Sleep among primary care physicians-Association with overtime, night duties and strategies to counteract poor sleep quality.
general practitioners
night duties
night work
physicians
sleep quality
work time
Journal
Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
17
10
2019
revised:
09
02
2020
accepted:
26
02
2020
pubmed:
4
4
2020
medline:
14
7
2021
entrez:
4
4
2020
Statut:
ppublish
Résumé
Physicians belong to the risk group for sleep disorders as a result of work related stress, excessive working time, large amount of on-call duties and shift work. Poor sleep quality of healthcare providers threatens not only their safety, but also the safety of their patients. This study examines if there are any differences in how working either long hours or at night duties relates to self-reported sleep time, sleep quality and daytime sleepiness in primary care physicians. We analyzed data from a survey research of 807 participants. Respondents were divided into four groups based on their reported work hours per week and number of nights on duty per month. Overtime was associated with shorter sleep time and worse subjective sleep quality even when compared with that of participants who work on night duties. All investigated groups of participants reported short sleep latencies which suggests that sleep debt is a common problem in this population. Surprisingly in the case of poor sleep quality participants rarely used recommended methods like regular physical activity or specialist advice. The most frequently reported answer was that they do nothing to improve sleep and every third participants uses hypnotics to do that. These results suggest that primary care physicians despite being at high risk for sleep disorders due to working overtime and at night, pay less attention to their sleep quality and do not use recommended strategies to improve it.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13031Informations de copyright
© 2020 European Sleep Research Society.
Références
Banks, S., & Dinges, D. (2007). Behavioral and physiological consequences of sleep restriction. Journal of Clinical Sleep Medicine, 3, 519-528.
Gohar, A., Adams, A., Gertner, E., Sackett-Lundeen, L., Heitz, R., Engle, R., … Bijwadia, J. (2009). Working memory capacity is decreased in sleep-deprived internal medicine residents. Journal of Clinical Sleep Medicine, 5(03), 191-197.
Howard, S. K., Gaba, D. M., Rosekind, M. R., & Zarcone, V. P. (2002). The risks and implications of excessive daytime sleepiness in resident physicians. Academic Medicine, 77(10), 1019-1025. https://doi.org/10.1097/00001888-200210000-00015
Kecklund, G., & Axelsson, J. (2016). Health consequences of shift work and insufficient sleep. British Medical Journal, 355, i5210. https://doi.org/10.1136/bmj.i5210
Knutson, K. L., Van Cauter, E., Rathouz, P. J., DeLeire, T., & Lauderdale, D. S. (2010). Trends in the prevalence of short sleepers in the USA: 1975-2006. Sleep, 33(1), 37-45. https://doi.org/10.1093/sleep/33.1.37
Kramer, M. (2010). Sleep loss in resident physicians: The cause of medical errors? Frontiers in Neurology, 1, 128. https://doi.org/10.3389/fneur.2010.00128
Landrigan, C. P., Rothschild, J. M., Cronin, J. W., Kaushal, R., Burdick, E., Katz, J. T., … Czeisler, C. A. (2004). Effect of reducing interns' work hours on serious medical errors in intensive care units. New England Journal of Medicine, 351(18), 1838-1848. https://doi.org/10.1056/NEJMoa041406
Mansukhani, M. P., Kolla, B. P., Surani, S., Varon, J., & Ramar, K. (2012). Sleep deprivation in resident physicians, work hour limitations, and related outcomes: A systematic review of the literature. Postgraduate Medicine, 124(4), 241-249. https://doi.org/10.3810/pgm.2012.07.2583
Owens, J. A. (2007). Sleep loss and fatigue in healthcare professionals. The Journal of Perinatal & Neonatal Nursing, 21(2), 92-100. https://doi.org/10.1097/01.JPN.0000270624.64584.9d
Philibert, I. (2016). What is known: Examining the empirical literature in resident work hours using 30 influential articles. Journal of Graduate Medical Education, 8(5), 795-805. https://doi.org/10.4300/JGME-D-16-00642.1
Reed, D. A., Fletcher, K. E., & Arora, V. M. (2010). Systematic review: Association of shift length, protected sleep time, and night float with patient care, residents' health, and education. Annals of Internal Medicine, 153(12), 829-842. https://doi.org/10.7326/0003-4819-153-12-201012210-00010
Riemann, D., Baglioni, C., Bassetti, C., Bjorvatn, B., Dolenc Groselj, L., Ellis, J. G., … Hertenstein, E. (2017). European guideline for the diagnosis and treatment of insomnia. Journal of Sleep Research, 26(6), 675-700. https://doi.org/10.1111/jsr.12594
Rodriguez-Jareño, M. C., Demou, E., Vargas-Prada, S., Sanati, K. A., Škerjanc, A., Reis, P. G., … Serra, C. (2014). European Working Time Directive and doctors’ health: A systematic review of the available epidemiological evidence. British Medical Journal Open, 4(7), e004916. https://doi.org/10.1136/bmjopen-2014-004916
Rothschild, J. M., Keohane, C. A., Rogers, S., Gardner, R., Lipsitz, S. R., Salzberg, C. A., … Czeisler, C. A. (2009). Risks of complications by attending physicians after performing nighttime procedures. Journal of the American Medical Association, 302(14), 1565-1572. https://doi.org/10.1001/jama.2009.1423
The Joint Commission (2012). Health care worker fatigue and patient safety. The Joint Commission Sentinel Event Alert. Issue 48, December 14, 2011.
Vallières, A., Azaiez, A., Moreau, V., LeBlanc, M., & Morin, C. M. (2014). Insomnia in shift work. Sleep Medicine, 15(12), 1440-1448. https://doi.org/10.1016/j.sleep.2014.06.021
Williamson, A. M., & Feyer, A. M. (2000). Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication. Occupational and Environmental Medicine, 57(10), 649-655. https://doi.org/10.1136/oem.57.10.649