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Descriptive statistics were used to explore stressors, coping styles and aspects of the working environment for the combined cohort and the cohort split by age, sex, professional role, years of employment in the ED and country. Regression analyses examined the impact of coping style and demographic characteristics on staff perceptions of the working environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and six ED staff completed the survey (response rate: 64%). Factors most stressful for ED staff included death or sexual abuse of a child, heavy workload and poor skill mix. Staff perceptions of the working environment differed based on age, sex, country, tenure and job role. Regression analysis of perceptions of the work environment on demographics and coping strategies revealed that negative coping strategies were associated with low self\u2010realisation, high workload, high conflict and high nervousness. Active coping and positive thinking were associated with increased self\u2010realisation. Positive thinking was associated with lower levels of conflict.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Employees engaging in positive coping strategies had more positive perceptions of the work environment, while those engaging in maladaptive coping strategies reported negative perceptions of the work environment. These data suggest that strategies that promote the use of active coping and positive thinking should be encouraged and warrant further research in the ED.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.13325","type":"journal-article","created":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T09:39:35Z","timestamp":1562146775000},"page":"1082-1091","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Staff perceptions of the emergency department working environment: An international cross\u2010sectional survey"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1455-8983","authenticated-orcid":false,"given":"Julia","family":"Crilly","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Gold Coast Hospital and Health Service  Gold Coast Queensland Australia"},{"name":"Menzies Health Institute Queensland Griffith University  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6970-5573","authenticated-orcid":false,"given":"Jaimi H","family":"Greenslade","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Centre Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"},{"name":"Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9979-997X","authenticated-orcid":false,"given":"Amy","family":"Johnston","sequence":"additional","affiliation":[{"name":"The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Carlstr\u00f6m","sequence":"additional","affiliation":[{"name":"Health and Crisis Management and Policy Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ogilvie","family":"Thom","sequence":"additional","affiliation":[{"name":"Sunshine Coast Hospital and Health Service  Sunshine Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louisa","family":"Abraham","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Centre Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna","family":"Mills","sequence":"additional","affiliation":[{"name":"Sunshine Coast Hospital and Health Service  Sunshine Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Wallis","sequence":"additional","affiliation":[{"name":"Menzies Health Institute Queensland Griffith University  Gold Coast Queensland Australia"},{"name":"School of Nursing and Midwifery University of the Sunshine Coast  Sunshine Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.12522"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2012.10.002"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1067\/men.2003.7"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05599.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aenj.2007.05.005"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.90.4.792"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.55.090902.141456"},{"key":"e_1_2_8_9_1","unstructured":"Institute for Health Metrics and Evaluation. 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