{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T03:17:13Z","timestamp":1785208633351,"version":"3.55.0"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,15]]},"DOI":"10.7759\/cureus.86089","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T03:32:46Z","timestamp":1750044766000},"source":"Crossref","is-referenced-by-count":3,"title":["Barriers, Challenges, and Facilitators Experienced by Healthcare Professionals in Providing Immediate and Efficient Care in the Emergency Department: A Mixed-Methods Study"],"prefix":"10.7759","author":[{"given":"Anchal","family":"Gupta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Arya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooja","family":"Yadav","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjali","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankit","family":"Raj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarangini","family":"Maurya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawanpreet","family":"Kaur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","article-title":"The challenge of providing emergency medical care","volume":"21","author":"Sagan A","year":"2015","unstructured":"Sagan A, Richardson E. The challenge of providing emergency medical care. Eurohealth. 2015, 21:3-5.","journal-title":"Eurohealth"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10091625","article-title":"Overcrowding in emergency department: causes, consequences, and solutions-a narrative review","volume":"10","author":"Sartini M","year":"2022","unstructured":"Sartini M, Carbone A, Demartini A, et al.. Overcrowding in emergency department: causes, consequences, and solutions-a narrative review. Healthcare (Basel). 2022, 10:1625. 10.3390\/healthcare10091625","journal-title":"Healthcare (Basel)"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.4103\/1735-1995.200277","article-title":"Overcrowding in emergency departments: a review of strategies to decrease future challenges","volume":"22","author":"Yarmohammadian MH","year":"2017","unstructured":"Yarmohammadian MH, Rezaei F, Haghshenas A, Tavakoli N. Overcrowding in emergency departments: a review of strategies to decrease future challenges. J Res Med Sci. 2017, 22:23. 10.4103\/1735-1995.200277","journal-title":"J Res Med Sci"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0203316","article-title":"Emergency department crowding: a systematic review of causes, consequences and solutions","volume":"13","author":"Morley C","year":"2018","unstructured":"Morley C, Unwin M, Peterson GM, Stankovich J, Kinsman L. Emergency department crowding: a systematic review of causes, consequences and solutions. PLoS One. 2018, 13:e0203316. 10.1371\/journal.pone.0203316","journal-title":"PLoS One"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/pq9.0000000000000581","article-title":"Under-triage: a new trigger to drive quality improvement in the emergency department","volume":"7","author":"Berkowitz D","year":"2022","unstructured":"Berkowitz D, Morrison S, Shaukat H, et al.. Under-triage: a new trigger to drive quality improvement in the emergency department. Pediatr Qual Saf. 2022, 7:e581. 10.1097\/pq9.0000000000000581","journal-title":"Pediatr Qual Saf"},{"key":"ref6","article-title":"Emergency department crowding and hospital bed shortage: is Lean a smart answer? A systematic review","volume":"20","author":"Bucci S","year":"2016","unstructured":"Bucci S, de Belvis AG, Marventano S, et al.. Emergency department crowding and hospital bed shortage: is Lean a smart answer? A systematic review. Eur Rev Med Pharmacol Sci. 2016, 20:4209-19.","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s12873-021-00499-z","article-title":"Association between emergency medical service transport time and survival in patients with traumatic cardiac arrest: a Nationwide retrospective observational study","volume":"21","author":"Naito H","year":"2021","unstructured":"Naito H, Yumoto T, Yorifuji T, et al.. Association between emergency medical service transport time and survival in patients with traumatic cardiac arrest: a Nationwide retrospective observational study. BMC Emerg Med. 2021, 21:104. 10.1186\/s12873-021-00499-z","journal-title":"BMC Emerg Med"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.4103\/JETS.JETS_81_18","article-title":"Perception of workplace violence in the emergency department","volume":"12","author":"Sachdeva S","year":"2019","unstructured":"Sachdeva S, Jamshed N, Aggarwal P, Kashyap SR. Perception of workplace violence in the emergency department. J Emerg Trauma Shock. 2019, 12:179-84. 10.4103\/JETS.JETS_81_18","journal-title":"J Emerg Trauma Shock"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2022.101219","article-title":"Knowledge, skills, and practices of triage among emergency nurses in Jordan","volume":"65","author":"Malak MZ","year":"2022","unstructured":"Malak MZ, Mohammad Al-Faqeer N, Bashir Yehia D. Knowledge, skills, and practices of triage among emergency nurses in Jordan. Int Emerg Nurs. 2022, 65:101219. 