Staff perceptions of the emergency department working environment: An international cross‐sectional survey

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

doi:10.1111/1742-6723.13325

Cited by 9 publications

(10 citation statements)

References 23 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For school nurses, autonomy involves having control and opportunities to independently adjust and creatively make decisions for their nursing practice (Broussard, 2007; Foley et al, 2004; Simmons, 2002). The opportunity to make such independent choices affects nurses’ job satisfaction (Crilly et al, 2019; Curtis & Glacken, 2014; DeSisto & DeSisto, 2004; Graham et al, 2011; Halter et al, 2017; Lin et al, 2007; Seren Intepeler et al, 2019) and influences their remaining in practice (Andresen et al, 2017; Jameson & Bowen, 2018). However, as this study and previous research (Skundberg‐Kletthagen & Moen, 2017; Thunman, 2012) indicate high workload or limited scope to influence work tasks prevents nurses from practising nursing the way they want to.…”

Section: Discussionmentioning

confidence: 99%

“…Research indicates that self‐realisation can be linked to aspects such as job satisfaction, work environment and organisational commitment, which is mostly reported from quantitative studies (Crilly et al, 2019; Røssberg et al, 2004; Seren Intepeler et al, 2019). Self‐realisation is further related to aspects such as autonomy and professional development, which involves using one's skills and abilities (Côté, 2016).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Self‐realisation—What does this mean for school nurses to remain in nursing practice?

Mæland

Oftedal

Kristoffersen

2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To describe and interpret what it means for school nurses to realise themselves so that they remain in nursing practice. Background Self‐realisation seems to influence on nurses remaining in nursing practice. School nurses report aspects (i.e. autonomy and professional development) which can be linked to self‐realisation as important for themselves, but few studies describe what it means for school nurses to realise themselves so that they remain in practice. Design and method This study used a qualitative design, conducting two individual in‐depth interviews with 15 school nurses. The interviews were analysed with a phenomenological hermeneutic method. The COREQ checklist has been used in reporting this study. Results The following themes were emerged: (a) being attentive to yourself, (b) acting true to yourself and (c) making independent choices. Conclusion This study offers insight into what it means for school nurses to realise themselves so that they remain in nursing practice, that is to practise their originality and take a stand for what they consider important. Self‐realisation was embedded within nursing practice and consequently seems to impact on nurses remaining in practice. Relevance to clinical practice Nurses who practise their originality and take a stand for what they identify as important realise self. This implies being themselves and practising nursing in a way they find relevant. Nursing leaders who encourage nurses to articulate what this entails facilitate their self‐realisation. A clinical practice where nurses can be attentive and act true to themselves, and have opportunities to make independent choices, will be a practice where nurses can realise self. We suggest that clinical practice which emphasises opportunities for nurses' self‐realisation may facilitate their remaining in practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Self‐realisation—What does this mean for school nurses to remain in nursing practice?

Mæland

Oftedal

Kristoffersen

2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Promoting a culture that values the staff is essential in building a caring environment (21). Strategies as these may be used in resilience training interventions aimed in preventing burnout (24) and in creating a caring culture that is supported by organisational and management perspective (25).…”

Section: On the Resultsmentioning

confidence: 99%

“…However, the staff do not always manage this because of the heavy workload at the ED, and the staff feel split between providing care and responding to the patients’ care 17. A heavy workload is one of the most stressful components at the ED 24,25, forcing the staff use different coping strategies in order to come up with different ways to handle the situation 24. A responsibility that involve balancing essential nursing care and actual workload 12, with actions that result in positive perceptions of the work environment, which could be used as prevention strategies by the organisation 25.…”

Section: Discussionmentioning

confidence: 99%

“…A heavy workload is one of the most stressful components at the ED 24,25, forcing the staff use different coping strategies in order to come up with different ways to handle the situation 24. A responsibility that involve balancing essential nursing care and actual workload 12, with actions that result in positive perceptions of the work environment, which could be used as prevention strategies by the organisation 25. On the other hand, lack of management support affects the ability of proving good care with needs of developing a positive and supportive work environment that facilitates a caring perspective 26.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Staff strategies for dealing with care situations at an emergency department

Frank

Elmqvist

2019

Scandinavian Caring Sciences

View full text Add to dashboard Cite

Staff strategies for dealing with care situations at an emergency department Introduction: Overcrowding is a common international problem at Emergency Departments often due to those patients get recommendations or referrals from other health professionals to seek care at the emergency department. Crowding brings with it an amount of adverse consequences for both patients and staff, and knowledge about staff's strategies of dealing with this caring situation is limited. Aim: The aim of the present study was thus to describe staffs' strategies to deal with the caring situations at an emergency department. Method: Secondary analysis has been made of 18 qualitative interviews grounded in a lifeworld perspective. The interviews were analysed by qualitative content analysis. Findings: The results showed that the staff at the ED worked in twofold directions using both proactive and reactive strategies in order to deal with the care situation when caring for patients at ED. The proactive strategy is optimising conditions, controlling patient flow and being boundary. The reactive strategy is about customising the conversation and holding an open approach. Conclusion: In conclusion, the proactive strategy is to make what you decided for unseen circumstances. The reactive strategy is then about less anticipation of the encounter, waiting for the patient to act and react to it. Implication: The result can have implications with respect to developing and improving care at crowded Emergency departments. Knowledge about strategies creates a fundament for developing visible sustainable structure for patient flow in making work patient safety for patients, staff and organisation.

show abstract

Leadership conceptions of nurses and physicians in emergency care: A scoping review

Rixon,

Elder,

Bull

et al. 2024

International Emergency Nursing

View full text Add to dashboard Cite

Staff perceptions of the emergency department working environment: An international cross‐sectional survey

Abstract: Objectives: The aims of this study were to describe clinical staff perceptions of their ED working environment and to explore associations between staff demographics, coping styles and the work environment.

Cited by 9 publications

References 23 publications

Self‐realisation—What does this mean for school nurses to remain in nursing practice?

Self‐realisation—What does this mean for school nurses to remain in nursing practice?

Staff strategies for dealing with care situations at an emergency department

Leadership conceptions of nurses and physicians in emergency care: A scoping review

Contact Info

Product

Resources

About