimed to understand the personality characteristics of emergency medicine (EM) residents and assess consistency and variations among residency programs. Methods:In this cross-sectional study, a convenience sample of residents (N = 140) at five EM residency programs in the United States completed three personality assessments: the Hogan Personality Inventory (HPI)-describing usual tendencies; the Hogan Development Survey (HDS)-describing tendencies under stress or fatigue; and the Motives, Values, and Preferences Inventory (MVPI)-describing motivators. Differences between EM residents and a normative population of U.S. physicians were examined with one-sample t-tests. Differences between EM residents by program were analyzed using one-way analysis of variance tests.Results: One-hundred forty (100%), 124 (88.6%), and 121 (86.4%) residents completed the HPI, HDS, and MVPI, respectively. For the HPI, residents scored lower than the norms on the adjustment, ambition, learning approach, inquisitive, and prudence scales. For the HDS, residents scored higher than the norms on the cautious, excitable, reserved, and leisurely scales, but lower on bold, diligent, and imaginative scales. For the MVPI, residents scored higher than the physician population norms on altruistic, hedonistic, and aesthetics scales, although lower on the security and tradition scales. Residents at the five programs were similar on 22 of 28 scales, differing on one of 11 scales of the HPI (interpersonal sensitivity), two of 11 scales of the HDS (leisurely, bold), and three of 10 scales of the MVPI (aesthetics, commerce, and recognition).Conclusions: Our findings suggest that the personality characteristics of EM residents differ considerably from the norm for physicians, which may have implications for medical students' choice of specialty. Additionally, results indicated that EM residents at different programs are comparable in many areas, but moderate variation in personality characteristics exists. These results may help to inform future research incorporating personality assessment into the resident selection process and the training environment.

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Review article: Staff perception of the emergency department working environment: Integrative review of the literature

Abstract: Employees in EDs report increasing role overload because of critical staff shortages, budgetary cuts and increased patient numbers and acuity.

Cited by 126 publications

References 46 publications

Emergency department resilience to disaster‐level overcrowding: A component resilience framework for analysis and predictive modeling

Emergency department resilience to disaster‐level overcrowding: A component resilience framework for analysis and predictive modeling

The experiences of emergency nurses working during situations of crowding

Identifying the Emergency Medicine Personality: A Multisite Exploratory Pilot Study

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