Premium
Staff perceptions of the emergency department working environment: An international cross‐sectional survey
Author(s) -
Crilly Julia,
Greenslade Jaimi H,
Johnston Amy,
Carlström Eric,
Thom Ogilvie,
Abraham Louisa,
Mills Donna,
Wallis Marianne
Publication year - 2019
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/1742-6723.13325
Subject(s) - workload , coping (psychology) , medicine , stressor , cohort , perception , cross sectional study , demographics , clinical psychology , psychology , demography , management , pathology , neuroscience , sociology , economics
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. Methods A cross‐sectional study was conducted in one Swedish ED and two Australian EDs in 2015–2016. Descriptive statistics were used to explore stressors, coping styles and aspects of the working environment for the combined cohort and the cohort split by age, sex, professional role, years of employment in the ED and country. Regression analyses examined the impact of coping style and demographic characteristics on staff perceptions of the working environment. Results Two hundred and six ED staff completed the survey (response rate: 64%). Factors most stressful for ED staff included death or sexual abuse of a child, heavy workload and poor skill mix. Staff perceptions of the working environment differed based on age, sex, country, tenure and job role. Regression analysis of perceptions of the work environment on demographics and coping strategies revealed that negative coping strategies were associated with low self‐realisation, high workload, high conflict and high nervousness. Active coping and positive thinking were associated with increased self‐realisation. Positive thinking was associated with lower levels of conflict. Conclusions Employees engaging in positive coping strategies had more positive perceptions of the work environment, while those engaging in maladaptive coping strategies reported negative perceptions of the work environment. These data suggest that strategies that promote the use of active coping and positive thinking should be encouraged and warrant further research in the ED.