The impact of junior doctors’ worktime arrangements on their fatigue and well-being
Scandinavian Journal of Work Environment & HealthPublished 23 April 2010Open access
Philip Tucker, Menna Brown, Anna Dahlgren, Gwyneth Davies, P Ebden, Simon Folkard
Citations72
SJR quartileQ1
SJR score2.18
SNIP1.61
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The current findings identify parameters, in addition to those specified in the EWTD, for designing schedules that limit their impact on doctors' fatigue and well-being.
Abstract
The current findings identify parameters, in addition to those specified in the EWTD, for designing schedules that limit their impact on doctors' fatigue and well-being.
Keywords
PsychologyMedicineHealth Professions
Using multivariate statistics
77,462 Citations1983Barbara G. Tabachnick, Linda S. Fidell
In this Section: 1. Multivariate Statistics: Why? and 2. A Guide to Statistical Techniques: Using the Book Research Questions and Associated Techniques.
Journal of Applied PsychologyCommon method biases in behavioral research: A critical review of the literature and recommended remedies.
76,604 Citations2003Philip M. Podsakoff, Scott MacKenzie +2 more
The extent to which method biases influence behavioral research results is examined, potential sources of method biases are identified, the cognitive processes through which method bias influence responses to measures are discussed, the many different procedural and statistical techniques that can be used to control method biases is evaluated, and recommendations for how to select appropriate procedural and Statistical remedies are provided.
Journal of Psychosomatic ResearchThe detection of psychiatric illness by questionnaire
2,738 Citations1973Raymond Levy
New England Journal of MedicineEffect of Reducing Interns' Work Hours on Serious Medical Errors in Intensive Care Units
1,759 Citations2004Christopher P. Landrigan, Jeffrey M. Rothschild +9 more
Occupational MedicineHealth disorders of shift workers
1,205 Citations2003Anders Knutsson
The strongest evidence exists for an association with peptic ulcer disease, coronary heart disease and compromised pregnancy outcome and working at night or on shift systems.
The Lancet OncologyCarcinogenicity of shift-work, painting, and fire-fighting
1,080 Citations2007Kurt Straíf, Robert A. Baan +7 more
The Working Group concluded that “shift-work that involves circadian disruption is probably carcinogenic to humans” (Group 2A).
Administrative Science QuarterlyAn Examination of Need-Satisfaction Models of Job Attitudes
851 Citations1977Gerald R. Salancik, Jeffrey Pfeffer
Occupational MedicineShift work, safety and productivity
767 Citations2003Simon Folkard
The evidence reviewed in this paper clearly indicates that both productivity and safety may be compromised at night, and shift systems need to be improved with respect to these factors.
Journal of Occupational PsychologyThe use of the General Health Questionnaire as an indicator of mental health in occupational studies
694 Citations1980Michael H. Banks, Chris Clegg +4 more
The GHQ-12 was shown to be psychometrically sound in all cases, with the Likert scoring method providing a more acceptable distribution of scores than the more commonly deployed ‘ GHQ score ’ for use in parametric statistical analyses.
JAMANeurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion
416 Citations2005J. Todd Arnedt, Judith Owens +3 more
Post-call performance impairment during a heavy call rotation is comparable with impairment associated with a 0.04 to 0.05 g% blood alcohol concentration during a light call rotation, as measured by sustained attention, vigilance, and simulated driving tasks.
Work & StressThe Standard Shiftwork Index: a battery of questionnaires for assessing shiftwork-related problems
307 Citations1995Jane Barton, Evelien Spelten +4 more
Scandinavian Journal of Work Environment & HealthWorking shifts and mental health – findings from the British Household Panel Survey (1995–2005)
215 Citations2009Ana-Claudia Bara, Sara Arber
Women's mental health was more adversely affected by varied shift patterns, while night work had a greater negative impact on men'smental health.
International Archives of Occupational and Environmental HealthTolerance to shift work?how does it relate to sleep and wakefulness?
