Physicians' attentional performance following a 24-hour observation period: do we need to regulate sleep prior to work?

Smyth, Penelope; Veugelers, Paul J.; Jirsch, Jeffrey

doi:10.1136/oemed-2015-103489

Cited by 5 publications

(4 citation statements)

References 24 publications

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“…[ 14 ] Prior studies have demonstrated that sleeping impairment decreased concentration and increased burnout. [ 15 , 16 ] However, in contrast to previous research, our study did not find an association between sleep time with burnout. [ 17 ] Considering the fact that our data regarding sleep time and sleep quality were all self-reported, the definite relationship between sleep and burnout in residents in SRT should be explored in future study through sleep monitoring.…”

Section: Discussioncontrasting

confidence: 99%

High rate of burnout among residents under standardized residency training in a tertiary teaching hospital of middle China

et al. 2020

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Burnout has been commonly observed in health care workers. Though research has been conducted involving burnout among doctors in China, few studies have focused on residents during standardized residency training (SRT). The professional status of the residents during SRT remains largely unclear. The present study was conducted in order to clarify the prevalence and potential risk factors of burnout in residents during SRT. An electronic questionnaire comprised 2 parts. The first part was designed to collect some basic characteristic information. Maslach Burnout Inventory-Human Services Survey was included in the second part. As many as 71.05% residents had at least 1 scale of burnout. Emotional exhaustion (EE) was found in 55.6% residents, depersonalization (DP) in 29.7% and reduced personal accomplishment (RPA) in 41.6%. Being older than 27, senior SRT year, working time more than 60 hours per week and poor sleeping quality was independently associated with at least on scale of burnout. Being unable to receive timely supervisor support significantly increased the probability of DP and EE. Not having friends at work or feeling cared for by the hospital were independently related to all 3 symptoms of burnout as well as overall burnout. Burnout rate is high in residents under SRT from middle part of China. Organizational, professional, and social support was demonstrated critical by the potential roles in protecting against burnout. Residents with burnout were prone to considering turnover. Strategies for managing burnout related factors among residents should be focused in future studies.

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Section: Discussioncontrasting

confidence: 99%

High rate of burnout among residents under standardized residency training in a tertiary teaching hospital of middle China

et al. 2020

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“…Sleep impairment is linked not only to poor health outcomes such as obesity 2,3 and cardiovascular disease 4 but also to decreased task performance and concentration. 5 Prior studies of medical residents identified associations between impaired sleep and both medical errors and burnout, including increased depression and anxiety. [6][7][8] Other research has illustrated that work hour changes may not lead to greater sleep or to better clinical performance [9][10][11][12] and that factors other than clinical work hours may contribute to fatigue.…”

Section: Introductionmentioning

confidence: 99%

So Tired: Predictive Utility of Baseline Sleep Screening in a Longitudinal Observational Survey Cohort of First-Year Residents

et al. 2018

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During PGY-1 training, residents experience worsening sleep duration, quality of sleep, and daytime sleepiness. Residents with baseline impaired sleep tend to remain impaired. Moreover, many residents with baseline normal sleep experience sleep deterioration over time. Sleep screening at residency orientation may identify some, but not all, residents who will experience sleep impairment during training.

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“…1 Sleep loss has been linked to performance decrements from reduced response time, reduced learning, decreased short-term recall of working memory, micro-sleeps, and increased commission and omission errors, 10 as well as increased accidents and errors 3,9 . For example, Smyth et al 26 found extended wakefulness from physician overnight shifts led to decrements in attentional accuracy and Lo et al 20 found restricted sleep led to decrements in sustained attention, speed of processing, and subjective alertness. Maquet et al 21 observed that regional brain activity during rapid-eye-movement (REM) sleep is influenced by training on a task, highlighting that procedural memories are processed during REM sleep.…”

Section: Introductionmentioning

confidence: 99%

Strategy Development Pilot Study of Sleep-Restricted Operators Using Small Satellites with Displays

Schneider¹,

Saenz-Otero²,

Klerman³

et al. 2018

aerosp med hum perform

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INTRODUCTION: Sleep restriction may lead to decreased performance and increased accidents and errors. SPHERES, a small satellite testbed, was used to examine the effects of sleep restriction and situation awareness (SA) aids on a simulation of satellite operations. METHODS: Subjects (n=8) were trained on SPHERES, then, in a randomized order cross-over design, had 3 days of sufficient sleep (SS) or 3 days of sleep restriction (SR) before a testing session. Subjects controlled two SPHERES satellites in a space debris avoidance scenario. Dependent measures included survival time, area covered by the satellites, and satellite motion perception. RESULTS: There were significant interaction effects of sleep protocol Order (SS or SR first) and sleep Condition (SS or SR) on survival time and area covered. Post-hoc tests showed longer survival time for the 2nd testing session if the Order was SS-first (Mean=56.1 s, Median=44.0 s) as compared to SR-first (Mean=42.7 s, Median=33.5 s). SS-first subjects received benefit from added SA cues of the augmented display in perceiving the satellite motion. DISCUSSION: These data support that learning in a well-rested state may support development of appropriate strategies for better performance. Subjects that were SS during the first session were better able to utilize added SA cues provided by the augmentation, and may have then developed a better mental model of the task and the system. This pilot study suggests that training guidelines for operating multiple robotic assets should permit appropriate rest before and after training to assist in mental model development and task performance.

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Physicians' attentional performance following a 24-hour observation period: do we need to regulate sleep prior to work?

Cited by 5 publications

References 24 publications

High rate of burnout among residents under standardized residency training in a tertiary teaching hospital of middle China

High rate of burnout among residents under standardized residency training in a tertiary teaching hospital of middle China

So Tired: Predictive Utility of Baseline Sleep Screening in a Longitudinal Observational Survey Cohort of First-Year Residents

Strategy Development Pilot Study of Sleep-Restricted Operators Using Small Satellites with Displays

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