Work-Related Accumulated Fatigue among Doctors in Tertiary Hospitals: A Cross-Sectional Survey in Six Provinces of China

Tang, Changmin; Liu, George; Fang, Pengqian; Xiang, Yuanxi; Ma, Rui

doi:10.3390/ijerph16173049

Cited by 49 publications

(55 citation statements)

References 44 publications

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“…In addition, these findings warrant an urgent, targeted intervention among high-risk groups of frontliners, particularly medical doctors, to prevent fatigue-related consequences [ 20 ]. Although many people may interpret fatigue as signs of dedicated doctors, the stakeholders should view it as a sign of failure in resource management [ 53 , 54 ].…”

Section: Discussionmentioning

confidence: 99%

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Fauzi

Yusoff

Robat

et al. 2020

IJERPH

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The COVID-19 pandemic potentially increases doctors’ work demands and limits their recovery opportunity; this consequently puts them at a high risk of adverse mental health impacts. This study aims to estimate the level of doctors’ fatigue, recovery, depression, anxiety, and stress, and exploring their association with work demands and recovery experiences. This was a cross-sectional study among all medical doctors working at all government health facilities in Selangor, Malaysia. Data were collected in May 2020 immediately following the COVID-19 contagion peak in Malaysia by using self-reported questionnaires through an online medium. The total participants were 1050 doctors. The majority of participants were non-resident non-specialist medical officers (55.7%) and work in the hospital setting (76.3%). The highest magnitude of work demands was mental demand (M = 7.54, SD = 1.998) while the lowest magnitude of recovery experiences was detachment (M = 9.22, SD = 5.043). Participants reported a higher acute fatigue level (M = 63.33, SD = 19.025) than chronic fatigue (M = 49.37, SD = 24.473) and intershift recovery (M = 49.97, SD = 19.480). The majority of them had no depression (69.0%), no anxiety (70.3%), and no stress (76.5%). Higher work demands and lower recovery experiences were generally associated with adverse mental health. For instance, emotional demands were positively associated with acute fatigue (adj. b = 2.73), chronic fatigue (adj. b = 3.64), depression (adj. b = 0.57), anxiety (adj. b = 0.47), and stress (adj. b = 0.64), while relaxation experiences were negatively associated with acute fatigue (adj. b = −0.53), chronic fatigue (adj. b = −0.53), depression (adj. b = −0.14), anxiety (adj. b = −0.11), and stress (adj. b = −0.15). However, higher detachment experience was associated with multiple mental health parameters in the opposite of the expected direction such as higher level of chronic fatigue (adj. b = 0.74), depression (adj. b = 0.15), anxiety (adj. b = 0.11), and stress (adj. b = 0.11), and lower level of intershift recovery (adj. b = −0.21). In conclusion, work demands generally worsen, while recovery experiences protect mental health during the COVID-19 pandemic with the caveat of the role of detachment experiences.

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Section: Discussionmentioning

confidence: 99%

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Fauzi

Yusoff

Robat

et al. 2020

IJERPH

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“…Multiple studies among doctors found that prevalence of fatigue range from 28% to 91%. [12][13][14][15][16][17][18] The majority of them were experiencing high and frequent fatigue 17 18 with low and moderate intershift recovery. 19 These findings are not surprising as a doctor's Strengths and limitations of this study ► Multicentre study involving seven core clinical disciplines from seven tertiary public hospitals.…”

Section: Introductionmentioning

confidence: 99%

“…Despite numerous studies related to work hours and fatigue, [12][13][14][15][16][17][18][19][20][21] there is limited study specifically on acute fatigue, chronic fatigue and intershift recovery as well as their association with work-related activities during non-work time among doctors. To date, no similar study has been done in Malaysia.…”

