Mayo Clinic Department of Surgery, 200 1st Street SW, Rochester, MN, 55902, USA.
Mayo Clinic Department of Plastic Surgery, 200 1st Street SW, Rochester, MN, 55902, USA.
Am J Surg. 2021 Dec;222(6):1158-1162. doi: 10.1016/j.amjsurg.2021.10.020. Epub 2021 Oct 19.
Higher workload is associated with burnout and lower performance. Therefore, we aim to assess shift-related factors associated with higher workload on EGS, ICU, and trauma surgery services.
In this prospective cohort study, faculty surgeons and surgery residents completed a survey after each EGS, ICU, or trauma shift, including shift details and a modified NASA-TLX.
Seventeen faculty and 12 residents completed 174 and 48 surveys after working scheduled 12-h and 24-h shifts, respectively (response rates: faculty - 62%, residents - 42%). NASA-TLX was significantly increased with a higher physician subjective fatigue level. Further, seeing more consults or performing more operations than average significantly increased workload. Finally, NASA-TLX was significantly higher for faculty when they felt their shift was more difficult than expected.
Higher volume clinical responsibilities and higher subjective fatigue levels are independently associated with higher workload. Designing shift coverage to expand on busier days may decrease workload, impacting burnout and shift performance.
更高的工作量与倦怠和更低的绩效有关。因此，我们旨在评估 EGS、重症监护病房和创伤外科服务中与更高工作量相关的轮班因素。
在这项前瞻性队列研究中，外科教员和住院医师在完成 EGS、重症监护病房或创伤手术轮班后，分别完成了一项调查，包括轮班细节和经过修改的 NASA-TLX。
17 名教员和 12 名住院医师分别完成了 174 次和 48 次预定 12 小时和 24 小时轮班后的调查（响应率：教员为 62%，住院医师为 42%）。随着医生主观疲劳程度的增加，NASA-TLX 显著增加。此外，与平均水平相比，看更多的会诊或进行更多的手术会显著增加工作量。最后，当教员感到轮班比预期更困难时，NASA-TLX 对教员来说明显更高。
更高的临床工作量和更高的主观疲劳水平与更高的工作量独立相关。设计轮班覆盖范围以扩大繁忙日的工作量，可能会降低工作量，从而影响倦怠和轮班表现。
