Logistics and administration related stressors among young physicians working in the Emergency Medicine (EM) department and their perceived job satisfaction in EM department across hospitals of India - a nation-wide multicentric digital survey.

ABSTRACT:
Objective: Emergency Medicine (EM) is a growing specialty in India with the board approving training program commencing only since 2009. This study aimed to identify the challenges faced by EM department personnel in the country and to obtain valuable insight into the concerns and problems experienced by them.
Methods: This study was a cross-sectional digital survey conducted among EM department personnel in teaching institutions across India. The study involved 170 respondents, who completed an online questionnaire that covered various aspects of their work and identified the challenges they face. It also captured potential solutions as perceived by the respondents.
Results: A total of 187 respondents gave the consent but only N = 170 completed the survey of which N = 164 fulfilled the eligibility criteria. The study revealed significant challenges faced by EM personnel in India. Administrative and clerical work consumed a considerable amount of respondents' time. Understaffing (n=144/164; 87.8%), followed by complains about delay in hospital processes (n=141/164; 85.9%) and delay in interhospital transfers (n=139/164; 84.8%) were the primary concerns spelt out by the respondents. Additionally, respondents experienced interpersonal conflicts, and verbal/ physical abuse and inappropriate behaviour from patients and their family members. Potential key solutions suggested were to improve resources including man power and take steps to prevent violence against EM staff.
Conclusion: The study's results call for policymakers and hospital administrators to address the issues faced by EM department staff. Improving EM department operations can improve patient care and staff well-being. Future research should examine challenges in non-teaching institutions and potential solutions.

摘要：
研究目的：急诊医学（Emergency Medicine，以下简称EM）是印度发展迅速的专科领域，其官方认可的规范化培训项目直至2009年才正式启动。本研究旨在明确印度EM科室从业人员面临的各类挑战，并深入了解其工作中遭遇的痛点与问题。
研究方法：本研究针对印度各教学医疗机构的EM科室从业人员开展横断面电子问卷调查。研究共纳入170名完成在线问卷的受访者，问卷涵盖其工作的多维度内容，梳理了他们面临的工作挑战，并收集了受访者提出的潜在解决方案。
研究结果：共有187名受访者同意参与研究，最终170人完成问卷，其中164人符合研究纳入标准。结果显示，印度EM从业人员面临诸多严峻挑战：行政与文书工作占用了受访者大量工作时间；人员短缺（n=144/164；87.8%）为最主要的关切问题，其次为医院流程拖沓投诉（n=141/164；85.9%）以及院间转运延迟问题（n=139/164；84.8%）。此外，受访者还遭遇了人际冲突、患者及其家属的言语/肢体暴力与不当行为。受访者提出的核心潜在解决方案包括扩充人力等资源配置，以及采取措施防范针对EM医护人员的暴力行为。
研究结论：本研究结果呼吁政策制定者与医院管理者重视EM科室从业人员面临的各类问题。优化EM科室运营管理可有效提升患者诊疗质量与医护人员职业福祉。未来研究可聚焦非教学医疗机构的EM科室挑战与潜在解决方案。