欧洲麻醉学和重症监护培训医师的疲劳：值得关注的问题。

Fatigue amongst anaesthesiology and intensive care trainees in Europe: A matter of concern.

机构信息

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).

出版信息

Eur J Anaesthesiol. 2023 Aug 1;40(8):587-595. doi: 10.1097/EJA.0000000000001849. Epub 2023 May 11.

DOI:10.1097/EJA.0000000000001849

PMID:37166259

Abstract

BACKGROUND

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.

OBJECTIVE

The study aimed to evaluate the prevalence, severity, causes and effects of work-related fatigue in trainees in anaesthesiology and intensive care.

DESIGN

Online survey of trainees in anaesthesiology and intensive care.

SETTINGS

A total of 31 countries within Europe were included in the survey.

PARTICIPANTS

European anaesthesiology and intensive care trainees who responded to an invitation to take part by electronic mail or through social media.

MAIN OUTCOME MEASURES

Responses from a 29-item online survey to assess the realities within European countries with regards to work-related fatigue.

RESULTS

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.

CONCLUSION

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.

摘要