An Interpretative Study on Nurses' Perspectives of Working in an Overcrowded Emergency Department in Taiwan

Li-Chin Chen; Chun-Chih Lin; Chin-Yen Han; Chun-Lan Hsieh; Jo Wu; Hwey-Fang Liang

doi:10.1016/j.anr.2018.02.003

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An Interpretative Study on Nurses' Perspectives of Working in an Overcrowded Emergency Department in Taiwan

Journal article

Open access

Peer reviewed

An Interpretative Study on Nurses' Perspectives of Working in an Overcrowded Emergency Department in Taiwan

Li-Chin Chen, Chun-Chih Lin, Chin-Yen Han, Chun-Lan Hsieh, Jo Wu and Hwey-Fang Liang

Asian Nursing Research, Vol.12(1), pp.62-68

2018

DOI: https://doi.org/10.1016/j.anr.2018.02.003

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Abstract

crowding

emergency department

grounded theory

nurses

Purpose: This study aims to gain in-depth understanding of nurses' perspectives of working in an overcrowded emergency. Methods: Symbolic interactionism and Charmaz's construction of grounded theory were used. Purposive sampling at the start of the study and a further theoretical sampling by snowball technique were used to recruit 40 registered nurses (RN) to participate in in-depth, semi-structured interviews between May and November, 2014. Data analysis included analytic techniques of initial, focused and theoretical coding. Results: Study findings showed searching for work role is derived by the themes of Finding the role of positioning in Emergency Department (ED), Recognizing causes of ED overcrowding, and Confined working environment. Nurses' work experience which represents the RNs not gained control over their work, as care actions influenced by the problematic overcrowded circumstance of the ED environment. Conclusion: The findings fill a gap in knowledge about how RNs experience their work role in the context of an overcrowded Emergency Department in Taiwan. Arising from the study result include taking account of nurses' perspectives when planning staff/patient ratios, strategies to reduce waiting time and ensure that clients receive appropriate care.

Details

Title: An Interpretative Study on Nurses' Perspectives of Working in an Overcrowded Emergency Department in Taiwan
Authors: Li-Chin Chen (Author) - Linkou Chang Gung Memorial Hospital, Taiwan
Chun-Chih Lin (Author) - Chang Gung University of Science and Technology, Taiwan
Chin-Yen Han (Author) - Chang Gung University of Science and Technology, Taiwan
Chun-Lan Hsieh (Author) - Linkou Chang Gung Memorial Hospital, Taiwan
Jo Wu (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Hwey-Fang Liang (Author) - Chang Gung University of Science and Technology, Taiwan
Publication details: Asian Nursing Research, Vol.12(1), pp.62-68
Publisher: Elsevier Ltd.
Date published: 2018
DOI: 10.1016/j.anr.2018.02.003
ISSN: 1976-1317
Copyright note: Copyright © 2018 Korean Society of Nursing Science, Published by Elsevier Korea LLC. This is an open access article under the CC BY-NC-ND license (http:// creativecommons.org/licenses/by-nc-nd/4.0/)
Organisation Unit: School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99451000602621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Nursing

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