The role of emergency physicians in the institutionalization of emergency medicine

Schothorst, Jannine van; Brand, Crispijn L van den; Gaakeer, Menno

doi:10.1097/mej.0000000000000346

Cited by 3 publications

(4 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous research has shown that development of the EP role is influenced by institutional policies and the role EPs allocate themselves as well as legislation, training programs, support of medical managers, and hospital culture [3]. Our study highlights heterogeneity in task allocation and institutional policies as possible inhibiting factors of EP emancipation.…”

Section: Discussionmentioning

confidence: 64%

“…The number of residency programs grew quickly; however, lack of central guidance or authority resulted in marked differences between residencies. These differences led to dissimilarities in knowledge, skills, and responsibilities between EPs [2,3]. Besides this, local hospital needs dictated which patient categories were analyzed by EPs, thus further increasing the differences between EPs [4].…”

Section: Introductionmentioning

confidence: 99%

“…Despite all these efforts, little research has been conducted regarding the current role and responsibilities of Dutch EPs, making it difficult to quantify their effect. One study described which organizational factors influence the position of EPs [3]; another showed an association between employment of EPs and the presence of postgraduate training and clinical audits in the ED [5]. However, both studies did not describe overall role or responsibilities of Dutch EPs.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Position within the hospital and role in the emergency department of emergency physicians in the Netherlands: a national survey

et al. 2020

Self Cite

View full text Add to dashboard Cite

Objectives: Emergency medicine (EM) in the Netherlands has developed rapidly and initially without central guidance. This has led to heterogeneity in current EM practice. Our aim was to quantify this heterogeneity by answering the following questions: (1) What is the current position of emergency physicians (EPs) within hospital organizations? (2) Which roles and responsibilities do EPs have across emergency departments (EDs)? Methods: During 2018, we conducted a survey among all EM consultant bodies (CBs, n = 56) in the Netherlands. Data was analyzed using descriptive statistics. Results: The response rate was 91.1%. Presence of EPs has been realized 24/7 in 23.1% of EDs. EPs were the main consultants for all ED patients in 9.8% of CBs, but never had this role in 13.7% of CBs. EPs supervised EM junior doctors in 78.5% of EDs, GPs in training in 80.0% of EDs, and junior doctors of other specialties in 41.5% of EDs. Procedures such as lumbar puncture (LP), procedural sedation and analgesia (PSA), and emergency ultrasound (US) were performed by all EPs in the CB in a range between 5.9 and 78.4%. In 36.9% of EDs, EPs did not analyze patients with presumed cardiac pathology due to a separate First Heart Aid. Conclusion: We conclude that there is a high degree of heterogeneity between emergency CBs in regard to the position in the hospital and the role or responsibilities in the ED. Lack of uniformity might inhibit emancipation of the profession.

show abstract

Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Position within the hospital and role in the emergency department of emergency physicians in the Netherlands: a national survey

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…The second group of articles explores the roles played by certain workers and how they shape certain relations, responsibilities, and practices of care, focusing on the work by nurses 75 and physicians in the emergency department 76,77 .…”

Section: Communication and Bondsmentioning

confidence: 99%

La urgencia bajo la lupa: una revisión de la producción científica sobre servicios de emergencia en hospitales desde la etnografía

Moglia

Aragunde

et al. 2021

Cad. Saúde Pública

View full text Add to dashboard Cite

En este trabajo se presenta una revisión de la literatura científica de estudios etnográficos sobre los servicios de emergencias en hospitales, con el objetivo de sistematizar las investigaciones y los principales hallazgos de los trabajos, que se refieren al proceso de salud-enfermedad-atención-cuidado en servicios de emergencia o guardia hospitalaria, desde una perspectiva etnográfica. En este sentido, se realizó una revisión bibliográfica integradora de textos publicados en revistas indexadas nacionales e internacionales y en las siguientes bases electrónicas: PubMed, BVS, Scopus, Redalyc y SciELO. El corpus de análisis quedó conformado por un total de 69 artículos, a los cuales se aplicó análisis de contenido, habiendo identificado las siguientes dimensiones de análisis: calidad de atención, comunicación y vínculos, subjetividad, aplicación de tecnologías informáticas, reflexión metodológica, experiencias y prácticas de los usuarios, toma de decisiones y violencias. Los resultados permitieron identificar un proceso que se aleja de lo normativo y protocolizado, donde aspectos subjetivos del trabajador, la comunicación y las relacionales interpersonales, así como las condiciones de trabajo, modelan, orientan y condicionan la atención y cuidado que se provee en el espacio del hospital. De este modo, se destaca el abordaje de los aspectos subjetivos en las investigaciones en salud, no sólo para comprender las perspectivas y experiencias de los trabajadores, sino para entender los obstáculos que persisten en el momento de proveer una mejor calidad de atención, complejizando un problema ignorado en la mayor parte de los análisis.

show abstract

Carving Out a Place for New Health Care Occupations: An Ethnographic Study into Job Crafting

Janssen

Bont

2016

Boundaryless Hospital

View full text Add to dashboard Cite

The role of emergency physicians in the institutionalization of emergency medicine

Abstract: In contemporary literature it is often argued that the role and status of EPs should be enhanced by strengthening regulation and improving training programs. This article shows that attention should also be paid to the more subtle everyday processes of role development.

Cited by 3 publications

References 19 publications

Position within the hospital and role in the emergency department of emergency physicians in the Netherlands: a national survey

Position within the hospital and role in the emergency department of emergency physicians in the Netherlands: a national survey

La urgencia bajo la lupa: una revisión de la producción científica sobre servicios de emergencia en hospitales desde la etnografía

Carving Out a Place for New Health Care Occupations: An Ethnographic Study into Job Crafting

Contact Info

Product

Resources

About