This exploratory study examines the role played by organizational culture i
n the emphasis that emergency room staff place on the emotional support com
ponent of Family-Centered Care. The study combines qualitative and quantita
tive research methods to study differences among 4 emergency room (ER) cult
ures. Both methods identify significant differences among ER cultures in th
e emphasis placed on providing emotional support to families. In addition,
the differences in culture parallel differences in organizational climate t
hat affect staff attitudes toward ER work. The findings provide evidence th
at ER culture is a key factor in determining emergency health care provider
practices and attitudes related to Family-Centered Care.