Effects of work conditions on provider mental well-being and quality of care: a mixed-methods intervention study in the emergency department

Table 3 Changes in day-level work factors, provider well-being, and patient reports of ED care (segmented regression analyses)

Study outcomes	ARIMA parameters
Study outcomes	Intercept		Trend pre-intervention		Level change		Trend post- intervention		Workload		Goodness of fit (Rsq)
	β	p	β	p	β	p	β	p	β	p
Work system factors
Time spent in breaks (in %)	2.64	.060	−.01	.834	−.67	.635	.04	.522	−.14	.181	.12
Interruption rates by patients	.46	.607	−.01	.588	−.31	.686	.04	.210	.02	.732	.29
Interruption rates by relatives	.26	.434	−.02	.067	−.67	*.029*	.02	.062	.03	.285	.37
Interruption rates by colleagues of the same profession	3.84	*.007*	−.07	*.041*	1.04	.334	.06	.181	−.11	.291	.41
Interruption rates by colleagues of other ED professions	2.36	*.047*	−.05	.103	−.98	.318	.095	*.026*	.02	.821	.31
Provider well-being
Work stress	1.36	*.002*	.01	.288	.57	.127	−.02	.155	.03	.369	.15
Quality of ED care (Patient reports)
Overall satisfaction with ED care	1.66	*<.001*	.01	.205	.08	.781	−.02	.197	.056	*.016*	.33
Patient-oriented organization	3.24	*<.001*	−.01	.132	.08	.658	.02	*.022*	.000	.980	.67
Patient-oriented interaction	4.63	*<.001*	−.01	*.045*	.16	.443	.01	.304	−.03	.093	.30
Patient-oriented information	4.03	*<.001*	.00	.727	.03	.866	.01	.545	−.01	.553	.40
Satisfaction with waiting time	4.09	*<.001*	−.02	*.011*	−.06	.778	.03	*.011*	−.04	.072	.48

Legend. ARIMA: Autoregressive integrated moving average, Rsq: R-square, β: standardized regression coefficient, bolded if p < .05

ISSN: 1471-227X