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Efficiency in the emergency department – A complex relationship between throughput rates and staff perceptions
Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0002-4771-8349
Karolinska Institutet, Stockholm, Sweden.
Uppsala University, Sweden.
2016 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 29, p. 15-20Article in journal (Refereed) Published
Abstract [en]

Introduction It is well known that emergency departments (EDs) suffer from crowding and throughput challenges, which make the ED a challenging workplace. However, the interplay between the throughput of patients and how staff experience work is seldom studied. The aim of this study was to investigate whether staff experience of work (efficiency, work-related efforts and rewards, and quantity and quality of work) differs between days with low and high patient throughput rates. Method Throughput times were collected from electronic medical records and staff (n = 252 individuals, mainly nurses) ratings in daily questionnaires over a total of six weeks. Days were grouped into low and high throughput rate days for the orthopedic, surgical and internal medicine sections, respectively, and staff ratings were compared. Results On days with low throughput rates, employees rated their efficiency, effort, reward and quantity of work significantly higher than on days with high throughput rates. There was no difference in perceived quality of work. Conclusions There is a complex relationship between ED throughput rates and staff perceptions of efficiency and efforts/rewards with work, suggesting that whereas low throughput may be troublesome from a patient and organizational perspective, working conditions may still be perceived as more favorable. 

Place, publisher, year, edition, pages
Elsevier Ltd , 2016. Vol. 29, p. 15-20
Keywords [en]
Efficiency, Emergency department, Multitasking, Registered nurse, throughput rates, Work environment, Workflow, Working conditions
National Category
Work Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-45667DOI: 10.1016/j.ienj.2016.07.003Scopus ID: 2-s2.0-84981711351OAI: oai:DiVA.org:mdh-45667DiVA, id: diva2:1364929
Available from: 2019-10-23 Created: 2019-10-23 Last updated: 2019-10-23Bibliographically approved

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von Thiele Schwarz, Ulrica

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  • apa
  • ieee
  • modern-language-association-8th-edition
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  • Other style
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Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf