Impact of shift durations on sleep, fatigue, and wellness among neonatologists: a cross-sectional survey analysis.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-05-01 Epub Date: 2025-04-25 DOI:10.1038/s41372-025-02310-4

Ryan M McAdams, Renate Savich, Patrick J McNamara, Lily Lou, Jens C Eickhoff, Satyan Lakshminrusimha

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引用次数: 0

Abstract

Objective: To assess the effects of shift durations on sleep, fatigue, and wellness among U.S. neonatologists in diverse settings.

Methods: A cross-sectional survey of U.S. neonatologists yielded 810 responses from 4400 recipients. Statistical analyses included ANOVA, logistic regression, and cluster analysis.

Results: Younger neonatologists (<35 years) reported the highest fatigue levels, with females more affected than males (p = 0.0185). Male neonatologists were less likely than females (OR 0.55, p = 0.0013), and those in university settings more likely than non-university settings (OR 1.43, p = 0.0389), to report adverse effects of shifts >16 h. Cluster analysis identified three fatigue patterns, with the most severe among younger neonatologists working shifts >16 h.

Conclusion: Long shifts (>16 h) negatively affect neonatologists' wellness, particularly younger and female clinicians. With most neonatal-perinatal medicine fellows being female, policies addressing shift duration are needed.

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轮班时间对新生儿医生睡眠、疲劳和健康的影响：一项横断面调查分析。

目的：评估不同环境下美国新生儿医师轮班时间对睡眠、疲劳和健康的影响。方法：对美国新生儿学家进行横断面调查，从4400名接受者中获得810份回复。统计分析包括方差分析、逻辑回归和聚类分析。结果：较年轻的新生儿（16小时）。聚类分析确定了三种疲劳模式，最严重的是年轻的新生儿医生轮班工作16小时。结论：长时间轮班（10 - 16小时）对新生儿医生的健康产生负面影响，尤其是年轻和女性临床医生。由于大多数新生儿-围产期医学研究员是女性，因此需要解决轮班时间的政策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.