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48 Our roster, our choice: Impact of a shift work roster’s layout on emotional well-being and burnout levels

Rehman, Liqa ur ; Hamid, Aliya ; Shahid, Muhammad ; Bolger, Turlough

Archives of disease in childhood, 2021-10, Vol.106 (Suppl 2), p.A20-A21 [Periódico revisado por pares]

London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health

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  • Título:
    48 Our roster, our choice: Impact of a shift work roster’s layout on emotional well-being and burnout levels
  • Autor: Rehman, Liqa ur ; Hamid, Aliya ; Shahid, Muhammad ; Bolger, Turlough
  • Assuntos: Abstracts ; Burnout ; Emergency medical care ; Emotions ; Fatigue ; Motivation ; Occupational stress ; Online Surveys ; Pediatrics ; Physicians ; Preferences ; Shift work
  • É parte de: Archives of disease in childhood, 2021-10, Vol.106 (Suppl 2), p.A20-A21
  • Notas: 10th Europaediatrics Congress, Zagreb, Croatia, 7–9 October 2021
    General Pediatrics
  • Descrição: To determine the impact of a change in the layout of a rolling shift work roster according to non-consultant hospital doctors (NCHDs) preferences on emotional well-being and burnout levels in a Paediatric Emergency Department (PED).Our roster consists of 15 NCHDs. It contains two and a half cycles, spanning ten weeks each over six months.An online survey was designed to analyse the first cycle of the roster.Five factors of emotional well-being (happiness, motivation, tiredness, irritability and sleep quality) were highlighted and the survey was circulated to all NCHDs at the end of their shift each week for 10 weeks.Answer options were framed using a Likert-scale ranging from 1-79. The results were then compiled into a multi-line graph.The Maslach Burnout Inventory (MBI) was also distributed after the first cycle of to determine the level of burnout for physicians3.After analysing the results the roster was changed whilst taking into account physicians preferences and burnout for NCHDs was determined once again at the end of the next cycle.The multi-line graph showed that NCHDs ended the weekday nights with mild-moderate negative emotions. After the annual leave break, positive emotions were at their peak where NCHDs felt very happy, energetic and motivated. Over the next few weeks, their emotions remained neutral as they still had enough breaks and shorter shifts. However, from the first twilight shift (Week 5), negative emotions dominated until NCHDs were emotionally drained at the end of the Week 9 shift. After the change in the roster, NCHDs emotions picked up during Weeks 5 – 9 moving towards neutral and slightly positive.The results of the MBI further confirmed that 85% of physicians were facing moderate-high level burnout which declined after the roster change to 33%.Burnout is a growing problem among physicians and can possibly lead to devastating consequences therefore requiring immediate interventions 1,2, 3,4, 5, 6, 7, 8. The results revealed that an uneven layout of shifts and breaks within the cycle contributed to high burnout levels which hugely declined after taking into account physicians preferences.
  • Editor: London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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