PDF(Pubmed)
Abstract：
OBJECTIVE: To identify and present the available evidence regarding workforce well-being in the emergency department.
METHODS: Scoping review.
METHODS: The emergency department (ED).
METHODS: CINAHL, MEDLINE, APA PsycINFO and Web of Science were searched with no publication time parameters. The reference lists of articles selected for full-text review were also screened for additional papers.
METHODS: All peer-reviewed, empirical papers were included if: (1) participants included staff-based full-time in the ED, (2) ED workforce well-being was a key component of the research, (3) English language was available and (4) the main focus was not burnout or other mental illness-related variables.
RESULTS: The search identified 6109 papers and 34 papers were included in the review. Most papers used a quantitative or mixed methods survey design, with very limited evidence using in-depth qualitative methods to explore ED workforce well-being. Interventions accounted for 41% of reviewed studies. Findings highlighted pressing issues with ED workforce well-being, contributed to by a range of interpersonal, organisational and individual challenges (eg, high workloads, lack of support). However, the limited evidence base, tenuous conceptualisations and links to well-being in existing literature mean that the findings were neither consistent nor conclusive.
CONCLUSIONS: This scoping review highlights the need for more high-quality research to be conducted, particularly using qualitative methods and the development of a working definition of ED workforce well-being.
METHODS: Scoping review.
METHODS: The emergency department (ED).
METHODS: CINAHL, MEDLINE, APA PsycINFO and Web of Science were searched with no publication time parameters. The reference lists of articles selected for full-text review were also screened for additional papers.
METHODS: All peer-reviewed, empirical papers were included if: (1) participants included staff-based full-time in the ED, (2) ED workforce well-being was a key component of the research, (3) English language was available and (4) the main focus was not burnout or other mental illness-related variables.
RESULTS: The search identified 6109 papers and 34 papers were included in the review. Most papers used a quantitative or mixed methods survey design, with very limited evidence using in-depth qualitative methods to explore ED workforce well-being. Interventions accounted for 41% of reviewed studies. Findings highlighted pressing issues with ED workforce well-being, contributed to by a range of interpersonal, organisational and individual challenges (eg, high workloads, lack of support). However, the limited evidence base, tenuous conceptualisations and links to well-being in existing literature mean that the findings were neither consistent nor conclusive.
CONCLUSIONS: This scoping review highlights the need for more high-quality research to be conducted, particularly using qualitative methods and the development of a working definition of ED workforce well-being.
摘要：
目的：确定并提供有关急诊科劳动力健康的现有证据。
方法：范围审查。
方法：急诊科（ED）。
方法：CINAHL，MEDLINE,搜索APAPsycINFO和WebofScience，没有发布时间参数。还筛选了用于全文审查的文章的参考列表，以查找其他论文。
方法：所有同行评审，如果：(1)参与者包括以员工为基础的全职ED，(2)ED劳动力福祉是研究的关键组成部分，（3）英语可用，（4）主要重点不是倦怠或其他与精神疾病相关的变量。
结果：搜索确定了6109篇论文，其中34篇论文被纳入综述。大多数论文使用定量或混合方法进行调查设计，使用深入的定性方法探索ED劳动力福祉的证据非常有限。干预措施占审查研究的41%。调查结果强调了ED员工福祉的紧迫问题，由一系列人际关系促成，组织和个人挑战(例如，高工作负载，缺乏支持)。然而,有限的证据基础，现有文献中脆弱的概念化和与幸福的联系意味着研究结果既不一致也不具有结论性。
结论：本范围审查强调需要进行更多高质量的研究，特别是使用定性方法和制定ED劳动力福祉的工作定义。
方法：范围审查。
方法：急诊科（ED）。
方法：CINAHL，MEDLINE,搜索APAPsycINFO和WebofScience，没有发布时间参数。还筛选了用于全文审查的文章的参考列表，以查找其他论文。
方法：所有同行评审，如果：(1)参与者包括以员工为基础的全职ED，(2)ED劳动力福祉是研究的关键组成部分，（3）英语可用，（4）主要重点不是倦怠或其他与精神疾病相关的变量。
结果：搜索确定了6109篇论文，其中34篇论文被纳入综述。大多数论文使用定量或混合方法进行调查设计，使用深入的定性方法探索ED劳动力福祉的证据非常有限。干预措施占审查研究的41%。调查结果强调了ED员工福祉的紧迫问题，由一系列人际关系促成，组织和个人挑战(例如，高工作负载，缺乏支持)。然而,有限的证据基础，现有文献中脆弱的概念化和与幸福的联系意味着研究结果既不一致也不具有结论性。
结论：本范围审查强调需要进行更多高质量的研究，特别是使用定性方法和制定ED劳动力福祉的工作定义。
