An Interpretative Study on Nurses' Perspectives of Working in an Overcrowded Emergency Department in Taiwan
Purpose: This study aims to gain in-depth understanding of nurses' perspectives of working in an overcrowded emergency. Methods: Symbolic interactionism and Charmaz’s construction of grounded theory were used. Purposive sampling at the start of the study and a further theoretical sampling by sn...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-03-01
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| Series: | Asian Nursing Research |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1976131717305741 |
| _version_ | 1828329608885305344 |
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| author | Li-Chin Chen, MSN Chun-Chih Lin, RN, Ph.D. Chin-Yen Han, RN, Ph.D. Chun-Lan Hsieh, BSN Chiung-Jung (Jo) Wu, RN, DrHlthSc, FACN Hwey-Fang Liang, RN, Ph.D. |
| author_facet | Li-Chin Chen, MSN Chun-Chih Lin, RN, Ph.D. Chin-Yen Han, RN, Ph.D. Chun-Lan Hsieh, BSN Chiung-Jung (Jo) Wu, RN, DrHlthSc, FACN Hwey-Fang Liang, RN, Ph.D. |
| author_sort | Li-Chin Chen, MSN |
| collection | DOAJ |
| description | Purpose: This study aims to gain in-depth understanding of nurses' perspectives of working in an overcrowded emergency. Methods: Symbolic interactionism and Charmaz’s construction of grounded theory were used. Purposive sampling at the start of the study and a further theoretical sampling by snowball technique were used to recruit 40 registered nurses (RN) to participate in in-depth, semi-structured interviews between May and November, 2014. Data analysis included analytic techniques of initial, focused and theoretical coding. Results: Study findings showed searching for work role is derived by the themes of Finding the role of positioning in Emergency Department (ED), Recognizing causes of ED overcrowding, and Confined working environment. Nurses' work experience which represents the RNs not gained control over their work, as care actions influenced by the problematic overcrowded circumstance of the ED environment. Conclusion: The findings fill a gap in knowledge about how RNs experience their work role in the context of an overcrowded Emergency Department in Taiwan. Arising from the study result include taking account of nurses' perspectives when planning staff/patient ratios, strategies to reduce waiting time and ensure that clients receive appropriate care. Keywords: crowding, emergency department, grounded theory, nurses |
| first_indexed | 2024-04-13T20:28:01Z |
| format | Article |
| id | doaj.art-b06aa07315b0432196b17517d184b49b |
| institution | Directory Open Access Journal |
| issn | 1976-1317 |
| language | English |
| last_indexed | 2024-04-13T20:28:01Z |
| publishDate | 2018-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Nursing Research |
| spelling | doaj.art-b06aa07315b0432196b17517d184b49b2022-12-22T02:31:16ZengElsevierAsian Nursing Research1976-13172018-03-011216268An Interpretative Study on Nurses' Perspectives of Working in an Overcrowded Emergency Department in TaiwanLi-Chin Chen, MSN0Chun-Chih Lin, RN, Ph.D.1Chin-Yen Han, RN, Ph.D.2Chun-Lan Hsieh, BSN3Chiung-Jung (Jo) Wu, RN, DrHlthSc, FACN4Hwey-Fang Liang, RN, Ph.D.5Department of Nursing, Chang Gung Memorial Hospital at Linkou, Linkou, Taiwan; Taiwan Association Critical Care Nurses (TACCN), Tauyuan, TaiwanDepartment of Nursing, Chang Gung University of Science and Technology, ChiaYi, Taiwan; Department of Nursing, Chang Gung Memorial Hospital at ChiaYi, ChiaYi, Taiwan; Correspondence to: Chun-Chih Lin, RN, Ph.D., ChiaYi Campus, Department of Nursing, Chang Gung University of Science and Technology, 2, West Sec., Jiapu Road, Pu-tz City, ChiaYi 613, Taiwan.Department of Nursing, Chang Gung Memorial Hospital at Linkou, Linkou, Taiwan; Department of Nursing, Chang Gung University of Science and Technology, Linkou, TaiwanDepartment of Nursing, Chang Gung Memorial Hospital at Linkou, Linkou, TaiwanSchool of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Hervey Bay, Australia; Royal Brisbane and Women's Hospital (RBWH), Hervey Bay, Australia; Mater Research Institution-University of Queensland, Hervey Bay, AustraliaDepartment of Nursing, Chang Gung University of Science and Technology, ChiaYi, Taiwan; Department of Nursing, Chang Gung Memorial Hospital at ChiaYi, ChiaYi, TaiwanPurpose: This study aims to gain in-depth understanding of nurses' perspectives of working in an overcrowded emergency. Methods: Symbolic interactionism and Charmaz’s construction of grounded theory were used. Purposive sampling at the start of the study and a further theoretical sampling by snowball technique were used to recruit 40 registered nurses (RN) to participate in in-depth, semi-structured interviews between May and November, 2014. Data analysis included analytic techniques of initial, focused and theoretical coding. Results: Study findings showed searching for work role is derived by the themes of Finding the role of positioning in Emergency Department (ED), Recognizing causes of ED overcrowding, and Confined working environment. Nurses' work experience which represents the RNs not gained control over their work, as care actions influenced by the problematic overcrowded circumstance of the ED environment. Conclusion: The findings fill a gap in knowledge about how RNs experience their work role in the context of an overcrowded Emergency Department in Taiwan. Arising from the study result include taking account of nurses' perspectives when planning staff/patient ratios, strategies to reduce waiting time and ensure that clients receive appropriate care. Keywords: crowding, emergency department, grounded theory, nurseshttp://www.sciencedirect.com/science/article/pii/S1976131717305741 |
| spellingShingle | Li-Chin Chen, MSN Chun-Chih Lin, RN, Ph.D. Chin-Yen Han, RN, Ph.D. Chun-Lan Hsieh, BSN Chiung-Jung (Jo) Wu, RN, DrHlthSc, FACN Hwey-Fang Liang, RN, Ph.D. An Interpretative Study on Nurses' Perspectives of Working in an Overcrowded Emergency Department in Taiwan Asian Nursing Research |
| title | An Interpretative Study on Nurses' Perspectives of Working in an Overcrowded Emergency Department in Taiwan |
| title_full | An Interpretative Study on Nurses' Perspectives of Working in an Overcrowded Emergency Department in Taiwan |
| title_fullStr | An Interpretative Study on Nurses' Perspectives of Working in an Overcrowded Emergency Department in Taiwan |
| title_full_unstemmed | An Interpretative Study on Nurses' Perspectives of Working in an Overcrowded Emergency Department in Taiwan |
| title_short | An Interpretative Study on Nurses' Perspectives of Working in an Overcrowded Emergency Department in Taiwan |
| title_sort | interpretative study on nurses perspectives of working in an overcrowded emergency department in taiwan |
| url | http://www.sciencedirect.com/science/article/pii/S1976131717305741 |
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