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

mail.cmuh.org.tw 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.

Footnotes Blossom Yen-Ju Lin PhD, Professor, Institute of Health Services Administration, College of Public Health, China Medical University, Taichung, Taiwan, ROC

Thomas TH Wan PhD, Professor, College of Health and Public Affairs, University of Central Florida, Orlando, FL, USA

Chung-Ping Cliff Hsu MD FCCP, Chief of Thoracic Surgery, Division of Thoracic Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC; Professor of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC

Feng-Ru Hung MS, Secretariat office, National Taiwan University Hospital, Taipei, Taiwan, ROC

Chi-Wen Juan MD, Vice Superintendent Medicine, Kuang-Tien General Hospital, Taichung, Taiwan, ROC; Department of Health-Business Administration, Hungkuang University, Taichung, Taiwan, ROC

Cheng-Chieh Lin MD PhD, Dean, College of Medicine, Director, PhD Program for Aging, Professor in Family Medicine, Geriatric Medicine and Health Administration, China Medical University, Taichung, Taiwan, ROC; Advisor, China Medical University Hospital, 91Hsueh-Shih Road, Taichung 404, Taiwan, ROC