Colón-de Martí Luz N, Martínez Angeles, Gómez Yolanda, Rivera-Colón Irma
P R Health Sci J. 2014 Jun;33(2):45-50.
In 2003 the ACGME implemented mandatory work-hour limitations to address concerns about the negative effects of sleep deprivation on resident wellbeing and patient safety. The night-float system (NFS) is an attempt to promote a balance between optimal patient care and well-rested residents. The aim of this study was to assess and compare the perceptions of surgical and non-surgical residents with regard to the impact of the NFS on their education, their well-being, and aspects related to patient care.
After the approval from the Institutional Review Board was received, residents (241) from the UPR School of Medicine residency programs were invited to participate. Those residents who chose to take part in the study (149) completed a questionnaire with demographic questions and items related to individual perceptions of the impact of the NFS. The questionnaires, collected from April 2010 through September 2010, were categorized as having come from a surgical or nonsurgical resident. Data were analyzed.
The response rate was almost sixty-two percent (61.8%). Of the residents who answered the questionnaire, 63% were in non-surgical programs, 51% were female, and 58% were single. Seventy-three percent of the residents had participated in an NFS. Sixty-two percent disagreed that their participation in the NFS improved their sense of well-being. Seventy-six percent agreed that their participation improved the continuity of care for the emergency room patients under their responsibility. A higher percentage of the non-surgical residents than surgical residents agreed that during their participation in the NFS, their relationships with their spouses/significant others and children (if applicable), sleep patterns and hours, peer support, and work/ rest balance were impacted negatively.
This group of residents presented significant differences between the non-surgical and the surgical groups in areas related to well-being, which the majority agreed was negatively impacted during their participation in the NFS.
2003年，美国研究生医学教育认证委员会（ACGME）实施了强制性工作时间限制，以解决对睡眠剥夺对住院医师健康和患者安全的负面影响的担忧。夜间轮值系统（NFS）旨在促进最佳患者护理与休息良好的住院医师之间的平衡。本研究的目的是评估和比较外科和非外科住院医师对NFS对其教育、健康以及与患者护理相关方面的影响的看法。
在获得机构审查委员会的批准后，邀请了波多黎各大学医学院住院医师培训项目的241名住院医师参与。那些选择参加研究的149名住院医师完成了一份问卷，其中包括人口统计学问题以及与个人对NFS影响的看法相关的项目。从2010年4月至2010年9月收集的问卷被分类为来自外科或非外科住院医师。对数据进行了分析。
回复率约为62%（61.8%）。在回答问卷的住院医师中，63%参加了非外科项目，51%为女性，58%为单身。73%的住院医师参与过NFS。62%的人不同意参与NFS能改善他们的幸福感。76%的人同意参与NFS改善了他们负责的急诊室患者的护理连续性。非外科住院医师中同意在参与NFS期间，他们与配偶/重要他人以及子女（如适用）的关系、睡眠模式和时长、同伴支持以及工作/休息平衡受到负面影响的比例高于外科住院医师。
这组住院医师在幸福感相关领域的非外科和外科组之间存在显著差异，大多数人认为在参与NFS期间幸福感受到了负面影响。
