From the Department of Anaesthesia and Intensive Care, Mater Dei Hospital, Malta (AMCP), the Department of Anaesthesia, Newcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne, UK (NR), Department of Anesthesiology and Intensive Care Medicine (CCM/CVK), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany (IA), the Department of Anaesthesia and Intensive Care Medicine, Baerum Hospital, Sandvika, Norway (JMO), the Department of Anaesthesiology, AKROMION Special Hospital for Orthopaedic Surgery, Ljudevita Gaja 2,49217 Krapinske Toplice, Croatia (KO), the 6 Department of Anaesthesia, General Hospital Nikaia, Piraeus, Greece (PK), the Department of Anaesthesia and Reanimation. Hospital Universitario La Paz, Madrid, Spain (EG), the Medical Simulation Centre, University Medical Centre Ljubljana, Slovenia (VNJ), the Department of Anaesthesiology and Reanimatology, Riga; Riga Stradins University, Latvia (OS), the Department of Anaesthesiology and Critical Care, Policlinico Umberto I Hospital, La Sapienza University of Rome, Rome, Italy (FB), the Department of Anaesthesiology and Intensive Care, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania (IG).
Eur J Anaesthesiol. 2024 Jan 1;41(1):24-33. doi: 10.1097/EJA.0000000000001923. Epub 2023 Nov 14.
Anaesthesiologists deliver an increasing amount of patient care and often work long hours in operating theatres and intensive care units, with frequent on-calls and insufficient rest in between. In the long term, this will negatively influence mental and physical health and well being. As fatigue becomes more prevalent, this has predictable implications for patient safety and clinical effectiveness. 1.
This study aimed to evaluate the prevalence, severity, causes and implications of work-related fatigue amongst specialist anaesthesiologists.
An online survey of specialist anaesthesiologists.
The survey was sent to anaesthesiologists in 42 European countries by electronic mail.
Responses from a 36-item online survey assessed work-related fatigue and its impact on anaesthesiologists in European countries.
Work-related fatigue was experienced in 91.6% of the 1508 respondents from 32 European countries. Fatigue was caused by their working patterns, clinical and nonclinical workloads, staffing issues and excessive work hours. Over 70% reported that work-related fatigue negatively impacted on their physical and mental health, emotional well being and safe commuting. Most respondents did not feel supported by their organisation to maintain good health and well being.
Work-related fatigue is a significant and widespread problem amongst anaesthesiologists. More education and increased awareness of fatigue and its adverse effects on patient safety, staff well being and physical and mental health are needed. Departments should ensure that their rotas and job plans comply with the European Working Time Directive (EWTD) and introduce a fatigue risk management system to mitigate the effects of fatigue.
麻醉师提供越来越多的患者护理，经常在手术室和重症监护病房长时间工作，经常随叫随到，休息时间不足。从长远来看，这将对身心健康和幸福感产生负面影响。随着疲劳的加剧，这对患者安全和临床效果产生可预测的影响。1.
本研究旨在评估专业麻醉师工作相关疲劳的流行率、严重程度、原因和影响。
对专业麻醉师进行在线调查。
通过电子邮件向 42 个欧洲国家的麻醉师发送了调查。
对 36 项在线调查的回复评估了欧洲国家麻醉师的工作相关疲劳及其对麻醉师的影响。
来自 32 个欧洲国家的 1508 名受访者中，有 91.6%的人经历过与工作相关的疲劳。疲劳是由工作模式、临床和非临床工作量、人员配备问题和工作时间过长引起的。超过 70%的人报告说，工作相关的疲劳对他们的身心健康、情绪健康和安全通勤产生了负面影响。大多数受访者觉得他们的组织没有为他们的健康和幸福提供支持。
工作相关疲劳是麻醉师中一个严重且普遍存在的问题。需要更多的教育和提高对疲劳及其对患者安全、员工福祉以及身心健康的不利影响的认识。各部门应确保其轮班和工作安排符合欧洲工作时间指令（EWTD），并引入疲劳风险管理系统，以减轻疲劳的影响。
