• Mark J Rugless and David McD Taylor.
• Emergency Department, Austin Hospital, Victoria Department of Medicine, University of Melbourne, Melbourne, Australia.
• Emerg Med Australas. 2011 Feb 1;23(1):39-45.

AimTo examine patterns of, and attitudes to, sick leave taken by ED and other hospital staff and to compare ED doctor and nurse psychosocial work conditions.MethodsThis was an observational study in a tertiary referral ED. An audit of sick leave taken over a 2-year period (2007-2008) by all ED, general medicine (GM) and pharmacy pay groups was undertaken. This was followed by a cross-sectional survey of ED staff. It evaluated attitudes towards sick leave and used the Karasek's Job Content Questionnaire to assess psychosocial work conditions.ResultsOverall, sick leave taken by the various staff groups differed significantly (P < 0.01). The ED and GM nurse rates (6.0% and 5.9%, respectively) were approximately twice that of pharmacists (3.3%) and ED allied health staff (3.1%) and more than three times that of all doctor groups (range 1.3-1.9%). ED registrars and nurses tended to take more leave on Monday/Tuesday and Thursday/Friday, respectively. These groups also tended to take more leave in winter/early summer and autumn/spring, respectively. In total, 147 (93.0%, 95% CI 87.6-96.0) ED staff rarely/never took sick leave without being sick. However, 15 (9.5%, 95% CI 5.6-15.5) often/very often took sick leave because of work stress. Compared with ED nurses, ED doctors had significantly more job insecurity and supervisor support but less psychological job demand (P < 0.05).ConclusionsEmergency department staff generally report healthy psychosocial work conditions. However, the high rate of ED nurse sick leave might be related to their considerable psychological job demand and perceived lack of supervisor support.© 2011 The Authors. EMA © 2011 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

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