Mapping workforce configuration and operational models in Australian emergency departments: a national survey

Australian Health Review : a Publication of the Australian Hospital Association
Glenn GardnerJane O'Connell

Abstract

Objective Hospital emergency departments (ED) in Australia and internationally have been experiencing increased demand, resulting in reduced hospital quality, impaired access and adverse health outcomes. Effective evaluation of new ED service models and their effect on outcomes is reliant on baseline measures of the staffing configuration and organisational characteristics of the EDs being studied. The aim of the present study was to comprehensively measure these variables in Australian EDs. Methods Australian hospital EDs with 24-h medical and nursing cover were identified and invited to participate in the study. Telephone interviews were conducted with nursing or medical department managers to collect data related to hospital characteristics, ED workforce and training and ED service and operational models. Results Surveys were completed in 87% of the population sample (n=135). Metropolitan EDs were significantly more likely to retain higher full-time equivalents (FTEs) in several medical (staff specialist, registrar, resident and intern) and nursing (nurse practitioner (NP), nurse educator, nurse unit manager and registered nurse) positions. NPs were employed by 52% of Australian EDs overall, but this ranged from 40% to 75% d...Continue Reading

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Citations

Feb 5, 2019·Journal of Evaluation in Clinical Practice·Vivienne ChongFrank Donnelly
Apr 5, 2019·The International Journal of Health Planning and Management·Paibul SuriyawongpaisalThanita Thongtan
Jun 28, 2020·Emergency Medicine Australasia : EMA·Elizabeth ElderJulia Crilly
Aug 26, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Marica CassarinoKatie Robinson

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