Organisational Problems, Role Stress, and Job Satisfaction Among Emergency Department Workers: A Multicenter Mixed-Effects Study.

jecp relevance statementThis paper addresses JECP aims in clinical services organisation and health system improvement by evaluating how organisational conditions (staffing, coordination, and management processes) and role clarity in emergency departments are associated with job satisfaction, a workforce outcome linked to service reliability. RATIONALE: Emergency departments are high-demand clinical environments in which perceived organisational problems may undermine role clarity and staff well-being, with potential implications for workforce stability and care delivery. AIMS AND

objectivesTo examine the interrelationships between perceived organisational problems, role conflict/ambiguity, job performance, and job satisfaction among emergency department workers.

methodA quantitative cross-sectional survey was conducted with 408 emergency department employees from 23 hospitals in Trabzon, Turkey (data collected November-December 2023). Measures included the Problems Experienced in Emergency Services (PES) scale, role conflict/ambiguity, self-rated job performance, and job satisfaction. Linear mixed-effects models with random intercepts for hospitals were used to account for clustering.

resultsHigher perceived organisational problems were associated with lower job satisfaction. Role conflict/ambiguity showed a strong negative association with job satisfaction, and self-rated job performance was positively associated with job satisfaction; hospital-level clustering was modest (ICC

conclusionFindings suggest that interventions to improve job satisfaction in emergency services should prioritise structural and managerial improvements that reduce organisational problems and strengthen role clarity and coordination, alongside individual-level supports.