重新思考轮班：轮班长度、昼夜变化和急诊医师的长期健康风险。

IF 3.2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Internal and Emergency Medicine Pub Date : 2025-07-04 DOI:10.1007/s11739-025-04032-z

Nour Khatib, Anna Kempinska, Helen Levin, Tim Lynch, Nura Khattab, Kim DeSouza, Eric Heymann, Rodrick Lim

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引用次数: 0

摘要

急诊医生是在快节奏不断变化的环境中管理危急情况的专家。他们提供连续的24/7护理，是许多患者进入医疗保健系统的入口。在一天中的任何时候都有健康、警觉和熟练的急诊医生是至关重要的，但他们面临轮班工作的身体和精神挑战。本文旨在探讨当前关于急诊科轮班工作的文献，轮班工作对心理健康和身体的影响，并提出减轻轮班工作对急诊科医生有害影响的策略。

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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Rethinking shifts: shift length, diurnal variability, and long-term health risks for emergency medicine physicians.

Emergency physicians are experts in managing critical conditions in a fast-paced everchanging environment. They deliver continuous 24/7 care and are the entry point to the healthcare system for many patients. It is essential to have healthy, alert and skilled emergency physicians at all times of the day and yet they face the physical and mental challenges of shift work. This article aims to explore the current literature on emergency department (ED) shiftwork, the mental well-being and physical implications of shift work and offer strategies to mitigate its detrimental effects on emergency physicians.

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来源期刊

Internal and Emergency Medicine 医学-医学：内科

CiteScore

7.20

自引率

4.30%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Internal and Emergency Medicine (IEM) is an independent, international, English-language, peer-reviewed journal designed for internists and emergency physicians. IEM publishes a variety of manuscript types including Original investigations, Review articles, Letters to the Editor, Editorials and Commentaries. Occasionally IEM accepts unsolicited Reviews, Commentaries or Editorials. The journal is divided into three sections, i.e., Internal Medicine, Emergency Medicine and Clinical Evidence and Health Technology Assessment, with three separate editorial boards. In the Internal Medicine section, invited Case records and Physical examinations, devoted to underlining the role of a clinical approach in selected clinical cases, are also published. The Emergency Medicine section will include a Morbidity and Mortality Report and an Airway Forum concerning the management of difficult airway problems. As far as Critical Care is becoming an integral part of Emergency Medicine, a new sub-section will report the literature that concerns the interface not only for the care of the critical patient in the Emergency Department, but also in the Intensive Care Unit. Finally, in the Clinical Evidence and Health Technology Assessment section brief discussions of topics of evidence-based medicine (Cochrane’s corner) and Research updates are published. IEM encourages letters of rebuttal and criticism of published articles. Topics of interest include all subjects that relate to the science and practice of Internal and Emergency Medicine.