A Qualitative Examination of Job Satisfaction in Emergency Medicine From the Perspective of Physicians Also Working in Prehospital and Retrieval Medicine

IF 1.4 4区医学 Q2 EMERGENCY MEDICINE

Emergency Medicine Australasia Pub Date : 2025-08-12 DOI:10.1111/1742-6723.70121

J. A. Myers, S. Aldington, D. M. C. Powell

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Abstract

Objective

Low job satisfaction amongst emergency physicians is a significant risk to career sustainability. Anecdotal evidence suggests that prehospital and retrieval medicine (PHARM) physicians experience relatively high job satisfaction. The objective of this qualitative study was to explore the research question: ‘What influences job satisfaction and sustainability for emergency physicians who maintain dual roles in PHARM and the emergency department?’

Methods

Eligible emergency physicians from Australia and New Zealand were interviewed in-depth about their experiences and perceptions of job satisfaction and sustainability. The research team applied experiential knowledge and an inductive analytic approach to construct a conceptual understanding of the physicians' job satisfaction from the data, including factors contributing to career sustainability.

Results

Our sample included 11 participants, six from Australia and five from New Zealand. We identified six key themes influencing job satisfaction: workload, job factors, personal factors, focus on well-being, culture and management and bureaucracy. These are explored in detail, along with ideas on career sustainability.

Conclusions

The nature of emergency medicine work remains inherently satisfying for participants in this study but is influenced by the culture and current working conditions found in many emergency departments, particularly when these factors impact the standard of clinical care physicians feel they can provide. Our findings offer practical guidance on protective factors for job satisfaction and sustainability, including fractional appointments, diversity and flexibility of practice, continuous professional development and access to professional supervision or peer support. Preserving career longevity in emergency medicine requires the implementation of evidence-based, sustainable initiatives.

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急诊医学工作满意度的定性研究——以院前与检索医学医师为视角

目的急诊医师工作满意度低是影响其职业发展的重要因素。轶事证据表明院前和检索医学（PHARM）医生的工作满意度相对较高。本定性研究的目的是探讨研究问题：“是什么影响了在PHARM和急诊科保持双重角色的急诊医生的工作满意度和可持续性？”方法对来自澳大利亚和新西兰的合格急诊医生进行深入访谈，了解他们的经历和对工作满意度和可持续性的看法。研究团队运用经验知识和归纳分析方法，从数据中构建医师职业满意度的概念理解，包括职业可持续性的影响因素。我们的样本包括11名参与者，6名来自澳大利亚，5名来自新西兰。我们确定了影响工作满意度的六个关键主题：工作量、工作因素、个人因素、对福祉的关注、文化和管理以及官僚主义。书中详细探讨了这些问题，以及职业可持续性的想法。本研究的参与者对急诊医学工作的本质仍然感到满意，但受到许多急诊科的文化和当前工作条件的影响，特别是当这些因素影响到医生认为他们可以提供的临床护理标准时。我们的研究结果为工作满意度和可持续性的保护因素提供了实用的指导，包括分式任命、实践的多样性和灵活性、持续的专业发展以及获得专业监督或同伴支持的机会。保持急诊医学的职业寿命需要实施循证、可持续的举措。

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来源期刊

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.