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

Johnston, Amy, Abraham, Louisa, Greenslade, Jaimi, Thom, Ogilvie, Carlstrom, Eric, Wallis, Marianne and Crilly, Julia (2016) Review article: Staff perception of the emergency department working environment: Integrative review of the literature. EMA - Emergency Medicine Australasia, 28 1: 7-26. doi:10.1111/1742-6723.12522


Author Johnston, Amy
Abraham, Louisa
Greenslade, Jaimi
Thom, Ogilvie
Carlstrom, Eric
Wallis, Marianne
Crilly, Julia
Title Review article: Staff perception of the emergency department working environment: Integrative review of the literature
Journal name EMA - Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1742-6723
1742-6731
Publication date 2016-02-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/1742-6723.12522
Open Access Status DOI
Volume 28
Issue 1
Start page 7
End page 26
Total pages 20
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2017
Language eng
Abstract 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.
Keyword ED
Integrative review
Staff perception
Working condition
Working environment
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
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