Impact of fatigue on anaesthesia providers: a scoping review

Scholliers, Annelies; Cornelis, Stef; Tosi, Maurizio; Opsomer, Tine; Shaproski, David; Vanlersberghe, C.; Vanhonacker, Domien; Poelaert, Jan; Goudman, Lisa; Moens, Maarten

doi:10.1016/j.bja.2022.12.011

Cited by 11 publications

(4 citation statements)

References 54 publications

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“…The ( p -value = 0.010) further confirms the statistical significance of this relationship. A positive correlation was also discovered between marital status and sleep scores, the majority of participants were married, with ( 4 ) individuals representing (37.2%) having a good sleep score, (47) individuals representing (32.4%) having a fair sleep score, and (44) individuals representing (30.3%) having a poor sleep score. This relationship was found to be statistically significant, with a ( p -value = 0.009).…”

Section: Resultsmentioning

confidence: 74%

“…As a result, the staff is exposed to a greater risk of fatigue and burnout ( 3 ). Up to 73.1% of anaesthesia practitioners reported that fatigue was a typical professional issue, and up to 60.8% reported that they suffered from severe excessive daytime sleepiness, these conditions can reduce attentiveness and performance, increasing the likelihood of unfavorable patient outcomes ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

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Ambient conditions of the operating theatre and its correlation with fatigue and sleep quality of operating room workers: a cross-sectional survey

Alotaibi,

Habib,

Al-khlaiwi

et al. 2024

Front. Public Health

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BackgroundAnesthesia providers face numerous occupational hazards, including exposure to anesthesia gases, which can lead to fatigue. These professionals face challenges such as night shifts, OR stress, limited mobility and sunlight access, high workload, inadequate rest breaks. Health-related sociodemographic variables, such as smoking, sleep patterns, and obesity. Our research aims to explore various risk factors associated with fatigue among operating theatre workers including sleep quality.MethodsA cross-sectional study was conducted on 227 of operating room healthcare professionals from five tertiary hospitals in Saudi Arabia, for a period of 6 months, between January 1, 2023 to June 1, 2023. The study used a five-point Likert scale sheet and the FSS “fatigue severity scale” to analyze and measure fatigue and sleep quality. The questionnaire included all socio-demographic variables, work conditions, and fatigue severity scale items.ResultsThe major findings revealed a significant correlation between fatigue severity scores and exposure to anesthesia gases. Socio-demographic variables such as smoking have showed major relevance to fatigue in the sample size, as (76.6%) of the participants that answered as regular smokers have showed result of positive correlation to fatigue and with a significant of (0.034). Out of the total sample, 76.1% were exposed to anesthesia gases once daily, showing a positive association with fatigue severity scores. Work-related factors like job experience and position also had a lower association with fatigue severity. p (0.031) Univariate logistic regression p (0.035).ConclusionThe study found that the work-related conditions like workload on Anesthesia technicians and technologists over 44 h per week and gas exposure is directly linked to fatigue severity and sleep quality so is the socio-demographic considerations. With poor sleep quality in younger staff which is documented in the study result a large-scale prospective analysis to understand the factors affecting OR staff’s sleep quality and fatigue severity and what can be done to regulate working hours and break time and incorporate naps in to enhance patient safety and well-being for anesthesia providers in Saudi Arabia.

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Section: Resultsmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Ambient conditions of the operating theatre and its correlation with fatigue and sleep quality of operating room workers: a cross-sectional survey

Alotaibi,

Habib,

Al-khlaiwi

et al. 2024

Front. Public Health

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“…Our study's findings are in line with previous studies reporting a high prevalence of fatigue among anaesthesiologists. 14 In a large survey of consultant anaesthetists and paediatric intensivists in the UK and Ireland, 91% reported work-related fatigue with only 15% achieving the EWTD requirement of 11 hours' rest. 10 Although our study is smaller, it is a more diverse sample of European specialist anaesthesiologists.…”

Section: Discussionmentioning

confidence: 99%

Fatigue among anaesthesiologists in Europe

Camilleri Podesta,

Redfern,

Abramovich

et al. 2023

European Journal of Anaesthesiology

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BACKGROUND Anaesthesiologists deliver an increasing amount of patient care and often work long hours in operating theatres and intensive care units, with frequent on-calls and insufficient rest in between. In the long term, this will negatively influence mental and physical health and well being. As fatigue becomes more prevalent, this has predictable implications for patient safety and clinical effectiveness. 1 OBJECTIVE This study aimed to evaluate the prevalence, severity, causes and implications of work-related fatigue amongst specialist anaesthesiologists. DESIGN An online survey of specialist anaesthesiologists. PARTICIPANTS The survey was sent to anaesthesiologists in 42 European countries by electronic mail. MAIN OUTCOME MEASURES Responses from a 36-item online survey assessed work-related fatigue and its impact on anaesthesiologists in European countries. RESULTS Work-related fatigue was experienced in 91.6% of the 1508 respondents from 32 European countries. Fatigue was caused by their working patterns, clinical and nonclinical workloads, staffing issues and excessive work hours. Over 70% reported that work-related fatigue negatively impacted on their physical and mental health, emotional well being and safe commuting. Most respondents did not feel supported by their organisation to maintain good health and well being. CONCLUSION Work-related fatigue is a significant and widespread problem amongst anaesthesiologists. More education and increased awareness of fatigue and its adverse effects on patient safety, staff well being and physical and mental health are needed. Departments should ensure that their rotas and job plans comply with the European Working Time Directive (EWTD) and introduce a fatigue risk management system to mitigate the effects of fatigue.

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“…Left unchecked this eventually leads to exhaustion, an inability to respond to emotional or physical stressors. 7 Emotional exhaustion is one part of the triad of burnout, together with depersonalization and a reduced sense of personal accomplishment, an increasingly common condition affecting healthcare workers.…”

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confidence: 99%