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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
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Pediatric emergency department shift experiences and moods: An exploratory sequential mixed-methods study.

Raymen R Assaf1, Phung K Pham2, Anita R Schmidt2

  • 1Pediatric Emergency Department Harbor UCLA Medical Center Torrance California USA.

AEM Education and Training
|June 14, 2021
PubMed
Summary

Pediatric emergency department (PED) providers experience mood changes influenced by various factors during shifts. Positive mood links to coping abilities, while negative mood is tied to restroom needs and unknown patient outcomes.

Keywords:
emergency departmentexperience sampling methodmixed methodsnegative affectnominal group techniquepositive affectshift work

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Area of Science:

  • Emergency Medicine
  • Occupational Health
  • Psychology

Background:

  • Provider mood significantly impacts patient care quality in pediatric emergency departments (PEDs).
  • Understanding factors affecting PED provider mood is crucial for enhancing well-being and clinical performance.

Purpose of the Study:

  • To investigate the influence of affective, social, behavioral, and cognitive factors on mood changes in PED providers during clinical shifts.
  • To introduce and utilize a novel on-shift measure for assessing these factors.

Main Methods:

  • The nominal group technique generated the ED experience survey (EDES) to identify mood-influencing factors.
  • An experience sampling method prompted PED providers to complete the EDES and affect schedules during shifts.
  • Multilevel modeling analyzed mood variations within shifts and across individuals.

Main Results:

  • Positive mood correlated with self-rated capacity to handle challenging situations and improved with better patient/family interactions.
  • Negative mood was associated with the need for restroom breaks, processing emotions, and uncertainty about patient outcomes.
  • Shift-specific factors like repeating assessments affected mood, with variations observed across provider groups.

Conclusions:

  • PED provider mood is dynamically influenced by a range of on-shift factors, including physical, social, behavioral, affective, and cognitive elements.
  • Identifying and mitigating clinician stress factors can support provider well-being and potentially improve patient care outcomes.