School of Nursing and Midwifery, Griffith University, Griffith Health, Gold Coast, Queensland, Australia.
Department of Emergency Medicine, Princess Alexandra Hospital, Metro South Health, Brisbane, Queensland, Australia.
Emerg Med Australas. 2021 Feb;33(1):25-33. doi: 10.1111/1742-6723.13561. Epub 2020 Jun 26.
Busy, high-stress EDs prompt many work-based interventions to address staff wellness, with mixed success. The aim of the present study was to enable ED clinicians to systematically identify core components of a work-based strategy to improve their working environment and/or coping.
Purposively sampled ED doctors and nurses from one health service were invited to participate in modified nominal group technique. Participants identified, from a pre-defined list, a key ED stressor and then discussed and ratified proposed core components of a work-based strategy to address or ameliorate this stressor.
Two nominal group technique sessions were held with a total of 10 participants (n = 7 nurses and n = 3 doctors). Participants proposed several strategies aimed at both individual and organisational levels to address occupational stress and coping, and support staff well-being in the workplace. These included mobile/web-based applications, group counselling sessions, yoga, social activities, team building activities and debriefing. Participants described three key components to promote staff wellness and hence enhance their ability to buffer negative aspects of occupational stress: (i) increased individual and team support; (ii) development of professional resilience; and (iii) maximising opportunities for social connection.
Ensuring appropriate systems, services and support for ED staff should be a priority at local departmental, wider organisational and governmental levels. ED clinicians are ideally placed to identify such systems, services and supports. Managers and policy makers can use these findings to inform the implementation of interventions in EDs.
忙碌且压力大的急诊科促使许多基于工作的干预措施来解决员工的健康问题，但效果参差不齐。本研究旨在使急诊科临床医生能够系统地确定改善工作环境和/或应对压力的基于工作的策略的核心组成部分。
从一个医疗服务机构中有意选取急诊科医生和护士参加改良的名义小组技术。参与者从预定义的清单中确定一个关键的急诊科压力源，然后讨论并批准解决或缓解该压力源的基于工作的策略的核心组成部分。
共进行了两次名义小组技术会议，共有 10 名参与者（n = 7 名护士和 n = 3 名医生）参加。参与者提出了几种旨在个体和组织层面上解决职业压力和应对压力、支持员工在工作场所幸福感的策略。这些策略包括移动/基于网络的应用程序、团体咨询课程、瑜伽、社交活动、团队建设活动和汇报。参与者描述了促进员工健康从而增强其缓冲职业压力负面影响的三个关键组成部分：（i）增加个体和团队支持；（ii）发展职业弹性；（iii）最大化社交联系的机会。
确保为急诊科员工提供适当的系统、服务和支持应成为当地部门、更广泛组织和政府层面的优先事项。急诊科临床医生最适合确定这些系统、服务和支持。管理者和政策制定者可以利用这些发现为急诊科干预措施的实施提供信息。
