Relationships of hospital-based emergency department culture to work satisfaction and intent to leave of emergency physicians and nurses

Publié le 21 janvier 2013 • Catégorie(s) : Conditions de travail et santé psychologique • Mot(s) clef(s) : médecins, personnel infirmier

Auteur    Blossom Yen-Ju Lin
Auteur    Thomas T H Wan
Auteur    Chung-Ping Cliff Hsu
Auteur    Feng-Ru Hung
Auteur    Chi-Wen Juan
Auteur    Cheng-Chieh Lin
Résumé    Given the limited studies on emergency care management, this study aimed to explore the relationships of emergency department (ED) culture values to certain dimensions of ED physicians’ and nurses’ work satisfaction and intent to leave. Four hundred and forty-two emergency medical professionals completed the employee satisfaction questionnaire across 119 hospital-based EDs, which had culture value evaluations filed, were used as unit of analysis in this study. Adjusting the personal and employment backgrounds, and the surrounded EDs’ unit characteristics and environmental factors, multiple regression analyses revealed that clan and market cultures were related to emergency physicians’ work satisfaction and intent to leave. On the other hand, adhocracy, market and hierarchical cultures were related to emergency nurses’ work satisfaction. There do exist different patterns among various culture types on various work satisfaction dimensions and intent to leave of emergency physicians and nurses. The findings could offer hospital and ED leaders insights for changes or for building a better atmosphere to enhance the work life of emergency physicians and nurses.
Publication    Health services management research: an official journal of the Association of University Programs in Health Administration / HSMC, AUPHA
Volume    25
Numéro    2
Pages    68-77
Date    May 2012