Measuring occupational stress in emergency departments

McCormick, Ellyse; Devine, Sue; Crilly, Julia; Brough, Paula; Greenslade, Jaimi

doi:10.1111/1742-6723.14101

Cited by 7 publications

(2 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…EDs are stressful and crowded services for the staff working (15)(16)(17). Also, difficulties in the care of critically ill patients who come to the ED and communication with their relatives increase level of stress in staff (2).…”

Section: Introductionmentioning

confidence: 99%

Causes and Solutions for Emergency Department Crowding: A Qualitative Study of Healthcare Staff Perspectives

BÜTÜN

2024

STED

View full text Add to dashboard Cite

Introduction: Emergency Department (ED) crowding is a major problem globally. This situation leads to many negative consequences such as long waiting time, decreased satisfaction of patients and healthcare staff, delay in treatment of patients most in need of emergency care, decrease in the quality of healthcare provided and increase in healthcare costs. The aim of this study is to determine why patients prefer to use the ED, to identify the current problems of ED services and to develop solutions from the perspectives of ED healthcare staff in order to alleviate the ED crowding and related problems. Methods: This study utilised a qualitative approach. In-depth semi-structured interviews were conducted with 22 ED healthcare staff between 20th December 2021 and 18th February 2022. Thematic analysis method was performed to analyse the data. Results: Twenty-two ED healthcare staff were interviewed; 16 were male and 6 were female. ED healthcare staff interviews were conducted with 14 ED nurses, 6 ED doctors, and 2 ED consultants, who had at least 1-year of work experience in the ED, without any consideration of their gender or age. As a result of the data analysis, five main themes emerged: Insufficient healthcare system, patient-related problems, advantages of EDs, consequences of ED crowding, and solutions for ED crowding. Conclusion: Insufficient healthcare system, advantages of ED, and patients’ perceptions about using healthcare services led patients to use ED and subsequently to the ED crowding. There is a need for effective solutions to alleviate ED crowding. The precautions to reduce non-urgent ED visits are not enough. Many factors need to be considered and all of them should be applied together accordingly.

show abstract

Section: Introductionmentioning

confidence: 99%

Causes and Solutions for Emergency Department Crowding: A Qualitative Study of Healthcare Staff Perspectives

BÜTÜN

2024

STED

View full text Add to dashboard Cite

show abstract

“…To date, there is a dearth in the literature examining disparities in deployment among certain populations triaged to a lower level of trauma response [12,13,15,16]and the frequency and impact of additional ED workforce, such as ED staff registered nurses (RNs), deployed for trauma patient care [17][18][19]. Overall, research protocols use the metrics established in the American College of Surgeons Trauma Quality Programs (TQP) Best Practices guidelines, such as trauma team activation, as proxy measures of the appropriateness of staff deployment for trauma patients [20,21].…”

Section: Introductionmentioning

confidence: 99%

Resource Deployment in Response to Trauma Patients

Matthews,

LaScala,

Tomkin

et al. 2023

Cureus

View full text Add to dashboard Cite

Background Variance in the deployment of the trauma team to the emergency department (ED) can result in patient treatment delays and excess burden on ED personnel. Characteristics of trauma patients, including mechanism of injury, injury type, and age, have been associated with differences in trauma resource deployment. Therefore, this retrospective, single-site study aimed to examine the deployment patterns of trauma resources, the characteristics of the trauma patients associated with levels of trauma resource deployment, and the deployment impact on ED workforce utilization and non-trauma ED patients. Methodology This was an investigator-initiated, single-institution, retrospective cohort study of all patients designated as a trauma response and admitted to a community hospital’s ED from July 01, 2019, through July 01, 2022. Results Resource deployment for trauma patients varied by mechanism of injury (p < 0.001), injury type (p < 0.001), and patient age groups (p < 0.001). Specifically, there was a lower average trauma activation for geriatric trauma patients with a fall as a mechanism of injury compared to all younger patient groups with any mechanism of injury (F(5) = 234.49, p < 0.001). In the subsample, there was an average of 3.35 ED registered nurses (RNs) allocated to each trauma patient. Additionally, the ED RNs were temporarily reallocated from an average of 4.09 non-trauma patients to respond to trauma patients, despite over a third of the trauma patients in the subsample being the trauma patients being discharged home from the ED. Conclusions Trauma activation responses need to be standardized with a specific plan for geriatric fall patients to ensure efficient use of trauma and ED personnel resources.

show abstract