دورية أكاديمية
أعرض في EDS

Home Is Not Always Where the Sleep Is: Effect of Home Call on Sleep, Burnout, and Surgeon Well-Being.

التفاصيل البيبلوغرافية
العنوان: Home Is Not Always Where the Sleep Is: Effect of Home Call on Sleep, Burnout, and Surgeon Well-Being.
المؤلفون: Coleman JJ; From the Department of Surgery, University of Louisville School of Medicine, Louisville, KY (Coleman, McMasters)., Robinson CK; Department of Surgery, University of Colorado School of Medicine, Aurora, CO (Robinson, Cohen)., von Hippel W; Research with Impact, Brisbane, Australia (von Hippel)., Lawless RA; Department of Surgery, Orlando Health, Orlando, FL (Lawless)., McMasters KM; From the Department of Surgery, University of Louisville School of Medicine, Louisville, KY (Coleman, McMasters)., Cohen MJ; Department of Surgery, University of Colorado School of Medicine, Aurora, CO (Robinson, Cohen).
المصدر: Journal of the American College of Surgeons [J Am Coll Surg] 2024 Apr 01; Vol. 238 (4), pp. 417-422. Date of Electronic Publication: 2024 Mar 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins, Inc Country of Publication: United States NLM ID: 9431305 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1190 (Electronic) Linking ISSN: 10727515 NLM ISO Abbreviation: J Am Coll Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2022- : [Baltimore, MD] : Lippincott Williams & Wilkins, Inc.
Original Publication: Chicago, Ill. : The College, c1994-
مواضيع طبية MeSH: Surgeons* , Burnout, Professional*/epidemiology , Psychological Tests*, Humans ; Sleep/physiology ; Self Report ; Surveys and Questionnaires
مستخلص: Background: In-house calls contribute to loss of sleep and surgeon burnout. Although acknowledged to have an opportunity cost, home call is often considered less onerous, with minimal effects on sleep and burnout. We hypothesized home call would result in impaired sleep and increased burnout in acute care surgeons.
Study Design: Data from 224 acute care surgeons were collected for 6 months. Participants wore a physiological tracking device and responded to daily surveys. The Maslach Burnout Inventory was administered at the beginning and end of the study. Within-participant analyses were conducted to compare sleep, feelings of restedness, and burnout as a function of home call.
Results: One hundred seventy-one surgeons took 3,313 home calls, 52.5% were associated with getting called and 38.5% resulted in a return to the hospital. Home call without calls was associated with 3 minutes of sleep loss (p < 0.01), home call with 1 or more call resulted in a further 14 minutes of sleep loss (p < 0.0001), and home call with a return to the hospital led to an additional 70 minutes of sleep loss (p < 0.0001). All variations of home call resulted in decreased feelings of restedness (p < 0.0001) and increased feelings of daily burnout (p < 0.0001, Fig. 1).
Conclusions: Home call is deleterious to sleep and burnout. Even home call without calls or returns to the hospital is associated with burnout. Internal assessments locally should incorporate frequency of calls and returns to the hospital when creating call schedules. Repeated nights of home call can result in cumulative sleep debt, with adverse effects on health and well-being.
(Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.)
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SCR Protocol: Maslach Burnout Inventory
تواريخ الأحداث: Date Created: 20240118 Date Completed: 20240318 Latest Revision: 20240320
رمز التحديث: 20240321
DOI: 10.1097/XCS.0000000000000975
PMID: 38235790
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-1190
DOI:10.1097/XCS.0000000000000975