دورية أكاديمية
أعرض في EDS

Hospital physicians´ working hour characteristics and sleep quality: a cross-sectional analysis of realized working hour and survey data.

التفاصيل البيبلوغرافية
العنوان: Hospital physicians´ working hour characteristics and sleep quality: a cross-sectional analysis of realized working hour and survey data.
المؤلفون: Karhula K; Finnish Institute of Occupational Health, P.0. Box 40, FI-00032 Työterveyslaitos, Helsinki, Finland. kati.karhula@ttl.fi., Koskinen A; Finnish Institute of Occupational Health, P.0. Box 40, FI-00032 Työterveyslaitos, Helsinki, Finland., Ervasti J; Finnish Institute of Occupational Health, P.0. Box 40, FI-00032 Työterveyslaitos, Helsinki, Finland., Hakola T; Finnish Institute of Occupational Health, P.0. Box 40, FI-00032 Työterveyslaitos, Helsinki, Finland., Isoviita VM; Faculty of Medicine, University of Helsinki, Helsinki, Finland., Kivimäki I; Finnish Institute of Occupational Health, P.0. Box 40, FI-00032 Työterveyslaitos, Helsinki, Finland., Puttonen S; Finnish Institute of Occupational Health, P.0. Box 40, FI-00032 Työterveyslaitos, Helsinki, Finland.; Faculty of Social Sciences, Tampere University, Tampere, Finland., Oksanen T; Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland., Härmä M; Finnish Institute of Occupational Health, P.0. Box 40, FI-00032 Työterveyslaitos, Helsinki, Finland.
المصدر: BMC health services research [BMC Health Serv Res] 2022 Jul 23; Vol. 22 (1), pp. 943. Date of Electronic Publication: 2022 Jul 23.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Physicians* , Sleep Wake Disorders*, Adult ; Cross-Sectional Studies ; Female ; Hospitals ; Humans ; Male ; Sleep Deprivation/epidemiology ; Sleep Quality ; Work Schedule Tolerance
مستخلص: Background: Hospital physicians' work includes on-call duties to provide 24/7 health care. Previous studies using self-reported survey data have associated long working hours and on-call work with sleep difficulties. To reduce recall bias, we complemented survey data with payroll-based objective data to study whether hospital physicians' realized working hours are associated with sleep.
Methods: The study was nested within the Finnish Public Sector study. We used survey data on 728 hospital physicians (mean age 43.4 years, 62% females) from 2015 linked to realized daily working hour data from 3 months preceding the survey. The associations of working hour characteristics with sleep quantity and quality were studied with multinomial logistic regression analysis adjusted for demographics, overall stressfulness of life situation, control over scheduling of shifts, and hospital district.
Results: One fourth (26%) of the participants reported short (≤6.5 h) average sleep duration. Frequent night work (> 6 shifts/91 days) was associated with short sleep (OR 1.87 95%CI 1.23-2.83) compared to no night work. Approximately one third (32%) of the physicians reported insufficient sleep. Physicians with long weekly working hours (> 48 hours) had higher odds for insufficient sleep (OR 1.78 95%CI 1.15-2.76) than physicians with short weekly working hours (< 40 hours). Insufficient sleep was also associated with frequent on-call duties (> 12 shifts/3 months OR 2.00 95%CI 1.08-3.72), frequent night work (OR 1.60 95%CI 1.09-2.37), and frequent short shift intervals (≤11 hours; > 12 times/3 months OR 1.65 95%CI 1.01-2.69) compared to not having these working hour characteristics. Nearly half of the physicians (48%) reported at least one sleep difficulty at least two times a week and frequent night work increased odds for difficulties in initiating sleep (OR 2.43 95%CI 1.04-5.69). Otherwise sleep difficulties were not associated with the studied working hour characteristics.
Conclusion: We used realized working hour data to strengthen the evidence on on-call work and sleep quality and our results advice to limit the frequency of night work, on-call shifts, short shift intervals and long weekly working hours to promote hospital physicians' sufficient sleep.
(© 2022. The Author(s).)
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معلومات مُعتمدة: 180022 Työsuojelurahasto; 180022 Työsuojelurahasto; 180022 Työsuojelurahasto; 180022 Työsuojelurahasto; 180022 Työsuojelurahasto; 180022 Työsuojelurahasto; 74809 NordForsk; 74809 NordForsk; 74809 NordForsk; S22459 European Social Research Council
فهرسة مساهمة: Keywords: On-call work; Payroll data; Sleep difficulties; Sleep quality; Working time
تواريخ الأحداث: Date Created: 20220722 Date Completed: 20220726 Latest Revision: 20220729
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9308190
DOI: 10.1186/s12913-022-08336-0
PMID: 35869512
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6963
DOI:10.1186/s12913-022-08336-0