Evaluating the Relationship between Duty Hours and Quality of Life of Nigerian Early Career Doctors

Ogunsuji, Oluwaseyi; Adebayo, Oladimeji; Olaopa, Olusegun; Amoo, Abimbola; Igbokwe, Martin; Babalola, Ronke; Sokomba, Aliyu; Atilola, Olayinka; Ilesanmi, Olayinka Stephen; Durowade, Kabir Adekunle

doi:10.1080/00185868.2020.1789521

Cited by 6 publications

(5 citation statements)

References 21 publications

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“…The relationship between a heavy workload and low scores in the WHOQOL-Bref is also confirmed in a study conducted in Nigeria (n = 390) by Ogunsunji et al, 15 in which physicians with workload equal to or greater than 70 hours per week (primarily residents) scored lower mainly in the physical domain. The same study observed a higher quality of life score among men, specialized professionals, and those over 35 years old.…”

Section: Discussionsupporting

confidence: 60%

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Quality of life of physicians in the state of Minas Gerais, Brazil

Moreira¹,

de-Souza²,

Dias³

et al. 2022

Rev Bras Med Trab

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Introduction Studies conducted with physicians from different locations and age groups show a tendency to mental illness and low quality of life in this population. Objectives To describe the socioeconomic and quality-of-life profile of medical doctors in the state of Minas Gerais, Brazil. Methods Cross-sectional study. A socioeconomic and quality-of-life questionnaire (World Health Organization Quality of Life instrument-Abbreviated version) was applied in a representative sample of physicians working in the state of Minas Gerais. Non-parametric analyses were used to assess outcomes. Results The sample was composed of 1,281 physicians, with a mean age of 43.7 years (SD, 11.46) and time since graduation of 18.9 years (SD, 12.1); 12.46% were medical residents, of which 32.7% were in the first year of training. Of the total number of physicians, 66.4% reported feeling overwhelmed and 70.7% were satisfed with their profession. The rate of diagnoses related to depression and anxiety was higher than in the general population. Mean World Health Organization Quality of Life instrument-Abbreviated version score was 60.44±21.72. The analysis of the reported quality-of-life scores showed that younger physicians, especially women, in the first year of residence, with lower income or salary ranges, high workload, and no regular time of obtained lower scores, as well as those who reported diagnoses of depression and/or anxiety. Conclusions Some socioeconomic factors may influence the quality of life of the study population. Further studies are needed to develop effective social support and health protection actions for these workers.

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Section: Discussionsupporting

confidence: 60%

“…However, a different patern was verified in the study by Ghazanfar et al, 17 including 1,154 physicians from a province in India, which identified a worse score among older physicians, especially in the psychosocial domain, contradicting the other findings. 15 , 16 , 17…”

Section: Discussionmentioning

confidence: 99%

Quality of life of physicians in the state of Minas Gerais, Brazil

Moreira¹,

de-Souza²,

Dias³

et al. 2022

Rev Bras Med Trab

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“…The alternate day call frequency, continuous work of up to 48–72 h during calls, and post‐call clinical responsibilities reported by majority of the RDs in our study, all by far exceed the ACGME recommendations of continuous work hours not exceeding 24 h and call frequency of not more than once every three nights, with rest periods between duty hours [9]. The deleterious effects of long duty hours and sleep deprivation on patient safety and the overall physical, mental, sexual and social health of residents are well documented [12, 13].…”

Section: Discussionmentioning

confidence: 75%

“…In Nigeria, as in some other countries of the world, there are currently no official restrictions on work hours of residents [12, 13] Our study found that surgical residents in Nigeria currently work an average of 122 h weekly. This implies working for a little over five out of 7 days in a week.…”

Section: Discussionmentioning

confidence: 78%

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Nigerian Surgical Trainees’ Work Schedule: It is Time for a Change!

et al. 2021

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Background Unregulated work schedules have deleterious effects on trainees’ productivity and patients’ safety. For these reasons, duty hours have been capped in many developed countries. Such regulations, however, appear to be lacking in many parts of Africa, and the effects of unregulated work hours in this part of the world have only been scantily documented. This study evaluated the work schedule of Nigerian surgical trainees, and its impact on their wellbeing, as well as assessed the perception of trainees towards capped duty hours. Methods A cross‐sectional survey of 650 Nigerian Resident Doctors in surgical specialties was conducted in November 2020. Enquiries were made about their work schedules using a purpose‐designed questionnaire, developed using Google Forms®. The data were analysed using the IBM SPSS version 23. Results The mean weekly work hours of surgical residents was 122.72 ± 34.17 h. Majority (228, 40.4%) of the residents had cumulative call hours of ≥ 72 h per week. One‐half (283, 50.1%) of them worked continuously for up to 48–72 h during calls, with mean daily sleep hours of 3.53 ± 1.42 h during calls. The majority (558, 98.8%) of respondents had post‐call clinical responsibilities. Seventy‐five percent of the respondents reported hazards from prolonged work hours, and an overwhelming majority (530, 93.8%) desire official limits on work hours. Conclusion Prolonged, unregulated work schedules appear to be the norm among Nigerian surgical trainees. This trend calls for urgent measures, to avoid potentially catastrophic consequences on both physicians and patients.

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Clinical Practice Satisfaction and Quality of Life among Early-Career Doctors in Nigeria

Folayan

Amoo

Buowari

et al. 2021

Nigerian Journal of Medicine

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Introduction: Job satisfaction and quality of life (QOL) are critical issues among early-career doctors (ECDs) in Nigeria; however, there is a paucity of data on these two issues. This study explored job satisfaction and QOL among ECDs in Nigeria. Methods: It was a cross-sectional study that used a self-administered questionnaire to collect data on sociodemographic and job satisfaction parameters from 667 ECDs in seven Nigerian tertiary hospitals. The World Health Organisation QOL-BREF tool was used to assess their QoL. Results: Results showed that the ECDs were satisfied with their career choice; however, they were not satisfied in the areas of remuneration, workload, and work environment. Furthermore, QOL was fairly above average, with the lowest scores reported in the environmental domain and only a slight male-to-female difference in the physical domain. Conclusion: Clinical practice dissatisfaction among ECDs could negatively impact healthcare service delivery. Therefore, it is recommended that the quality of the workplace environment and infrastructure in society at large should be improved upon by various stakeholders. This will positively impact the QoL of ECDs and enhance optimal healthcare delivery to the nation's teeming population.

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Evaluating the Relationship between Duty Hours and Quality of Life of Nigerian Early Career Doctors

Cited by 6 publications

References 21 publications

Quality of life of physicians in the state of Minas Gerais, Brazil

Quality of life of physicians in the state of Minas Gerais, Brazil

Nigerian Surgical Trainees’ Work Schedule: It is Time for a Change!

Clinical Practice Satisfaction and Quality of Life among Early-Career Doctors in Nigeria

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