To bed or not to bed: the sleep question?
| Autor: | Rhiannon Harries, Zoe Seymour, Richard Egan, David Bosanquet, Arfon Powell, Stefan Arnaudov, Luke Hopkins, Samuel Dwamena |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Personnel Staffing and Scheduling Sleep REM Sleep medicine Medicine Humans Effects of sleep deprivation on cognitive performance Surgical emergency Sleep hygiene business.industry General Medicine Recovery of Function United Kingdom Sleep deprivation General Surgery Cohort Physical therapy Sleep Deprivation Sleep diary Female Sleep (system call) medicine.symptom Emergencies business Sleep |
| Zdroj: | Postgraduate medical journal. 96(1139) |
| ISSN: | 1469-0756 |
| Popis: | Background Sleep deprivation and fatigue from long-shift work impacts doctors’ personal safety, inhibits cognitive performance and risks clinical error. The aim of this study was to assess the sleep quality of surgical trainees participating in European Working Time Directive-compliant training rotations within a UK deanery. Methods A trainee cohort numbering 38 (21 core, 17 higher surgical trainees, 29 men and 9 women, median age 31 (25–44 years)) completed a sleep diary over 30 days using the Sleep Time (Azumio) smartphone application and triangulated with on-call rosters to identify shift patterns. The primary outcome measure was sleep quality related to rostered clinical duties. Results Consecutive 1152 individual sleep episodes were recorded. The median time asleep (hours:min) was 6:29 (5:27–7:19); the median sleep efficiency was 86% (80%–93%); the median light sleep (hours:min) was 2:50 (1:50–3:49); and the median rapid eye movement (REM) sleep (hours:min) was 3:20 (2:37–4:07). Significant adverse sleep profiles were observed in trainees undertaking emergency on-call duty when compared with elective (non-on-call) duty; the median time asleep (hours:min) 5:49 vs 6:43 (p Conclusion Surgical emergency on-call duty adversely influences sleep quality. Proper consideration of fail-safe rota design, prioritising sleep hygiene, recovery and well-being, allied to robust patient safety and quality of care should be made a priority. |
| Databáze: | OpenAIRE |
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