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

Amy Johnston; Louisa Abraham; Jaimi Greenslade; Ogilvie Thom; Eric Carlstrom; Marianne Wallis; Julia Crilly

doi:10.1111/1742-6723.12522

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

Journal article

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

Amy Johnston, Louisa Abraham, Jaimi Greenslade, Ogilvie Thom, Eric Carlstrom, Marianne Wallis and Julia Crilly

Emergency Medicine Australasia, Vol.28(1), pp.7-26

02/2016

DOI: https://doi.org/10.1111/1742-6723.12522

PMCID: PMC4755193

PMID: 26784282

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Abstract

Workforce

Attitude of Health Personnel

Emergency Service, Hospital - organization & administration

Humans

Workplace - psychology

Stress, Psychological - epidemiology

Employees in EDs report increasing role overload because of critical staff shortages, budgetary cuts and increased patient numbers and acuity. Such overload could compromise staff satisfaction with their working environment. This integrative review identifies, synthesises and evaluates current research around staff perceptions of the working conditions in EDs. A systematic search of relevant databases, using MeSH descriptors ED/EDs, Emergency room/s, ER/s, or A&E coupled with (and) working environment, working condition/s, staff perception/s, as well as reference chaining was conducted. We identified 31 key studies that were evaluated using the mixed methods assessment tool (MMAT). These comprised 24 quantitative-descriptive studies, four mixed descriptive/comparative (non-randomised controlled trial) studies and three qualitative studies. Studies included varied widely in quality with MMAT scores ranging from 0% to 100%. A key finding was that perceptions of working environment varied across clinical staff and study location, but that high levels of autonomy and teamwork offset stress around high pressure and high volume workloads. The large range of tools used to assess staff perception of working environment limits the comparability of the studies. A dearth of intervention studies around enhancing working environments in EDs limits the capacity to recommend evidence-based interventions to improve staff morale.

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Title: Review article: Staff perception of the emergency department working environment: Integrative review of the literature
Creators: Amy Johnston (Author) - Griffith University
Louisa Abraham (Author) - Nambour Hospital
Jaimi Greenslade (Author) - Royal Brisbane Hospital
Ogilvie Thom (Author) - University of Queensland
Eric Carlstrom (Author) - University of Gothenburg
Marianne Wallis (Author) - Griffith University
Julia Crilly (Author) - Griffith University
Publication Details: Emergency Medicine Australasia, Vol.28(1), pp.7-26
Publisher: Wiley-Blackwell Publishing Asia; Australia
Identifiers: 991012927098202368
Copyright: This is an open access article under the terms of the Creative Commons AttributionNonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Academic Unit: Nursing; Faculty of Health
Language: English
Resource Type: Journal article

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

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