{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:08:55Z","timestamp":1780466935788,"version":"3.54.1"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Sustainability in emergency medicine is often framed in environmental terms, yet workforce wellbeing is equally central to the specialty's long\u2010term viability. Across Australasia, EDs are experiencing sustained access block, rising demand and staffing pressures, contributing to high rates of burnout, moral injury and workforce attrition. These phenomena are not individual failings but signals of systemic strain. This article reframes ED workforce wellbeing and retention as core sustainability issues. It argues that clinician involvement in organisational redesign, high\u2010value care initiatives and environmental sustainability programs can mitigate distress by restoring agency and professional purpose. Recent Australian initiatives, including the Sustainable and Quality Use of Diagnostics in Emergency Departments (SQuDs\u2010ED) project and the University of Melbourne Hospital Sustainability Toolkit suggest that reducing low\u2010value care can also improve patient outcomes and decrease environmental impact. Action, when supported by safe staffing and structural reform, may protect against burnout. Integrating workforce, quality and environmental sustainability is therefore essential to ensuring a resilient future for emergency medicine.<\/jats:p>","DOI":"10.1111\/1742-6723.70250","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T08:17:32Z","timestamp":1775463452000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sustaining Emergency Medicine: Workforce Wellbeing, Moral Integrity and the Power of Action"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3185-4695","authenticated-orcid":false,"given":"Sonia","family":"Chanchlani","sequence":"first","affiliation":[{"name":"Melbourne Medical School, University of Melbourne  Melbourne Australia"},{"name":"Doctors for the Environment Australia  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51742"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocpiqo.2019.07.006"},{"key":"e_1_2_10_4_1","volume-title":"Emergency Medicine Workforce Report","author":"Australasian College for Emergency Medicine","year":"2023"},{"key":"e_1_2_10_5_1","unstructured":"Beyond Blue \u201cNational Mental Health Survey of Doctors and Medical Students \u201d(Melbourne: 2019) https:\/\/www.beyondblue.org.au."},{"key":"e_1_2_10_6_1","unstructured":"National Academy of Medicine \u201cTaking Action Against Clinician Burnout: A Systems Approach to Professional Well\u2010Being \u201d(Washington DC: 2019) https:\/\/pubmed.ncbi.nlm.nih.gov\/31940160\/."},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2018.05.014"},{"issue":"9","key":"e_1_2_10_8_1","first-page":"400","article-title":"Reframing Clinician Distress: Moral Injury Not Burnout","volume":"36","author":"Dean W.","year":"2019","journal-title":"Federal Practitioner: For the Health Care Professionals of the VA, DoD, and PHS"},{"key":"e_1_2_10_9_1","volume-title":"National Health and Climate Strategy","author":"Australian Government Department of Health and Aged Care","year":"2023"},{"key":"e_1_2_10_10_1","unstructured":"Safer Care Victoria \u201cSustainable and Quality Use of Diagnostics in Emergency Departments (SQuDs\u2010ED) \u201d(Melbourne: 2024) https:\/\/www.safercare.vic.gov.au\/improvement\/projects\/quality\u2010use\u2010of\u2010diagnostics."},{"key":"e_1_2_10_11_1","unstructured":"University of Melbourne Critical Care Research Group \u201cUniversity of Melbourne Hospital Sustainability Toolkit \u201d(2024) https:\/\/medicine.unimelb.edu.au\/research\u2010groups\/critical\u2010care\u2010research\/critcare\/appmu\/healthcare\u2010environmental\u2010sustainability\/university\u2010of\u2010melbourne\u2010hospital\u2010sustainability\u2010toolkit."}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70250","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.70250","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T05:48:22Z","timestamp":1780465702000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.70250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/1742-6723.70250"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.70250","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2026-03-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70250"}}