Faculty of Health, University of Plymouth, Plymouth, UK
Emergency Department, Derriford Hospital, University Hospitals Plymouth NHS Trust, Plymouth, UK.
Emerg Med J. 2020 Sep;37(9):555-561. doi: 10.1136/emermed-2019-208797. Epub 2020 Jul 9.
The Need for Recovery (NFR) Scale is an 11-item questionnaire that assesses how work affects intershift recovery. Items are summated to form a score with a maximum value of 100. Previously reported scores range from 38 in nurses to 55 in miners. This study aimed to determine the NFR Score among ED staff and to identify whether the NFR Score was associated with characteristics potentially implicated with recovery from work.
Staff in a single ED in the South West of England (annual attendances of 93 000) were asked to complete an electronic questionnaire incorporating the NFR Scale plus additional items relating to demographic, work-related and well-being characteristics, in their own time during January 2018. Descriptive statistics are presented, including median NFR Scores and associations with additional characteristics. Thematic analysis of free-text comments from an open-ended question was undertaken.
One hundred and sixty-eight responses were obtained (80.3% capture). Median NFR Score across all staff groups was 81.8 out of 100.0 (95% CI 72.7 to 81.8). Shift duration exceeding 12 hours, dissatisfaction with work-life balance and self-reported perceptions of burnout were associated with significantly elevated NFR Scores. Themes resulting from the open-ended question were 'barriers to intershift recovery' and 'coping with work'.
The NFR Scores in this study exceeded scores reported elsewhere and were associated with some demographic, occupational and well-being characteristics. The NFR Scale has utility to measure the need for intershift recovery among ED staff. A larger study is warranted to identify specific determinants of recovery and to provide recommendations.
需求恢复（NFR）量表是一个 11 项的问卷，用于评估工作对轮班后恢复的影响。项目总和形成一个最高值为 100 的分数。先前报道的分数范围从护士的 38 分到矿工的 55 分。本研究旨在确定急诊部工作人员的 NFR 分数，并确定 NFR 分数是否与可能与工作恢复相关的特征有关。
在英格兰西南部的一家急诊部（年就诊量为 93000 人）的工作人员被要求在 2018 年 1 月的业余时间内，通过电子问卷填写 NFR 量表以及与人口统计学、工作相关和健康相关特征相关的附加项目。呈现描述性统计数据，包括 NFR 分数的中位数和与其他特征的关联。对一个开放式问题的自由文本评论进行了主题分析。
共获得 168 份回复（80.3%的捕获率）。所有工作人员群体的 NFR 分数中位数为 100.0 分中的 81.8 分（95%置信区间 72.7 至 81.8）。超过 12 小时的轮班时长、对工作-生活平衡的不满以及自我报告的倦怠感与明显升高的 NFR 分数相关。开放式问题的主题是“轮班间恢复的障碍”和“应对工作”。
本研究中的 NFR 分数高于其他地方报道的分数，与一些人口统计学、职业和健康相关特征相关。NFR 量表可用于衡量急诊部工作人员轮班后恢复的需求。需要进行更大规模的研究，以确定恢复的具体决定因素并提供建议。
