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Assessment of Nurses Working Conditions at Emergency Departments

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While 2020 has brought a change and impact on every life in the USA, it has changed most drastically on the lives and conditions of doctors and nurses in hospitals. Moreover, the conditions and protocols of every emergency department had to be revised according to COVID-19. Emergency nurses and doctors need to act at the moment as quickly as possible and identify the best way to stabilize patients and minimize their pain. The patients coming in experience different problems and are of all sorts like trauma, injury, or severe medical conditions, accidents and need urgent medical attention. They are specialized to work in these conditions as this department can get very stressful especially at government hospitals in the USA.

The best way to ensure the ER is run smoothly is by assessing the working conditions of nurses in the department at government hospitals. There are many ways to assess these conditions and different studies have already been done. They are not only popular in general hospitals but also in animal hospitals. For instance, Pershing animal hospital has an assessment of their on-call nurses and doctors according to every detail, even their fears of a certain animal so they can cater to the coming in trauma better. These assessments are more necessary in government hospitals as they are cheaper and accessible to people hence they tend to be busier than private ones.

A descriptive-analytical cross-sectional study was done and the same sample was used for 154 nurses in 7 different government hospitals. A questionnaire was distributed and it had questions related to workforce staff, workflow design, work tasks, shifts, supplies availability, physical environment, personal factors, and accommodation, etc. The findings were quite surprising as it showed most of the nurses in the ER are male and half of them are married. Most of them already have experience of more than 2 years and a nurse’s bachelor’s degree. Moreover, we made a discovery that showed the nobleness of nurses in the ER, how they don’t have big demands and perceptions about their wages and working conditions especially in staffing and organization factors above all others. The study ensured that an accurate number of nurses worked in the emergency department with a staff mixed with different skill as they can’t do their job alone. One of the main thing that was detected in the working conditions in government hospitals was that 74.0% of nursing staff work 35 hours per week and 26% of the work over 35 which meant many negative consequences are associated with working overtime and long hours, including an adverse nurse and patient outcomes.

The emergency department (ED) is considered by high workload and challenging situations. There was another assessment done to use to measure stress and staff morale in government hospitals in the USA to ensure the best on call reaction to emergency department situations. This was measured before and after each nurse’s shift. There was a difference in the nervousness of the nurses who worked day shifts and nurses who worked during the nights as more unpredictable and complex traumas walk in after midnight. Some nurse’s perception of workload was higher as they offered the opportunity to use their ED skills in different settings. Nurses do believe that the working conditions can be improved by the management in terms of quality and precision. Government hospitals have the highest score in terms of control of nursing practice’, ‘middle management accountability’ and ‘quality initiatives’, and while ‘competitive wages’ have the lowest mean score hence working conditions are adequate in USA government hospitals but can be made more accommodating.

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