RT Journal Article SR Electronic T1 2660 Wellbeing interventions for emergency department staff: ‘necessary’ but ‘inadequate’ – a phenomenographic study JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP A19 OP A19 DO 10.1136/emermed-2024-RCEM.34 VO 41 IS Suppl 1 A1 Beckham, Andrew A1 Cooper, Nicola YR 2024 UL http://emj.bmj.com/content/41/Suppl_1/A19.abstract AB Aims and Objectives Stress and burnout are prevalent among emergency department (ED) staff in the UK, impacting upon staff health, service provision and patient care.The concept of wellbeing interventions for ED staff is a growing area of interest and research.Various interventions are described in the literature, yet little is known about the experience of ED staff in the UK of interventions designed to support their wellbeing.The aim of this study was to understand the experiences of NHS ED staff of training designed to support their wellbeing by exploring their perspectives and opportunities.Method and Design Semi-structured interviews were carried out with nine members of staff from different professional backgrounds at a single ED.A phenomenographic approach was applied to analyse the narrative data.Results and Conclusion The findings resulted in an outcome space of seven qualitatively different, but related categories.ED staff experience interventions to be: 1) necessary due to their stressful working environment; 2) beneficial in supporting their wellbeing; 3) feasible in an ED setting; 4) inadequate due to lack of quality and accessibility; 5) improving, with increased acceptability and support; 6) restricted by clinical and organisational factors; and 7) ambiguous in definition, measurement, and individual interpretation.This study aimed to understand the experiences of ED staff of interventions designed to support their wellbeing.Spaces for facilitated refection were one of the most widely reported forms of useful wellbeing intervention, whether provided in supervision sessions, support meetings, group settings or informally by colleagues.However, job demands simultaneously necessitate and restrict the provision of adequate interventions to support wellbeing in the ED. These demands must be addressed as part of wider organisational change, including the provision of self-care facilities and opportunities, protected time for facilitated reflection, high quality and accessible learning opportunities for personal and professional development, and positive role modelling by leaders.