The effect of a full shift system on doctors

Abstract

The research questions of the paper draw out the personal implications for doctors of their employers' adherence to the implementation of EWTD.

Exploring the implications of the influence of organisational culture on work-life balance practices

“…The Nigerian (Ige, 2016;Omofoye, 2016). The posture of the government and management in Nigerian hospitals is in stark contrast to the British experience in which there is a broad legislation that address WLB issues (Bamford and Bamford, 2008;British Medical Association News, 2007). Since most organisations in Nigeria in general and the medical practice in particular have not developed the organisational cultures required to enhance the appropriate interaction between HR practices and organisational culture as suggested by Pas et al (2011), the challenge of achieving WLB is exacerbated.…”

“…Therefore, there is the need for some form of external 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 influence to investigate this culture in order to increase the potential for achieving WLB. In the EU, Australia, and Singapore, for example, doctors may not work over 48 hours in one week (Bamford and Bamford, 2008;British Medical Association News, 2007;Lai-Ching and KamWah, 2012). Our findings lead us to conclude that the medical profession in Nigeria is does not sufficiently value WLB in order to negotiate favourable working hours as shown in the case of the UK by Crompton and Lyonette (2011).…”

Learning in the surgical workplace: necessity not luxury

“…However, the widespread reduction in working hours has exerted additional, unwelcome stresses 1 . These have far‐reaching consequences not only in terms of professional and personal development, but also in terms of psychological and physical well‐being 2 …”

A qualitative investigation of Foundation Year 2 doctors’ views on the European Working Time Directive

“…Doctors have therefore been described as focused on 'clocking on and clocking off' (Bamford & Bamford, 2008 In line with the introduction of shift-based working, studies have highlighted concerns regarding continuity of care, insofar as junior doctors being involved in the whole patient journey from the admission stage through to diagnosis, management, discharge and finally follow up (Mather & Pounder, 2005). There have therefore been concerns reported in the literature regarding the impact of the Directive on training opportunities and general morale in the workforce.…”

“…However, it was not until August 2004 that the Directive was applied to doctors-in-training. The EWTD is part of health and safety legislation, largely designed to prevent excessive working hours and improve the conditions of hospital based medical doctors (Bamford & Bamford, 2008). Specifically, the EWTD has imposed a staged (2000) and Jaeger (2002) judgements in the European Court of Justice.…”