On‐call stress among Finnish anaesthetists*

Lindfors, Pirjo; Nurmi, K. E.; Meretoja, O. A.; Luukkonen, Ritva; Viljanen, Anna; Leino, Timo; Härmä, Mikko

doi:10.1111/j.1365-2044.2006.04749.x

Cited by 96 publications

(105 citation statements)

References 45 publications

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“…at nights and at weekends). The findings echo those of an earlier study in Finland [29]. A survey in New Zealand reported that a substantial proportion of anaesthetists believed their weekly work hours jeopardised both patient safety and their own wellbeing [30].…”

supporting

confidence: 82%

The tiring anaesthetist

Tucker

Byrne

2013

Anaesthesia

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supporting

confidence: 82%

The tiring anaesthetist

Tucker

Byrne

2013

Anaesthesia

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“…Moreover, the Taiwanese study reported a higher proportion of persons suffering from depression among physicians than in the general population (13.3% vs. 3.7%). In a study investigating on-call workload among Finnish anesthetists, a total of 68% felt stressed [14]. Certain specialists such as surgeons are more stressed than others [9,15].…”

Section: Discussionmentioning

confidence: 99%

Which health professionals are most at risk for cardiovascular disease? Or do not be a manager

Sovová¹,

Nakládalová²,

Kaletová³

et al. 2014

International Journal of Occupational Medicine and Environmental Health

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Objectives: Health care workers constitute a high-risk occupational category owing to the character of their work that includes high-risk environment, shift work and mental as well as physical stress. In occupational medicine, caring for their health condition should be a priority and include measures aimed at preventing cardiovascular diseases. The study aimed at determining the prevalence of cardiovascular disease (CVD) risk factors in employees of a large hospital and assessing their effect on the incidence of cardiovascular events. Materials and Methods: The group comprised 3124 employees with a mean age of 36.1 years (SD = 11.4), out of whom 562 were males (mean age of 37.1 years, range: 18-72; SD = 12.26) and 2562 were females (mean age of 35.9 years, range: 18-68; SD = 11.24). At their initial examination, the employees filled in a questionnaire on basic CVD risk factors (according to valid recommendations). This was supplemented with objective data to determine the risk of CVD using valid charts. From this group, a subset of persons at a high or intermediate risk was selected, comprising 247 individuals with a mean age of 54.1 years (SD = 5.73). After 5-9 years (mean 7.24±1.38 years), they either underwent another examination or their health status was ascertained by phone or in a computer database. The end point was the incidence of cardiovascular events (sudden death, acute myocardial infarction, unstable angina pectoris, percutaneous coronary intervention, cardiac failure, stroke or transient ischemic attack). Results: The end point was noted in a total of 15 males (6.07%) and 6 females (2.42%), being statistically significantly present in managers (males p < 0.00007, females p < 0.00001), male physicians/surgeons (p < 0.025), tertiary-educated males (p < 0.0095), female smokers (p < 0.015), male ex-smokers (p < 0.007), overweight or obese males (p < 0.02) and those with the waist-to-hip ratio above 1.0 (p < 0.005). Conclusions: Cardiovascular events are most likely to occur in obese male physicians/surgeons holding managerial positions and in female managers.

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“…The work demands of some shift worker occupations may also be especially stressful due to the special nature of the work (eg, on-call emergency work and working alone). For example, 68% of a representative group of anesthetists reported stress, and 18% had moderate burnout (75). Being frequently oncall had a dose-response type relationship to the existence of stress symptoms, burnout, and feelings of exhaustion.…”

Section: Shift Workmentioning

confidence: 97%

Workhours in relation to work stress, recovery and health

Härmä

2006

Scand J Work Environ Health

321

229

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This paper aims at describing the associations between workhours and psychosocial work characteristics and reviews the health effects of workhours and the related pathways. The role of insufficient sleep as a possible common pathway from workhours and work stress to cardiovascular illness is discussed. Finally, the key possibilities for improving recovery and health through changes in workhours are identified. Night work and shift work are related to a wide range of health effects, the evidence for the risk of cardiovascular morbidity being the strongest. Insufficient or poor sleep, related to insufficient recovery, can be a common pathway from long workhours, shift work, and work stress to cardiovascular illness. The most promising worktime-related means for decreasing the psychosocial workload and negative health effects of workhours would be (i) to regulate overtime and excessive workhours, (ii) increase individual worktime control, and (iii) increase recovery from the introduction of sleep-promoting principles into shift rotation.

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On‐call stress among Finnish anaesthetists*

Cited by 96 publications

References 45 publications

The tiring anaesthetist

The tiring anaesthetist

Which health professionals are most at risk for cardiovascular disease? Or do not be a manager

Workhours in relation to work stress, recovery and health

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