The impact of junior doctors’ worktime arrangements on their fatigue and well-being

Autor: Philip Tucker, Menna Brown, Anna Dahlgren, Gwyneth Davies, Philip Ebden, Simon Folkard, Hayley Hutchings, Torbjörn Åkerstedt
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: Scandinavian Journal of Work, Environment & Health, Vol 36, Iss 6, Pp 458-465 (2010)
Druh dokumentu: article
ISSN: 0355-3140
1795-990X
DOI: 10.5271/sjweh.2985
Popis: OBJECTIVE: Many doctors report working excessively demanding schedules that comply with the European Working Time Directive (EWTD). We compared groups of junior doctors working on different schedules in order to identify which features of schedule design most negatively affected their fatigue and well-being in recent weeks. METHODS: Completed by 336 doctors, the questionnaires focused on the respondents’ personal circumstances, work situation, work schedules, sleep, and perceptions of fatigue, work–life balance and psychological strain. RESULTS: Working 7 consecutive nights was associated with greater accumulated fatigue and greater work–life interference, compared with working just 3 or 4 nights. Having only 1 rest day after working nights was associated with increased fatigue. Working a weekend on-call between 2 consecutive working weeks was associated with increased work–life interference. Working frequent on-calls (either on weekends or during the week) was associated with increased work–life interference and psychological strain. Inter-shift intervals of
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