10.1016\/j.ienj.2022.101219","journal-title":"Int Emerg Nurs"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2021.101004","article-title":"Determination of START triage skill and knowledge levels of prehospital emergency medical staff: a cross sectional study","volume":"56","author":"Aslan R","year":"2021","unstructured":"Aslan R, \u015eahin\u00f6z S, \u015eahin\u00f6z T. Determination of START triage skill and knowledge levels of prehospital emergency medical staff: a cross sectional study. Int Emerg Nurs. 2021, 56:101004. 10.1016\/j.ienj.2021.101004","journal-title":"Int Emerg Nurs"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2023.10.001","article-title":"Triage accuracy of emergency nurses: an evidence-based review","volume":"50","author":"Suamchaiyaphum K","year":"2024","unstructured":"Suamchaiyaphum K, Jones AR, Markaki A. Triage accuracy of emergency nurses: an evidence-based review. J Emerg Nurs. 2024, 50:44-54. 10.1016\/j.jen.2023.10.001","journal-title":"J Emerg Nurs"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2021.101046","article-title":"Facilitators, barriers and opportunities in workplace wellbeing: a national survey of emergency department staff","volume":"57","author":"Anderson N","year":"2021","unstructured":"Anderson N, Pio F, Jones P, et al.. Facilitators, barriers and opportunities in workplace wellbeing: a national survey of emergency department staff. Int Emerg Nurs. 2021, 57:101046. 10.1016\/j.ienj.2021.101046","journal-title":"Int Emerg Nurs"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000298","article-title":"Teamwork in healthcare: key discoveries enabling safer, high-quality care","volume":"73","author":"Rosen MA","year":"2018","unstructured":"Rosen MA, DiazGranados D, Dietz AS, Benishek LE, Thompson D, Pronovost PJ, Weaver SJ. Teamwork in healthcare: key discoveries enabling safer, high-quality care. Am Psychol. 2018, 73:433-50. 10.1037\/amp0000298","journal-title":"Am Psychol"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/NUR.0000000000000291","article-title":"Improving triage accuracy: a staff development approach","volume":"31","author":"Brosinski CM","year":"2017","unstructured":"Brosinski CM, Riddell AJ, Valdez S. Improving triage accuracy: a staff development approach. Clin Nurse Spec. 2017, 31:145-8. 10.1097\/NUR.0000000000000291","journal-title":"Clin Nurse Spec"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.xjep.2022.100550","article-title":"Frontline healthcare workers' perspectives on interprofessional teamwork during COVID-19","volume":"29","author":"Jordan SR","year":"2022","unstructured":"Jordan SR, Connors SC, Mastalerz KA. Frontline healthcare workers' perspectives on interprofessional teamwork during COVID-19. J Interprof Educ Pract. 2022, 29:100550. 10.1016\/j.xjep.2022.100550","journal-title":"J Interprof Educ Pract"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00768-6","article-title":"Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals","volume":"397","author":"McHugh MD","year":"2021","unstructured":"McHugh MD, Aiken LH, Sloane DM, Windsor C, Douglas C, Yates P. Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals. Lancet. 2021, 397:1905-13. 10.1016\/S0140-6736(21)00768-6","journal-title":"Lancet"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(21)00209-6","article-title":"Hospital nurse staffing and patient outcomes in Chile: a multilevel cross-sectional study","author":"Aiken LH","year":"202198","unstructured":"Aiken LH, Simonetti M, Sloane DM, et al.. Hospital nurse staffing and patient outcomes in Chile: a multilevel cross-sectional study. Lancet Glob Health. 202198, 1145-53. 10.1016\/S2214-109X(21)00209-6","journal-title":"Lancet Glob Health"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-036264","article-title":"Case for hospital nurse-to-patient ratio legislation in Queensland, Australia, hospitals: an observational study","volume":"10","author":"McHugh MD","year":"2020","unstructured":"McHugh MD, Aiken LH, Windsor C, Douglas C, Yates P. Case for hospital nurse-to-patient ratio legislation in Queensland, Australia, hospitals: an observational study. BMJ Open. 2020, 10:e036264. 10.1136\/bmjopen-2019-036264","journal-title":"BMJ Open"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.afjem.2013.04.009","article-title":"Assessment of knowledge and skills of triage amongst nurses working in the emergency centres in Dar es Salaam, Tanzania","volume":"4","author":"Aloyce R","year":"2014","unstructured":"Aloyce R, Leshabari S, Brysiewicz P. Assessment of knowledge and skills of triage amongst nurses working in the emergency centres in Dar es Salaam, Tanzania. Afr J Emerg Med. 2014, 4:14-8. 10.1016\/j.afjem.2013.04.009","journal-title":"Afr J Emerg Med"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.22037\/aaem.v10i1.1391","article-title":"Proposing an emergency medicine ethical guideline; a qualitative study","volume":"10","author":"Asadabadi L","year":"2022","unstructured":"Asadabadi L, Soltani Nejad K, Zolfagharnasab A, Mobasher M. Proposing an emergency medicine ethical guideline; a qualitative study. Arch Acad Emerg Med. 2022, 10:e1. 10.22037\/aaem.v10i1.1391","journal-title":"Arch Acad Emerg Med"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2016-103531","article-title":"Ethics consultation in paediatric and adult emergency departments: an assessment of clinical, ethical, learning and resource needs","volume":"44","author":"Colaco KA","year":"2018","unstructured":"Colaco KA, Courtright A, Andreychuk S, Frolic A, Cheng J, Kam AJ. Ethics consultation in paediatric and adult emergency departments: an assessment of clinical, ethical, learning and resource needs. J Med Ethics. 