Effect of Shift Work on Patient-doctor Relationship in Emergency Department

Overview

Journal J Res Med Sci

Specialty General Medicine

Date 2012 Sep 14

PMID 22973353

Citations 2

Authors

Hosein Shaker

Saeed Iraji

Afsoon Emami Naini

Mir Abolfazl Motei Jouibari

Nasibehvatankhah

Yaser Ghavami

Affiliations

Soon will be listed here.

Abstract

Background: This study aimed to find effect of shift work on patient-doctor relationship in Emergency Department.

Methods: In a prospective cross-sectional study, 352 patients (mean age of 44 ± 17 years, 131 females and 221 males) referred to the emergency department of Rasoul-Akram hospital were enrolled in the study. The patient-doctor relationship questionnaire (PDRQ) was asked to be filled by patients. The questionnaires contained 9 items and the appropriateness of the statements was simplified to a scale of 1 (not at all) through 5 (totally).

Results: Comparing three shift works, the highest PDRQ score was for morning (27.1 ± 5.5) and the lowest value was for afternoon shift (23.8 ± 5.3). PDRQ score for night shift was 25.1 ± 6.9 (p = 0.002).

Conclusions: The results of this study encouraged that patients' satisfaction of relationship with doctors was the lowest in the afternoon and it may be better to implement some strategies to reduce residents' workloads and increase quality of works in the afternoon shifts.

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References

Knutsson A, Akerstedt T, Jonsson B, Orth-Gomer K . Increased risk of ischaemic heart disease in shift workers. Lancet. 1986; 2(8498):89-92. DOI: 10.1016/s0140-6736(86)91619-3. View

Mathers N, Gask L . Surviving the 'heartsink' experience. Fam Pract. 1995; 12(2):176-83. DOI: 10.1093/fampra/12.2.176. View

PATKAI P, Akerstedt T, Pettersson K . Field studies of shiftwork: I. Temporal patterns in psychophysiological activation in permanent night workers. Ergonomics. 1977; 20(6):611-9. DOI: 10.1080/00140137708931672. View

Moneta G, Leclerc A, Chastang J, Tran P, Goldberg M . Time-trend of sleep disorder in relation to night work: a study of sequential 1-year prevalences within the GAZEL cohort. J Clin Epidemiol. 1996; 49(10):1133-41. DOI: 10.1016/0895-4356(96)00196-5. View

Folkard S, Barton J . Does the 'forbidden zone' for sleep onset influence morning shift sleep duration?. Ergonomics. 1993; 36(1-3):85-91. DOI: 10.1080/00140139308967858. View

ODowd T . Five years of heartsink patients in general practice. BMJ. 1988; 297(6647):528-30. PMC: 1840368. DOI: 10.1136/bmj.297.6647.528. View

Gerrard T, RIDDELL J . Difficult patients: black holes and secrets. BMJ. 1988; 297(6647):530-2. PMC: 1840349. DOI: 10.1136/bmj.297.6647.530. View

Midwinter M, