Ryan M McAdams, Renate Savich, Patrick J McNamara, Lily Lou, Jens C Eickhoff, Satyan Lakshminrusimha
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Impact of shift durations on sleep, fatigue, and wellness among neonatologists: a cross-sectional survey analysis.
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.
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.
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