Main Article Content
Abstract
The emergency department (ED) plays a critical role as the frontline of healthcare systems, serving as the primary entry point for patients who need immediate treatment related to life safety. The quality of care in the EDs not only influences patient satisfaction but also impacts employee engagement. Employee engagement is a multifaceted psychological construct that describes the emotional, cognitive, and behavioral commitment of employees to their job and organization. This study explores the factors influencing employee engagement among ED staff at RSUD K in Jakarta through a qualitative case study approach. Using in-depth semi-structured interviews, direct observations, and field notes, the research identifies key themes including teamwork, administrative workload, access to meals and rest areas, communication with the management, and the extent to which staff aspirations are considered. Findings reveal that strong team work enhances engagement, while lack of managerial support and inadequate facilities negatively impact morale and performance. The study underscores the importance of responsive leadership and supportive work environments in promoting staff engagement in ED.
Keywords
Article Details
References
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References
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Angelica, R., & Demiyati, C. (2023). Analisis kualitas pelayanan kesehatan terhadap kepuasan pasien unit rawat inap Rumah Sakit Ibu dan Anak Setya Bakti tahun 2022. Jurnal Ilmu Kesehatan dan Gizi (JIG), 1(3), 42–57.
Babatabar-Darzi, H., Jafari-Iraqi, I., Mahmoudi, H., & Ebadi, A. (2020). Overcrowding management and patient safety: An application of the stabilization model. Iranian Journal of Nursing and Midwifery Research, 25(5), 382–386.
Bakker, A. B., & Demerouti, E. (2017). Job demands–resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22(3), 273–285. https://doi.org/10.1037/ocp0000056
Banerjee, S. (2015). Multimorbidity–older adults need health care that can count past one. Lancet, 385(9968), 587–589.
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Bernburg, M., Tell, A., Groneberg, D. A., & Mache, S. (2024). Digital stressors and resources perceived by emergency physicians and associations to their digital stress perception, mental health, job satisfaction and work engagement. BMC emergency medicine, 24(1), 31. https://doi.org/10.1186/s12873-024-00950-x
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Harter, J. (2024, January 10). Employee engagement sinks to an 11-year low. Gallup. https://www.gallup.com/workplace/654911/employee-engagement-sinks-year-low.aspx
Harvard Business Review. (1993). The articulate executive: Orchestrating effective communication. Harvard Business School Press.
Herzberg, F., Mausner, B., & Snyderman, B. B. (1959). The motivation to work. John Wiley & Sons.
Hidayah, I. N., & Sari, D. K. (2022). The influence of transformational leadership style, organizational culture, perception of organizational support on hospital employee engagement. Indonesian Journal of Law and Economics Review, 16. https://doi.org/10.21070/ijler.v16i0.813
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Kahn, W. A. (1990). Psychological conditions of personal engagement and disengagement at work. The Academy of Management Journal, 33(4), 694–724.
Kahn, W. A. (1992). To be full there: psychological presence at work. Human Relations, 45(4), 321–349.
Kusumah, R. A., Nurlaeli, A., & Amin, M. (2025). The role of internal communication and employee engagement in the performance of medical workers at Klinik Ismail Medika. https://www.researchgate.net/publication/388915361
Kusumawati, H. I., Galischawati, S., Warsini, S., Achmad, B. F., Fatma, N. A., Tiyani, N. S., Nirmalasari, D., & Santoso, E. B. (2024). Determinants of work stress among emergency department nurses in Sleman, Yogyakarta, Indonesia. Australasian Emergency Care, 27(4), 254–258. https://doi.org/10.1016/j.auec.2024.06.002
Lake, E. T., Sanders, J., Duan, R., Riman, K. A., Schoenauer, K. M., Chen, Y., & Aiken, L. H. (2023). The association of the emergency department work environment on patient care quality, patient safety, and clinician burnout. Journal of Nursing Administration, 53(4), 211–217. https://doi.org/10.1097/NNA.0000000000001251
Landis, T. T., Wilson, M., Bigand, T., & Cason, M. (2021). Registered nurses’ experiences taking breaks on night shift: A qualitative analysis. Global Qualitative Nursing Research, 8, 1–9. https://doi.org/10.1177/2165079920983018
Lee, Y. H., Kim, M. S., & Park, J. H. (2024). Emergency department nurses' intrinsic motivation: A bridge between empowering leadership and thriving at work. International Journal of Nursing Studies, 137, 104391. https://doi.org/10.1016/j.ijnurstu.2023.104391
Lee, Y. H., Kim, M. S., & Park, J. H. (2024). Emergency department nurses' intrinsic motivation: A bridge between empowering leadership and thriving at work. International Journal of Nursing Studies, 137, 104391. https://doi.org/10.1016/j.ijnurstu.2023.104391
Lydia, L., Dewi, S., & Pamungkas, R. A. (2023). Work engagement, perceived organizational support, and organizational behaviors influenced intention to stay among officers at MKK Hospital, Jakarta. International Journal of Nursing and Health Services, 6(3). https://ijnhs.net/index.php/ijnhs/article/view/724
Maslach, C., & Leiter, M. P. (1997). The truth about burnout: How organizations cause personal stress and what to do about it. Jossey-Bass.
Meyer, C., Chiapponi, C., von Kaufmann, F., Kanz, K.-G., & Hinzmann, D. (2024). Occupational stress profiles of prehospital and clinical staff in emergency medicine—a cross-sectional baseline study. Frontiers in Public Health, 12, 1480643. https://doi.org/10.3389/fpubh.2024.1480643
Mitchell, R., O’Reilly, G., Banks, C., Nou, G., McKup, J. J., Kingston, C., Kendino, M., Piamnok, D., & Cameron, P. (2021). Triage systems in low-resource emergency care settings. Bulletin of the World Health Organization, 99(1), 69–75. https://doi.org/10.2471/BLT.20.274737
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O'Daniel, M., & Rosenstein, A. H. (2008). Professional communication and team collaboration. In R. G. Hughes (Ed.), Patient safety and quality: An evidence-based handbook for nurses. Agency for Healthcare Research and Quality (US). https://www.ncbi.nlm.nih.gov/books/NBK2637/
Patton, M. Q. (1999). Enhancing the quality and credibility of qualitative analysis. Health Services Research, 34(5 Pt 2), 1189–1208.
Pont, A. V., & Thalib, A. R. (2024). Analysis of Emergency Services on Patient Satisfaction with Social Security Administration Agency as an Intervening Variable. Preprints. https://doi.org/10.20944/preprints202409.1551.v1
Press Ganey. (2024). Employee experience in healthcare 2024. https://info.pressganey.com/press-ganey-blog-healthcare-experience-insights/employee-engagement-in-2024-trends
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