2018, 44:13-20. 10.1136\/medethics-2016-103531","journal-title":"J Med Ethics"},{"key":"ref22","doi-asserted-by":"crossref","DOI":"10.1186\/s12913-024-11345-w","article-title":"A qualitative study of the barriers and facilitators impacting the implementation of a quality improvement program for emergency departments: SurgeCon","volume":"24","author":"Anaraki NR","year":"2024","unstructured":"Anaraki NR, Mukhopadhyay M, Jewer J, et al.. A qualitative study of the barriers and facilitators impacting the implementation of a quality improvement program for emergency departments: SurgeCon. BMC Health Serv Res. 2024, 24:855.","journal-title":"BMC Health Serv Res"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-018-0726-9","article-title":"Hospital-based interventions: a systematic review of staff-reported barriers and facilitators to implementation processes","volume":"13","author":"Geerligs L","year":"2018","unstructured":"Geerligs L, Rankin NM, Shepherd HL, Butow P. Hospital-based interventions: a systematic review of staff-reported barriers and facilitators to implementation processes. Implement Sci. 2018, 13:36. 10.1186\/s13012-018-0726-9","journal-title":"Implement Sci"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.3390\/jpm12020279","article-title":"Emergency department overcrowding: understanding the factors to find corresponding solutions","volume":"12","author":"Savioli G","year":"2022","unstructured":"Savioli G, Ceresa IF, Gri N, et al.. Emergency department overcrowding: understanding the factors to find corresponding solutions. J Pers Med. 2022, 12:279. 10.3390\/jpm12020279","journal-title":"J Pers Med"},{"key":"ref25","doi-asserted-by":"crossref","DOI":"10.1136\/emj.2004.018002","article-title":"Access block causes emergency department overcrowding and ambulance diversion in Perth, Western Australia","volume":"22","author":"Fatovich DM","year":"2005","unstructured":"Fatovich DM, Nagree Y, Sprivulis P. Access block causes emergency department overcrowding and ambulance diversion in Perth, Western Australia. Emerg Med J. 2005, 22:351-4.","journal-title":"Emerg Med J"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1177\/23779608221130588","article-title":"Triage knowledge and practice and associated factors among emergency department nurses","volume":"8","author":"AlShatarat M","year":"2022","unstructured":"AlShatarat M, Rayan A, Eshah NF, Baqeas MH, Jaber MJ, ALashtawy M. Triage knowledge and practice and associated factors among emergency department nurses. SAGE Open Nurs. 2022, 8:23779608221130588. 10.1177\/23779608221130588","journal-title":"SAGE Open Nurs"},{"key":"ref27","doi-asserted-by":"crossref","DOI":"10.31661\/gmj.v8i0.1619","article-title":"Challenges and barriers affecting the quality of triage in emergency departments: a qualitative study","volume":"8","author":"Bijani M","year":"2019","unstructured":"Bijani M, Khaleghi AA. Challenges and barriers affecting the quality of triage in emergency departments: a qualitative study. Galen Med J. 2019, 8:e1619.","journal-title":"Galen Med J"},{"key":"ref28","doi-asserted-by":"crossref","DOI":"10.21315\/mjms2024.31.3.20","article-title":"Managing aggressive behaviour in healthcare: balancing of patients and staff interests","volume":"31","author":"Zolkefli Y","year":"2024","unstructured":"Zolkefli Y. Managing aggressive behaviour in healthcare: balancing of patients and staff interests. Malays J Med Sci. 2024, 31:252-6.","journal-title":"Malays J Med Sci"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202202-111IP","article-title":"Burnout in critical care: time for moving upstream","volume":"19","author":"Buchbinder M","year":"2022","unstructured":"Buchbinder M, Jenkins T. Burnout in critical care: time for moving upstream. Ann Am Thorac Soc. 2022, 19:1443-5. 10.1513\/AnnalsATS.202202-111IP","journal-title":"Ann Am Thorac Soc"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijans.2022.100412","article-title":"Staff shortages in critical care units: critical care nurses\u2019 experiences","volume":"17","author":"Nakweenda M","year":"2022","unstructured":"Nakweenda M, Anthonie R, van der Heever M. Staff shortages in critical care units: critical care nurses\u2019 experiences. Int J Afr Nurs Sci. 2022, 17:100412. 10.1016\/j.ijans.2022.100412","journal-title":"Int J Afr Nurs Sci"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/377063-barriers-challenges-and-facilitators-experienced-by-healthcare-professionals-in-providing-immediate-and-efficient-care-in-the-emergency-department-a-mixed-methods-study","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T03:32:48Z","timestamp":1750044768000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/377063-barriers-challenges-and-facilitators-experienced-by-healthcare-professionals-in-providing-immediate-and-efficient-care-in-the-emergency-department-a-mixed-methods-study"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,15]]},"references-count":30,"URL":"https:\/\/doi.org\/10.7759\/cureus.86089","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,6,15]]}}}