title: Physician and nurse job climates in hospital-based emergency departments in Taiwan: management and implications.
abstract: This study evaluates how emergency physicians and nurses perceive their job climates in their hospital-based emergency departments (ED). In total, 208 emergency physicians and 234 emergency nurses were surveyed, applying a validated survey instrument covering the job facets of medical and nursing autonomy, professional accomplishments and outcomes, leadership, communication, management, hospital policies and regulations, and external health policy environments germane to emergency medicine. The findings reveal that the average satisfaction score for professional growth and accomplishments was ranked highest by emergency physicians, and job communication within EDs was ranked highest by emergency nurses. Several emergency medical professional characteristics, including age, education, medical authority, employment duration, full-time or part-time statuses, perceived workloads, and hospital accreditation levels, were all related to job satisfaction in this surveyed population. New insights generated from this study could provide increased guidance to hospital and ED unit managers toward enhancing wellness and limiting dissatisfaction and disharmony relative to long-term career survival and the well-being of ED specialists.
authors.affiliation: Institute of Health Services Administration, China Medical University, 91 Hsueh-Shih Rd., Taichung, Taiwan, Republic of China. yenju1115@hotmail.com
authors.forename: Blossom Yen-Ju
authors.initials: BY
authors.lastname: Lin
authors.forename: Chung-Ping Cliff
authors.initials: CP
authors.lastname: Hsu
authors.forename: Ming-Chin
authors.initials: MC
authors.lastname: Chao
authors.forename: Shi-Ping
authors.initials: SP
authors.lastname: Luh
authors.forename: Siu-Wan
authors.initials: SW
authors.lastname: Hung
authors.forename: Gerald-Mark
authors.initials: GM
authors.lastname: Breen
mesh_terms: D000328:Adult; D003625:Data Collection; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D008297:Male; D008505:Medical Staff, Hospital; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D013624:Taiwan