School of Nursing & Midwifery, Griffith Health, Gold Coast Campus, Griffith University, QLD 4222, Australia.
Department of Emergency Medicine Princess Alexandra Hospital Metro South, Menzies Health Institute Queensland Griffith University, Australia; School of Nursing Midwifery and Social Work, University of Queensland Woollongabba, QLD 4102, Australia.
Int Emerg Nurs. 2020 Sep;52:100841. doi: 10.1016/j.ienj.2020.100841. Epub 2020 Mar 20.
To explore emergency department clinicians (nurses and medical doctors) perceptions of stressors and coping strategies in their work environment.
A descriptive qualitative design was adopted. Twelve semi-structured interviews were conducted with medical and nursing personnel working in one Australian emergency department. A thematic inductive approach was used for analysis.
Four key themes emerged regarding perceptions of and factors that influenced stressors around the emergency department working environment: i) workload and departmental activity, ii) lack of support; iii) inadequate resourcing; and iv) a mis-match between societal, organisational and staff expectations. The overlap between these themes is such that an overarching theme of 'demoralisation in the workforce' can be described. Staff reported both problem- and emotion-focussed coping strategies with varying levels of self-perceived effectiveness. The foci of solutions proposed by participants typically addressed the source of the stressors.
Exposure to occupational stressors remains problematic for emergency department clinicians. Continued exposure can, in some instances, result in demoralisation of the workforce. Immediate attention to causes and effects of occupational stress and demoralisation is warranted. Implementing tailored strategies has the potential to ameliorate effects of occupational stressors.
探讨急诊科临床医生（护士和医生）在工作环境中对压力源和应对策略的看法。
采用描述性定性设计。在澳大利亚的一个急诊科对 12 名医疗和护理人员进行了半结构化访谈。采用主题归纳法进行分析。
关于对急诊科工作环境的压力源的看法和影响因素，出现了四个主要主题：i）工作量和部门活动，ii）缺乏支持，iii）资源不足，iv）社会、组织和员工期望之间的不匹配。这些主题相互重叠，因此可以描述一个总体主题，即“劳动力士气低落”。工作人员报告了问题和情绪焦点的应对策略，自我感知的有效性程度不同。参与者提出的解决方案的重点通常针对压力源的来源。
急诊科临床医生仍然面临职业压力源的问题。在某些情况下，持续暴露可能导致劳动力士气低落。有必要立即关注职业压力和士气低落的原因和后果。实施有针对性的策略有可能减轻职业压力源的影响。
