Shiftwork and emergency medical practice

Abstract

Shiftwork has numerous negative effects on workers, but it is an essential component of the demanding 24/7 practice of emergency medicine. We conducted a systematic literature review to characterize the effects of shiftwork on physician health, well-being and practice, and to describe rational strategies to mitigate its impact on Canadian emergency physicians.

Assessment of the Pittsburgh Sleep Quality Index among Physician's Speciality Who Work Night Shifts

“…[16][17][18] This study present results, that night shift worker physicians have poor sleep quality and it is not different among their specialty's or seniority's in work. This result is new than in literature.…”

“…[16][17][18] Suggestion is physicians won't be pass 80 hours in a week and 16-30 hours at once a shift. Thus, sleep withdrawal, medical mistakes and accidents can be avoided.…”

“…The working conditions on night shifts seems to be hard in emergency medicine, at least as in other physician specialty groups. 16,32 When health care managers want to improve working standards for night shift worker physicians, they could assess the sleep quality and their healthy.…”

Shiftwork Problems

“…Ovakvi su poticaji nužni budući da smjenski radnici, jednako kao i dnevni, u skladu sa socijalnim normama preferiraju dnevno radno vrijeme od ponedjeljka do petka te slobodno vrijeme navečer i vikendom (7,8). Unatoč navedenim prednostima, nestandardno radno vrijeme navodi se kao najvažniji razlog zbog kojeg, primjerice, liječnici koji rade u hitnim službama napuštaju radna mjesta (9).…”

“…To smanjuje funkcionalne sposobnosti radnika, pa pojedinac koji je izložen kontinuiranomu rotirajućem smjenskom radu često osjeća umor i pospanost, ima nesanicu, dezorijentiran je i preosjetljiv te mu je općenito smanjena mentalna agilnost i radna efi kasnost. Navedeni skup simptoma poznat je pod nazivom desinkronizacijski ili shift-lag sindrom (1,9).…”