ArticleJournal of the American College of Emergency Physicians open2023
The association of the emergency department work environment on patient care and nurse job outcomes.
Article in Journal of the American College of Emergency Physicians open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 29 citations in OpenAlex.
- Impact of Quiet Quitting and Nursing Work Environment on Quality of Care and Patient Safety: A Cross-Sectional Study Among Nurses in Greece.Healthcare (Basel, Switzerland) · 2026Article
- Nursing Practice Environments and Professional and Care-Related Outcomes in Portuguese Emergency Services: A Descriptive Study of 2018 and 2022.Nursing reports (Pavia, Italy) · 2026Article
- Association Between Workplace Gaslighting and Perceived Quality of Care, Patient Safety and Quiet Quitting: A Cross-Sectional Study Among Nurses in Greece.Healthcare (Basel, Switzerland) · 2026Article
- Association of Emergency Department and Medical-Surgical Nurse Staffing on Patient Departures Against Medical Advice.Journal of emergency nursing · 2026Article
- Virtual Nursing for the Care of Hospitalized Patients.JAMA network open · 2025Article
- Poor Patient Care Outcomes and Nurse Job Outcomes Associated With Unfavorable Intensive Care Unit and Emergency Department Nurse Work Environments: Implications for Critical Care Medicine.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2025Article
- Waiting room and hallway care for older adults: a qualitative study with emergency nurses and technicians.BMC geriatrics · 2025Article
- Co-Design of a Framework for Person-Centred Care at Emergency Department Triage and Waiting Room.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Planned Changes to Nurse Leadership, Staffing and Skill-Mix: Impact on the Working Environment, Job Satisfaction and Intention to Leave.Journal of advanced nursing · 2025Observational
- Nurse Work Environment and Hospital Readmission Disparities Between Patients With and Without Limited English Proficiency.Research in nursing & health · 2025Article
- Association of emergency department nurse and physician work environment agreement on clinician job and patient outcomes.BMC health services research · 2025Article
- The impact of the nurse practice environment, workload, and professional support on job outcomes and standards of care at primary health care clinics in South Africa: A structural equation model approach.International journal of nursing studies advances · 2024Article
- Left Without Being Seen: Nurse Work Environment and Timely Outcomes in New York and Illinois Emergency Departments.Journal of emergency nursing · 2024Article
- Impact of Relational Coordination on Job Satisfaction and Willingness to Stay: A Cross-Sectional Survey of Healthcare Professionals in South Tyrol, Italy.Behavioral sciences (Basel, Switzerland) · 2024Article
- Emergency Nurses' Reasons for Not Recommending Their Hospital to Clinicians as a Good Place to Work.JAMA network open · 2024Article
- The association of the emergency department work environment on patient care and nurse job outcomes.Journal of the American College of Emergency Physicians open · 2023Article
- Article
- Reducing disparities in emergency department outcomes for individuals with limited English proficiency: The nurse work environment.Nursing outlookArticle
- COVID-19 Mortality Disparities Among Socially Vulnerable Medicare Beneficiaries Associated With the Quality of Nurse Work Environments in U.S. Hospitals.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
Objective: To determine the association between emergency nurses' work environments and patient care quality and safety, and nurse burnout, intent to leave, and job dissatisfaction. Methods: Cross-sectional study of 221 hospitals in New York and Illinois informed by surveys from 746 emergency nurses and 6932 inpatient nurses with linked data on hospital characteristics from American Hospital Association Annual Hospital Survey. The RN4CAST-NY/IL study surveyed all registered nurses in New York and Illinois between April and June 2021 about patient safety, care quality, burnout, intent to leave, and job dissatisfaction and aggregated their responses to specific hospitals where they practiced. Work environment quality was measured using the abbreviated Practice Environment Scale of the Nursing Work Index. Generalized estimating equations were used to determine the relationship between emergency nurses' work environments on patient care and nurse job outcomes. Results: A total of 58% of emergency nurses reported high burnout, 39% reported job dissatisfaction, and 27% indicated intent to leave their job in the next year. Nurses in hospitals with good (vs mixed) or mixed (vs poor) emergency work environments were less likely to report unfavorable patient care quality and hospital safety grades, and were less likely to experience high burnout, job dissatisfaction, and intentions to leave the job, by factors ranging from odds ratio (OR) 0.21 (95% confidence interval [CI], 0.16-0.29) to OR 0.46 (95% CI, 0.34-0.61). Conclusions: Given the complex and high stakes nature of emergency nursing care, leaders should place a high priority on organizational solutions targeting improved nurse staffing and work environments to advance better patient and clinician outcomes.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.