Section: Introductionmentioning

confidence: 99%

Fatigue and recovery among Malaysian doctors: the role of work-related activities during non-work time

et al. 2020

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ObjectivesThis paper aims to estimate the level of acute fatigue, chronic fatigue and intershift recovery among doctors working at public hospitals in Malaysia and determine their inter-relationship and their association with work-related activities during non-work time.DesignCross-sectional.SettingSeven core clinical disciplines from seven tertiary public hospitals in Malaysia.ParticipantsStudy was conducted among 330 randomly-sampled doctors. Response rate was 80.61% (n=266).ResultsThe mean score of acute fatigue, chronic fatigue and intershift recovery were 68.51 (SD=16.549), 54.60 (SD=21.259) and 37.29 (SD=19.540), respectively. All these scores were out of 100 points each. Acute and chronic fatigue were correlated (r=0.663), and both were negatively correlated with intershift recovery (r=−0.704 and r=−0.670, respectively). Among the work-related activities done during non-work time, work-related ruminations dominated both the more frequent activities and the association with poorer fatigue and recovery outcomes. Rumination on being scolded/violated was found to be positively associated with both acute fatigue (adjusted regression coefficient (Adj.b)=2.190, 95% CI=1.139 to 3.240) and chronic fatigue (Adj.b=5.089, 95% CI=3.876 to 6.303), and negatively associated with recovery (Adj.b=−3.316, 95% CI=–4.516 to –2.117). Doing work task at workplace or attending extra work-related activities such as locum and attending training were found to have negative associations with fatigue and positive associations with recovery. Nevertheless, doing work-related activities at home was positively associated with acute fatigue. In terms of communication, it was found that face-to-face conversation with partner did associate with higher recovery but virtual conversation with partner associated with higher acute fatigue and lower recovery.ConclusionsWork-related ruminations during non-work time were common and associated with poor fatigue and recovery outcomes while overt work activities done at workplace during non-work time were associated with better fatigue and recovery levels. There is a need for future studies with design that allow causal inference to address these relationships.

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“…Workers Fatigue Accumulated Degree by Self-Diagnostic Questionnaire (WFAD-SQ), the self-test diagnostic scale of fatigue accumulation was developed by the Ministry of Health, Labour, and Welfare of Japan (2003) [37] and has been validated in a range of healthcare settings in Japan, China, and some other countries [41][42][43]. The degree of overwork was measured by this scale, which is a kind of simple self-test questionnaire, mainly based on the developed medical research achievements.…”

Section: Overworkmentioning

confidence: 99%

Effects of Job Demands, Job Resources, and Workaholism on Overwork: A Cross-Sectional Survey in China

Wang¹,

Yang²,

Nagai³

2020

Preprint

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Background Overwork has become the common for some employees in China. The ‘Healthy China 2030’ plan mandates prevention of excessive overtime, making serious overwork was not advocated. Meeting new regulations requires clarification of the factors influencing overwork; however, Chinese researchers have not thoroughly examined ‘overwork’ and few proven models are available for addressing its relationship to job demands, job resources, and workaholism. Methods This study analysed these factors and overwork among employees in Chinese companies. A total of 1047 employees completed the Workers Fatigue Accumulated Degree by Self-Diagnostic Questionnaire (WFAD-SQ) for Assessment of Workers' Accumulated Fatigue to measure the degree of overwork; Workaholism Battery (WorkBAT) was applied to evaluate workaholism; the Job content qualifications (JCQ) were adopted to survey job demands–resources. Results Structural equation modelling (SEM) verified the effects shown, indicating job resources significantly negatively affect and job demands positively affect overwork. Workaholism demonstrated a significant intermediary role between job demands-resources and overwork. The SEM results indicate job demands-resources have both direct and indirect effects on overwork, and task demands, psychological requirements, and colleague support are the primary positive protective predictors for overwork. Conclusions The findings indicate the importance of employers strictly enforcing overtime rules, ensuring staffs’ rights for rest, and establishing harmonious working relationships between employees.

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Work-Related Accumulated Fatigue among Doctors in Tertiary Hospitals: A Cross-Sectional Survey in Six Provinces of China

Cited by 49 publications

References 44 publications

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Fatigue and recovery among Malaysian doctors: the role of work-related activities during non-work time

Effects of Job Demands, Job Resources, and Workaholism on Overwork: A Cross-Sectional Survey in China

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