From the Charité - Universitätsmedizin Berlin, Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Berlin, Germany (IA), Department of Anaesthesiology, Centro Hospitalar de Setúbal, Setúbal, Portugal (BM), Department of Anaesthesiology, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal (GN), 2 Department of Anaesthesia and Intensive Care, Medical University of Warsaw, Poland (MZ), Department of Anaesthesiology and Critical Care, Policlinico Umberto I Hospital, La Sapienza University of Rome, Rome, Italy (FB), Department of Anaesthesiology and Intensive Care, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania (IB), Department of Anaesthesia and Intensive Care, Mater Dei Hospital, Malta (AMCP), Department of Anesthesiology and Perioperative Medicine, Ghent University Hospital, Ghent, Belgium (SDH), Department of Anaesthesiology and Intensive Care, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania (IG), Department of Anaesthesiology and Intensive Care, Regional Institute of Oncology Iasi, Romania (GP), Department of Anaesthesia, Newcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne, UK (AS), Department of Anaesthesiology, LMU Klinikum München (AT) and Department of Anaesthesia, Newcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne, UK (NR).
Eur J Anaesthesiol. 2023 Aug 1;40(8):587-595. doi: 10.1097/EJA.0000000000001849. Epub 2023 May 11.
There is a growing awareness of the effects of fatigue on trainee wellbeing and health. Trainees in anaesthesiology and intensive care work long hours, switching work schedules frequently with insufficient rest. This may have unwanted long-term effects on mental and physical health and emotional well being, resulting in burnout and affecting patient safety.
The study aimed to evaluate the prevalence, severity, causes and effects of work-related fatigue in trainees in anaesthesiology and intensive care.
Online survey of trainees in anaesthesiology and intensive care.
A total of 31 countries within Europe were included in the survey.
European anaesthesiology and intensive care trainees who responded to an invitation to take part by electronic mail or through social media.
Responses from a 29-item online survey to assess the realities within European countries with regards to work-related fatigue.
One thousand and two hundred trainees from 31 European countries answered the survey demonstrating that an alarming number of trainees were fatigued by their working patterns and night shifts. Trainees reported effects on personal well being, safe commuting and potential for clinical errors. Respondents described a lack of support from hospitals and management for recovery during and after night shifts.
Fatigue among trainees in anaesthesiology and intensive care has a significant impact on their well being and potentially, on the incidence of clinical errors. Current measures from authorities and hospital management are not sufficient to prevent serious fatigue, and therefore a fatigue risk management system should be considered. Failure to address this issue might lead to a further decline in trainees' wellbeing, their capacity to work in the speciality in the future, and potentially increase patient care errors.
人们越来越意识到疲劳对学员身心健康的影响。麻醉学和重症监护领域的学员工作时间长，频繁切换工作班次，休息时间不足。这可能会对他们的身心健康和情绪健康产生不良的长期影响，导致倦怠，并影响患者安全。
本研究旨在评估麻醉学和重症监护领域学员工作相关疲劳的流行程度、严重程度、原因和影响。
对麻醉学和重症监护学员进行在线调查。
该调查涵盖了欧洲的 31 个国家。
对通过电子邮件或社交媒体邀请参加的欧洲麻醉学和重症监护学员。
对 29 项在线调查的回复，以评估欧洲各国与工作相关疲劳相关的现实情况。
来自欧洲 31 个国家的 1200 名学员回答了该调查，结果表明，相当数量的学员因工作模式和夜班而感到疲劳。学员报告称，疲劳对个人幸福感、安全通勤和潜在临床错误有影响。受访者描述了医院和管理层在夜班期间和之后缺乏对恢复的支持。
麻醉学和重症监护学员的疲劳对他们的幸福感有重大影响，并可能导致临床错误的发生率增加。目前当局和医院管理层采取的措施不足以防止严重疲劳，因此应考虑疲劳风险管理系统。如果不解决这个问题，可能会导致学员的幸福感进一步下降，他们未来在该专业领域的工作能力下降，并可能增加患者护理错误。
