What matters more in patient care? Giving doctors shorter hours of work or a good night's sleep?

Firth‐Cozens, Jenny; Cording, H

doi:10.1136/qshc.2002.002725

Cited by 21 publications

(5 citation statements)

References 19 publications

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“…Previous studies have shown little association between long working hours and emotional 44) . Although working hours are lower in our sample than in the US and EU 45) , we did find that the number of working hours were associated with work-home interface stress. In our study the work hour reduction did not outweigh the growing family demands (number of children) in this period, as reflected in the increase in reported stress from work-home interference.…”

Section: Discussioncontrasting

confidence: 86%

Job Stress in Young Physicians with an Emphasis on the Work-Home Interface: A Nine-Year, Nationwide and Longitudinal Study of its Course and Predictors

et al. 2007

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Although physicians are known to experience more stress than other workers, knowledge is lacking on the course of stress from a longitudinal perspective. This study explored the course of and contributors to, different dimensions of early career job-stress among physicians by means of a nationwide mail survey, with a particular emphasis on stress relating to the work-home interference. All physicians graduating from all four Norwegian universities in 1993 / 94 (N=631), responded during their final year of medical school (N=522), during their internship (N=402), in their 4th postgraduate year (N=422), and in their 10th postgraduate year (N=390). The mean observation period was 9.2 yr (SD=0.5). The main outcomes were job stress dimensions derived from an established job stress questionnaire (Cooper / Tyssen), with emphasis placed on dimensions of the work-home interference. Stress relating to the work-home interference increased during the observation period for both genders (repeated measures: β β β β β=0.06, p<0.05), whereas stress relating to emotional pressure, time pressure, and fear of complaints and criticism, decreased. Stress relating to the work-home interference increased during their early career, mainly due to a lack of adaptive reduction in work hours and an increased number of children. Neuroticism, conscientiousness, and lack of support from one's partner and colleagues, appeared to be predictive of this stress.

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Section: Discussioncontrasting

confidence: 86%

Job Stress in Young Physicians with an Emphasis on the Work-Home Interface: A Nine-Year, Nationwide and Longitudinal Study of its Course and Predictors

et al. 2007

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“…Major benefits of using simulation in conjunction with clinical placements include the opportunity to rehearse skills in a safe environment without compromising patient safety [ 18 ] and for the controlled, objective measurement of clinical performance. Unique to this and our previous studies [ 27 - 31 ] we have measured levels of ‘situation awareness’ [ 32 , 33 ] with the objective of understanding health professional focus of intention and ultimately enhancing patient safety. Originally developed from aircraft industry work on cockpit crew resource management, and later developed in anaesthesia, Situation Awareness (the perception of environmental elements) is measured on three levels (perception, understanding and prediction); and can be mapped and measured in a simulated environment using previously validated software known as Situation Awareness Global Assessment Technique (SAGAT) [ 34 ].…”

Section: Introductionmentioning

confidence: 99%

Managing Deteriorating Patients: Registered Nurses’ Performance in a Simulated Setting

Cooper

McConnell-Henry²,

Cant³

et al. 2011

Open Nurs J

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Aim: To examine, in a simulated environment, rural nurses’ ability to assess and manage patient deterioration using measures of knowledge, situation awareness and skill performance. Background: Nurses’ ability to manage deterioration and ‘failure to rescue’ are of significant concern with questions over knowledge and clinical skills. Simulated emergencies may help to identify and develop core skills. Methods: An exploratory quantitative performance review. Thirty five nurses from a single ward completed a knowledge questionnaire and two video recorded simulated scenarios in a rural hospital setting. Patient actors simulated deteriorating patients with an Acute Myocardial Infarction (AMI) and Chronic Obstructive Pulmonary Disease (COPD) as the primary diagnosis. How aware individuals were of the situation (levels of situation awareness) were measured at the end of each scenario. Results: Knowledge of deterioration management varied considerably (range: 27%-91%) with a mean score of 67%. Average situation awareness scores and skill scores across the two scenarios (AMI and COPD) were low (50%) with many important observations and actions missed. Participants did identify that ‘patients’ were deteriorating but as each patient deteriorated staff performance declined with a reduction in all observational records and actions. In many cases, performance decrements appeared to be related to high anxiety levels. Participants tended to focus on single signs and symptoms and failed to use a systematic approach to patient assessment. Conclusion: Knowledge and skills were generally low in this rural hospital sample with notable performance decrements as patients acutely declined. Educational models that incorporate high fidelity simulation and feedback techniques are likely to have a significant positive impact on performance.

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“…This cohort worked their longest hours as juniors, and by the time they were seniors a lot of the pressure had been transferred to higher grades, so they felt as though they never escaped it. Some studies, including mine, showed that access to meals and hours of sleep mattered more to young doctors than the number of hours of work 3…”

Section: First Resultsmentioning

confidence: 99%

What I learnt from studying doctors’ mental health over 20 years—an essay by Jenny Firth-Cozens

Firth‐Cozens

2020

BMJ

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What matters more in patient care? Giving doctors shorter hours of work or a good night's sleep?

Cited by 21 publications

References 19 publications

Job Stress in Young Physicians with an Emphasis on the Work-Home Interface: A Nine-Year, Nationwide and Longitudinal Study of its Course and Predictors

Job Stress in Young Physicians with an Emphasis on the Work-Home Interface: A Nine-Year, Nationwide and Longitudinal Study of its Course and Predictors

Managing Deteriorating Patients: Registered Nurses’ Performance in a Simulated Setting

What I learnt from studying doctors’ mental health over 20 years—an essay by Jenny Firth-Cozens

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