Related Experiment Video
Updated: Sep 11, 2025
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.3K
Workforce impact of emergency department boarding
Vicki Norton1, Kraftin E Schreyer2, Diane Kuhn3
1Florida Atlantic University Charles E. Schmidt College of Medicine, Department of Emergency Medicine, Boca Raton, FL 33431, United States.
Health Affairs Scholar
|August 13, 2025
Summary
Emergency department (ED) boarding significantly impacts clinicians, with over half experiencing violence and nearly all reporting decreased job satisfaction. Findings highlight critical issues for healthcare policy and operations.
Area of Science:
- Healthcare Management
- Emergency Medicine
- Clinician Well-being
Background:
- Emergency department (ED) boarding, the practice of holding admitted patients in the ED due to insufficient inpatient beds, poses a significant challenge to healthcare systems.
- This phenomenon impacts various aspects of healthcare delivery and personnel.
Purpose of the Study:
- To investigate the effects of ED boarding on clinician wellness, burnout, moral injury, and workplace violence.
- To identify key themes and experiences related to ED boarding from the perspective of emergency medicine professionals.
Main Methods:
- A survey was distributed to members of the American Academy of Emergency Medicine.
- The survey included questions on boarding experiences, demographics, practice setting, and an optional free-response section.
- Descriptive statistics and thematic analysis of free-response comments were conducted.
Main Results:
- Out of 195 respondents, 54.1% reported experiencing violence linked to ED boarding.
- 98.5% of respondents indicated that ED boarding negatively affected their job satisfaction.
- Qualitative analysis revealed themes of frustration, burnout, abuse, moral injury, and impacts on patient care.
Conclusions:
- Preliminary findings underscore the detrimental effects of ED boarding on healthcare professionals and patient care.
- These insights can guide policy development and operational interventions to mitigate the adverse consequences of ED boarding.
Related Concept Videos
01:30Methods of Documentation VII: EMR
913
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
913
01:21Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K
01:15Methods of Documentation VI: Case Management Model
628
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
628
01:14SBAR II: Application of SBAR
4.7K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.7K
01:30Specialized Care Centers and Settings-II
777
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
777
01:30Introduction Cardiac Emergencies
46
Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
46