دورية أكاديمية
A national survey of out-of-hours working and fatigue in consultants in anaesthesia and paediatric intensive care in the UK and Ireland.
العنوان: | A national survey of out-of-hours working and fatigue in consultants in anaesthesia and paediatric intensive care in the UK and Ireland. |
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المؤلفون: | McClelland L; Department of Intensive Care Medicine and Anaesthesia, Royal Gwent Hospital, Newport, UK., Plunkett E; Department of Anaesthesia, Queen Elizabeth Hospital Birmingham, Birmingham, UK., McCrossan R; Department of Anaesthesia, Newcastle upon Tyne NHS Foundation Trust, Newcastle, UK., Ferguson K; Department of Anaesthesia, Aberdeen Royal Infirmary, Aberdeen, UK., Fraser J; Department of Paediatric Intensive Care, Bristol Royal Hospital for Children, Bristol, UK., Gildersleve C; Department of Paediatric Anaesthesia, Children's Hospital for Wales, Cardiff, UK., Holland J; Department of Anaesthesia, Princess of Wales Hospital, Bridgend, UK., Lomas JP; Department of Anaesthesia and Intensive Care, Bolton Foundation Trust, Bolton, UK., Redfern N; Department of Anaesthesia, Newcastle upon Tyne NHS Foundation Trust, Newcastle, UK., Pandit JJ; Nuffield Department of Anaesthesia, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. |
المصدر: | Anaesthesia [Anaesthesia] 2019 Dec; Vol. 74 (12), pp. 1509-1523. Date of Electronic Publication: 2019 Sep 02. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 0370524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2044 (Electronic) Linking ISSN: 00032409 NLM ISO Abbreviation: Anaesthesia Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Oxford, UK : Wiley-Blackwell Original Publication: London, Academic Press; New York, Grune & Stratton. |
مواضيع طبية MeSH: | Work Schedule Tolerance*, Anesthesiologists/*statistics & numerical data , Critical Care/*statistics & numerical data , Fatigue/*epidemiology , Intensive Care Units, Pediatric/*statistics & numerical data, Adult ; Aged ; Burnout, Professional/epidemiology ; Consultants/statistics & numerical data ; Delphi Technique ; Female ; Health Status ; Humans ; Ireland/epidemiology ; Male ; Middle Aged ; Personnel Staffing and Scheduling ; Sleep ; Surveys and Questionnaires ; United Kingdom/epidemiology |
مستخلص: | The tragic death of an anaesthetic trainee driving home after a series of night shifts prompted a national survey of fatigue in trainee anaesthetists. This indicated that fatigue was widespread, with significant impact on trainees' health and well-being. Consultants deliver an increasing proportion of patient care resulting in long periods of continuous daytime duty and overnight on-call work, so we wished to investigate their experience of out-of-hours working and the causes and impact of work-related fatigue. We conducted a national survey of consultant anaesthetists and paediatric intensivists in the UK and Ireland between 25 June and 6 August 2018. The response rate was 46% (94% of hospitals were represented): 84% of respondents (95%CI 83.1-84.9%) contribute to a night on-call rota with 32% (30.9-33.1%) working 1:8 or more frequently. Sleep disturbance on-call is common: 47% (45.6-48.4%) typically receive two to three phone calls overnight, and 48% (46.6-49.4%) take 30 min or more to fall back to sleep. Only 15% (14.0-16.0%) reported always achieving 11 h of rest between their on-call and their next clinical duty, as stipulated by the European Working Time Directive. Moreover, 24% (22.8-25.2%) stated that there is no departmental arrangement for covering scheduled clinical duties following a night on-call if they have been in the hospital overnight. Overall, 91% (90.3-91.7%) reported work-related fatigue with over half reporting a moderate or significantly negative impact on health, well-being and home life. We discuss potential explanations for these results and ways to mitigate the effects of fatigue among consultants. (© 2019 Association of Anaesthetists.) |
التعليقات: | Comment in: Anaesthesia. 2019 Dec;74(12):1493-1496. (PMID: 31486063) |
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معلومات مُعتمدة: | Association of Anaesthetists |
فهرسة مساهمة: | Keywords: consultants; fatigue; on-call; sleep; wellbeing |
تواريخ الأحداث: | Date Created: 20190904 Date Completed: 20191111 Latest Revision: 20200108 |
رمز التحديث: | 20221213 |
DOI: | 10.1111/anae.14819 |
PMID: | 31478198 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1365-2044 |
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DOI: | 10.1111/anae.14819 |