176 Citations2004John Axelsson, Torbj�rn �kerstedt +2 more
Satisfaction with the shift schedule seems to reflect how well the shift workers were coping with the schedule, and the increase of sleep/wake problems within the work period for the dissatisfied shift workers is related to increased sensitivity to curtailed and displaced sleep.
Journal of Applied PsychologyRecovery from work shifts: How long does it take?
131 Citations1995Peter Totterdell, Evelien Spelten +3 more
Shift-working nurses used a handheld computer for 28 days to complete self-ratings, cognitive-performance tasks, and a sleep diary, and results are interpreted as being consistent with the combined adaptive costs of fatigue and adjustment to and from a nocturnal routine.
QJMImplementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison
84 Citations2009Francesco P. Cappuccio, A. Bakewell +10 more
This study supports the hypothesis that a 48 h work week coupled with targeted efforts to improve sleep hygiene improves patient safety and reports worse educational opportunities on the intervention rota.
BMJ Quality & SafetyThe impact of shift patterns on junior doctors' perceptions of fatigue, training, work/life balance and the role of social support
70 Citations2010Menna Brown, Philip Tucker +5 more
The impact of junior doctors' work schedules is influenced by the nature of specific shift sequences, educational considerations, issues of work/life balance and by social support systems.
Clinical MedicineWorking the night shift: preparation, survival and recovery - a guide for junior doctors
68 Citations2006Nicholas P. C. Horrocks, Roy E. Pounder
The guide examines the evidence concerning the hazards of shiftwork, and techniques that can be used to reduce risk, and main advice is to minimise sleep debt by taking additional two-hour sleeps in the afternoon before a shift, and 20- to 45-minute naps during the night shift.
Occupational and Environmental MedicineEffects of direction of rotation in continuous and discontinuous 8 hour shift systems
64 Citations2000Philip Tucker, Lawrence Smith +2 more
The absence of negative effects of advancing shifts upon the chronic outcome measures accorded with previous evidence that advancing shifts may not be as harmful as early research indicated, but this interpretation is tempered by the possibility that difficult shift systems self select those workers most able to cope with their deleterious effects.
Transportation Research Part F Traffic Psychology and BehaviourSleepiness and days of recovery
57 Citations2000Torbjörn Åkerstedt, Göran Kecklund +3 more
The results show that for the average normal office week worker two days of recovery are normally sufficient, while 3–4 days are necessary after periods of severely disturbed circadian rhythmicity, and fatigue/sleepiness is often at its peak during the first day of recovery.
BMJJunior doctors' shifts and sleep deprivation
51 Citations2005Alice Murray, Roy E. Pounder +2 more
The European working time directive aims to reduce working hours in order to improve workers' health and safety, but the current NHS shift system could threaten doctors' and, moreover, patients' safety.
Scandinavian Journal of Work Environment & HealthEffects of active on-call hours on physicians’ turnover intentions and well-being
49 Citations2008Tarja Heponiemi, Anne Kouvonen +5 more
On-call duty and the co-occurrence of lifestyle risk factors may both decrease physicians' well being and increase their intentions to leave their job.
Social Science & MedicineRegulation of junior doctors’ work hours: an analysis of British and American doctors’ experiences and attitudes
40 Citations2003Reshma Jagsi, Rebecca Surender
The study finds that the different policy mechanisms employed in the two countries have had different degrees of success in reducing the work hours of junior doctors, and suggests that recently enacted policies requiring further reductions in junior doctors' hours in both the US and UK may face similar barriers when implemented.
PubMedEffects on Accidents of Time into Shift and of Short Breaks between Shifts.
28 Citations1997Ian Macdonald, Lindsay Smith +2 more
Clinical MedicineJunior doctors and the full shift rota – psychological and hormonal changes: a comparative cross-sectional study
24 Citations2006Andrew Smith, Paul Morris +4 more
The results suggest that there are still appreciable physiological consequences with new work patterns, and the hormonal and psychological effect of the full shift rota on junior doctors after implementation of the European Working Time Directive is studied.
Obstetrical & Gynecological SurveyNeurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion
13 Citations2005J. Todd Arnedt, Judith Owens +3 more
