Understanding interdepartmental and organizational work in the emergency department: An ethnographic approach

International Emergency Nursing

Volumn 19, Issue 2, 2011, Pages 69-74

  Nugus, Peter ^a   Forero, Roberto ^a  

^a UNIVERSITY OF NEW SOUTH WALES   (Australia)

Author keywords

Emergency department; Ethnography; Interdepartmental; Nursing; Organizational

Indexed keywords

ARTICLE; AUSTRALIA; EMERGENCY HEALTH SERVICE; EMERGENCY NURSING; HUMAN; INTERPERSONAL COMMUNICATION; INTERVIEW; MODEL; NURSE ATTITUDE; OBSERVATION; ORGANIZATION AND MANAGEMENT; TASK PERFORMANCE; WORKLOAD;

AUSTRALIA; COMMUNICATION; EFFICIENCY, ORGANIZATIONAL; EMERGENCY NURSING; EMERGENCY SERVICE, HOSPITAL; HUMANS; INTERVIEWS AS TOPIC; MODELS, NURSING; NURSE'S ROLE; OBSERVATION; TIME AND MOTION STUDIES; WORKLOAD;

EID: 79953165366     PISSN: 1755599X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ienj.2010.03.001     Document Type: Article

References (47)

1. Adler P., Adler P. The ethnographers' ball - revisited. J. Contemp. Ethnogr. 1999, 28:442-450.
2. Allen D. Re-reading nursing and re-writing practice: towards an empirically-based reformulation of the nursing mandate. Nurs. Inq. 2004, 4(11):271-283. (Spec. Cent. Issue).
3. Archer P., Collins L.-A., Foley J. Fit and active elderly in the emergency department: abstracts of the annual scientific meeting of the Australasian college for emergency medicine. Emerg. Med. Australas. 2005, (Suppl. 1):A2.
4. Asplin B.R. Hospital-based emergency care: a future without boarding?. Ann. Emerg. Med. 2006, 48:121-125.
5. Australasian College for Emergency Medicine (ACEM), 2006. Submission for Accreditation: Australian Medical Council. Australasian College of Emergency Medicine Web site. (accessed 17.02.07). http://www.acem.org.au/media/publications/ACEM_Submission_to_AMC.pdf.
6. Berger E. Geriatrics and the IOM: did the report forget the elderly?. Ann. Emerg. Med. 2006, 48:723-725.
7. Bernstein S.L. Frequent emergency department visitors: the end of inappropriateness. Ann. Emerg. Med. 2006, 48:18-20.
8. Bond K., Ospina M.B., Blitz S., Afilalo M., et al. Frequency, determinants and impact of overcrowding in emergency departments in Canada: a national survey. Healthcare Quart. 2007, 10:32-40.
9. Burt C.W., McCaig L.F. Trends in hospital department utilization: United States 1992-1999. Vital Health Stats. 2001, 13:1-34.
10. Cameron P.A., Campbell D.A. Responses to access block in Australia: Royal Melbourne Hospital. Med. J. Australas 2003, 178:109-110.
11. Carlson B., Riegel B., Moser D. Self-care abilities of patients with heart failure. Heart Lung 2001, 30:351-359.
12. Chen, M.-F., Wang, R.-H., Yang, Y.-O., Lin, L.-J., Stocker, J., Chen, S.-W., Chin, C.-C., forthcoming. Voices from the frontline: perceptions and needs of nurses involved in a nosocomial cluster of tuberculosis infection. Appl. Nurs. Res. doi: doi:10.1016/j.apnr.2008.12.001.
13. Dent A.W., Phillips G.A., Chenhall A.J., McGregor L.R. The heaviest repeat users of an inner city emergency department are not general practice patients. Emerg. Med. Australas. 2003, 15:322-339.
14. Derlet R., Richards J., Kravitz R. Frequent overcrowding in US emergency departments. Acad. Emerg. Med. 2001, 8:151-155.
15. Diercks D.B., Roe M., Peacock W.F., Kirk J.D., Pollack C.V., Chen A.Y., et al. Prolonged emergency department length of stay is associated with worse guideline compliance and increased adverse events. Ann. Emerg. Med. 2006, 48:29.
16. Dunn R. Reduced access block causes shorter emergency department waiting times: an historical control observational study. Emerg. Med. Australas. 2003, 15:232-238.
17. Espinosa G., Miró O., Sánchez M., Coll-Vinent B., Millá J. Effects of external and internal factors on emergency department overcrowding. Ann. Emerg. Med. 2002, 39:693-695.
18. Fatovich D.M. Responses to access block in Australia: Royal Perth Hospital. Med. J. Aust. 2003, 178:108-109.
19. Fatovich D., Nagree Y., Sprivulis P. Access block and loss of ED cubicle space to admitted patients causes ED overcrowding, reduced compliance with waiting times and ambulance diversion. Emerg. Med. Australas. 2004, (Supplementary Papers):A4.
20. Forero, R., Hillman, K., 2008. Access Block and Overcrowding: A Literature Review. Commissioned by the Australasian College of Emergency Medicine Access Block Solutions Summit. Melbourne, Australia. Available at: <>. http://www.acem.org.au/media/media_releases?Access_Block_Literature_Review_08_Sept_3.pdf.
21. Forero R., Mohsin M., Bauman A.E., Ieraci S., Young L., Phung H.M., et al. Access block in New South Wales hospitals, 1999-2001: does the definition matter?. Med. J. Aust. 2004, 180:2, 67-70.
