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Organisational Problems, Role Stress, and Job Satisfaction Among Emergency Department Workers: A Multicenter
Sedat Bostan1, Ferit Sevim1,2, Hakan Usta3
1Faculty of Health Sciences, Healthcare Management Department, Karadeniz Technical University, Trabzon, Turkiye.
Journal of Evaluation in Clinical Practice
|June 30, 2026
Summary
Improving emergency department (ED) organizational conditions and role clarity enhances job satisfaction. Addressing staffing, coordination, and management issues is key to a stable and reliable healthcare workforce.
Area of Science:
- Healthcare Management
- Organizational Psychology
- Emergency Medicine
Background:
- Emergency departments (EDs) face high demand, where organizational issues can negatively impact staff well-being and care delivery.
- Perceived organizational problems in EDs may compromise role clarity and staff satisfaction, affecting workforce stability.
Purpose of the Study:
- To investigate the associations between perceived organizational problems, role conflict/ambiguity, job performance, and job satisfaction in ED workers.
- To evaluate how organizational conditions and role clarity relate to job satisfaction in emergency services.
Main Methods:
- A quantitative, cross-sectional survey of 408 ED employees across 23 hospitals in Turkey.
- Utilized the Problems Experienced in Emergency Services (PES) scale, measures of role conflict/ambiguity, self-rated job performance, and job satisfaction.
- Employed linear mixed-effects models to analyze data, accounting for hospital-level clustering.
Main Results:
- Increased perceived organizational problems were linked to decreased job satisfaction.
- Role conflict and ambiguity demonstrated a significant negative association with job satisfaction.
- Self-rated job performance showed a positive correlation with job satisfaction.
Conclusions:
- Interventions for enhancing job satisfaction in EDs should focus on structural and managerial improvements.
- Reducing organizational problems and enhancing role clarity and coordination are crucial for improving staff satisfaction.
- Combined structural improvements with individual-level support strategies are recommended.
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