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Working Environment in a Virtual Emergency Department: A Cross-Sectional Study.

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Summary
This summary is machine-generated.

Staff in virtual emergency departments (VEDs) reported positive perceptions of their work environment and telemedicine. VEDs are viewed as positively as physical emergency departments, with staff attracted to novel healthcare delivery.

Keywords:
attitudeemergency servicehospitalvirtual medicineworking conditions

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Area of Science:

  • Emergency Medicine
  • Digital Health
  • Healthcare Management

Background:

  • Virtual emergency departments (VEDs) represent an evolving model of care delivery.
  • Assessing staff perceptions is crucial for understanding the operational success and sustainability of VEDs.
  • Multidisciplinary staff experiences in VEDs require investigation to inform future healthcare strategies.

Purpose of the Study:

  • To measure multidisciplinary staff perceptions of the working environment in a virtual emergency department.
  • To evaluate staff attitudes towards telemedicine within a virtual ED setting.
  • To compare virtual ED staff experiences with those reported in physical emergency departments.

Main Methods:

  • An online survey was administered to 63 staff members in a South Australian virtual ED in September 2024.
  • The survey included the Working Environment Scale (WES-10), questions on telemedicine attitudes, and open-ended queries on work attractors and challenges.
  • Descriptive and non-parametric inferential statistics were used for quantitative data, with content analysis for qualitative data.

Main Results:

  • The response rate was 52% (n=33), including clerical staff, doctors, nurses, and a paramedic.
  • Working Environment Scale (WES-10) scores indicated positive perceptions, particularly for Self-realisation, comparable to or better than physical EDs.
  • Staff generally held positive attitudes towards telemedicine, though with reservations on professional development and virtual care preference. Novel care delivery and workplace culture were key attractors; assessment limitations were the primary challenge.

Conclusions:

  • Staff in virtual emergency departments perceive their work environment and telemedicine positively.
  • Attraction to virtual EDs stems from the delivery of novel healthcare models and positive workplace culture.
  • Enhanced consistency in the measurement of the working environment, such as using the WES-10, is recommended for future studies.