22. Forero, R., Hillman, K., Mccarthy, S., Fatovich, D., Joseph, A., Richardson, D.W., 2010. Access block and emergency department overcrowding. Emerg. Med. Australas, forthcoming.
23. Forster A.J. An agenda for reducing emergency department overcrowding. Ann. Emerg. Med. 2005, 45:479-481.
24. Forster A.J., Stiell I., Wells G., Alexander J.L., van Walraven C. The effect of hospital occupancy on emergency department length of stay and patient disposition. Acad. Emerg. Med. 2003, 10:127-133.
25. Grove N., Grove S.K. The Conduct of Nursing Research: Conduct, Critique & Utilization 2005, Elsevier Saunders, St. Louis. fifth ed.
26. Gubrium J.F., Holstein J.A. The New Language of Qualitative Method 1997, Oxford University Press, New York, NY, (esp. 101).
27. Hanson D., Sadleir B., Muller R. The establishment of two new bulk-billing clinics in Mackay (regional Queensland) did not significantly affect emergency department caseload. Emerg. Med. Australas. 2004, (Supplementary Papers):A54-A55.
28. Hendrie J., Sammartino L., Silvapulle M.J., Braitberg G. Experience in adverse event detection in an emergency department: nature of events. Emerg Med. Australas. 2007, 19:9-15.
29. Holroyd B.R., Rowe B.H., Sinclair D. Current political issues facing emergency medicine in Canada. Emerg. Med. Australas. 2004, 16:190-194.
30. Horwitz L.I., Meredith T., Schuur J.D., Shah N.R., Kulkarni R.G., Jenq G.Y. Dropping the baton: a qualitative analysis of the failures during the transition from emergency departments to inpatient care. Ann. Emerg. Med. 2009, 53(6):711-712.
31. Latimer J. The Conduct of Care: Understanding Nursing Practice 2000, Blackwells, Oxford.
32. Mohsin M., Young L., Ieraci S., Bauman A.E. Factors associated with walkout of patients from New South Wales hospital emergency departments, Australia. Emerg. Med. Australas. 2005, 17:434-442.
33. New South Wales Department of Health (NSWDOH), 2006. Easy Guide to Clinical Practice Improvement: A Guide for Healthcare Professionals. Sydney, Australia: New South Wales Department of Health Web site. (accessed 19.04.07). http://www.health.nsw.gov.au/quality/pdf/cpi_easyguide.pdf.
34. Nugus P. The interactionist self and grounded research: reflexivity in a study of emergency department clinicians. Qual. Soc. Rev. 2008, 4(1):189-204.
35. Nugus P., Braithwaite J. Reconciling quality and efficiency in the Emergency Department: Squaring the circle?. Soc. Sci. Med. 2010, 70(4):511-517.
36. Nugus, P., Travaglia, J., Braithwaite, J., 2008. Report on a Sociological Study of the Work of Emergency Department Clinicians in New South Wales. Sydney: Centre for Clinical Governance Research, UNSW. Report for the Clinical Excellence Commission of New South Wales. ISBN: 978-0-7334-2717-6.
37. Nugus P., Bridges J., Braithwaite J. Selling patients. BMJ 2009, 339:b5201. 1444-1446.
38. Rathlev N.K., Chessare J., Olshaker J., Obendorfer D. The probability of emergency department diversion status as a function of inpatient occupancy. Ann. Emerg. Med. 2004, 44:S29.
39. Richardson D.B. Association of access block with decreased performance. Acad. Emerg. Med. 2001, 8:575-576.
40. Richardson D.B. Increase in 10 day mortality associated with ED overcrowding: abstracts of the annual scientific meeting of the Australasian college for emergency medicine. Emerg. Med. Australas. 2005, 8(Suppl. 1):A10.
41. Salisbury C. Do NHS walk-in centres in England provide a model of integrated care? [Electronic version]. Int. J. Integr. Care 2003, 3:e18. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1525337 (accessed 14.07.08).
42. Silverman D. Monistic and dualistic canons for the natural and human sciences. The Quantitative-Qualitative Distinction in the Social Sciences 1989, 57-78. Kluwer Academic Publishers, Boston, MA, (esp. 61-63). B. Glassner, J.D. Moreno (Eds.).
43. Spradley J.P. Participant Observation 1980, Holt, Rinehart and Winston, New York, NY.
44. Sprivulis P., Da Silva J.-A., Jacobs I., Frazer A. Hospital overcrowding is associated with increased seven-day emergency admission mortality: a new imperative for patient safety: abstracts of the annual scientific meeting of the Australasian college for emergency medicine 2005. Emerg. Med. Australas. 2005, (Suppl. 1):A9.
45. Strauss A. The articulation of project work: an organizational process. Sociol. Quart. 1988, 29:163-178.
46. Usher R. Experience in adult education: a post-modern critique. J. Philos. Educ. 1992, 26:201-214.
47. Vassy C. Categorisation and micro-rationing: access to care in a French emergency department. Sociol. Health Ill. 2001, 23:615-632.