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

Blossom Yen Ju Lin, Thomas T.H. Wan, Chung Ping Cliff Hsu, Feng Ru Hung, Chi Wen Juan, Cheng Chieh Lin

Research output: Contribution to journalJournal Article peer-review

17 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)68-77
Number of pages10
JournalHealth Services Management Research
Volume25
Issue number2
DOIs
StatePublished - 05 2012
Externally publishedYes

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