Adonis Nasr, Phillipe Abreu-Reis, Iwan A Collaco, Flavio S Tomasich, Joaquim L Andrade, Marina N Góes, Lucas M Sarquis, Jéssica RA de Souza, Luis FS Brunello, Thais Takamura, Caroline LBD Bosco, Lucas de S Benatti, Carolina Oldoni
Day off, Doctor, Medicine, Perceptor, Quality of life, Residency, Stress, Student, Trauma
Citation Information :
Nasr A, Abreu-Reis P, Collaco IA, Tomasich FS, Andrade JL, Góes MN, Sarquis LM, de Souza JR, Brunello LF, Takamura T, Bosco CL, Benatti LD, Oldoni C. Day off after Night Shift: Rest and Recovery?. Panam J Trauma Crit Care Emerg Surg 2018; 7 (3):194-198.
Introduction: The medical profession has quite stressful aspects, such as requiring great dedication of time, the involvement of a lot of personal responsibility, as well as the constant contact with the suffering of patients and families. In view of the deleterious effects of uncontrolled stress on the physician, the patient and the public at large, definite steps are required to stem this tide and proffer solutions. So, we performed this study to assess if the possibility of having a day off after a night shift can change the level of stress between internship students, residents and doctors.
Research methods: A descriptive cross-sectional comparative study was performed during the period from February to April 2016, internship students, residents, and doctors were subjected to a validated questionnaire voluntarily, with online filing.
Results: Three hundred sixty-two people answered the online questionnaire About 56% of them have a day off after a night shift and 97,7% consider that having a day off would improve their quality of life. In the perceived stress scale they reached 19,926 points. Comparing the level of stress between interns, residents, and doctors that have a day off and those who do not have we did not found a statistic significance (p = 0.9886, p = 0.8014 and 0.0969 respectively).
Conclusion: Stress is present in all the categories studied. Among the Medical students and doctors, most have a day after night shift off. Doctors, residents and medical students are more stressed than a population of the same age. Almost all subjects responded that they consider the day off important to quality of life, but we didn\'t found statistical significance between stress levels and the presence or absence of this rest period among doctors, residents and medical students
Barbosa GA, Andrade EO, Carneiro MB, Gouveia VV. A saúde dos médicos do Brasil. Conselho Federal de Medicina, 2007. p 16.
Brent DA. The residency as a developmental process. J Med Educ. 1981;56(5):417-422.
BRASIL. Ministério da Educação. Conselho Nacional de Educação. Diretrizes Curriculares Nacionais do Curso de Graduação em Medicina.
McCue JD. The effects of stress on physicians and their medical practice. N Engl J Med. 1982;306(8):458-463.
Firth-Cozens J. Doctors, their wellbeing, and their stress: it's time to be protective about stress and prevent it (editorials). Brit Med J 2003;326:670.
American Foundation for Suicide Prevention (AFSP) New York. 2004.
CARNEIRO, Mauro Brandão; GOUVEIA, Valdiney Veloso (coord.). O médico e o seu trabalho: aspectos metodológicos e resultados do Brasil. Brasília: Conselho Federal de Medicina, 2004: p. 55-56
Kumar S. Burnout and doctors: prevalence, prevention and intervention. In Healthcare 2016 (Vol. 4, No. 3, p. 37). Multidisciplinary Digital Publishing Institute.
Albendín-García L, San Luis C, Gómez-Urquiza JL, Cañadas GR. Síndrome de burnout en profesionales de enfermería que realizan jornada física complementaria en servicios de cuidados críticos y urgencias. Revista Española de Salud Pública. 2016;90.
Boström M, Sluiter JK, Hagberg M, Grimby-Ekman A. Opportunities for recovery at work and excellent work ability-a cross-sectional population study among young workers. BMC public health. 2016 Dec;16(1):985.
Bilimoria KY, Chung JW, Hedges LV, Dahlke AR, Love R, Cohen ME, Hoyt DB, Yang AD, Tarpley JL, Mellinger JD, Mahvi DM. National cluster-randomized trial of duty-hour flexibility in surgical training. New England Journal of Medicine. 2016 Feb 25;374(8):713-727.
Harris JD, Staheli G, LeClere L, Andersone D, McCormick F. What effects have resident work-hour changes had on education, quality of life, and safety? A systematic review. Clinical Orthopaedics and Related Research®. 2015 May 1;473(5):1600-1608.
Lockley SW. Should Medical Residents Be Required to Work Shorter Shifts? The Wall Street Journal. 18 Feb 2013.
Hamadani F, Deckelbaum D, Shaheen M, Sauvé A, Dumitra S, Ahmed N, Latulippe JF, Balaa F, Walsh M, Fata P. Elimination of 24-hour continuous medical resident duty in Quebec. Canadian Journal of Surgery. 2016 Feb;59(1):67-69.
Businger AP, Laffer U, Kaderli R. Resident work hour restrictions do not improve patient safety in surgery: a critical appraisal based on 7 years of experience in Switzerland. Patient safety in surgery. 2012 Dec;6(1):17.
Ahmed N, Devitt KS, Keshet I, Spicer J, Imrie K, Feldman L, at al. A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes. Annals of surgery. 2014 Jun;259(6):1041-1053.
Olasky J, Chellali A, Sankaranarayanan G, Zhang L, Miller A, De S, Jones DB, Schwaitzberg SD, Schneider BE, Cao CG. Effects of sleep hours and fatigue on performance in laparoscopic surgery simulators. Surgical endoscopy. 2014 Sep 1;28(9):2564-2568.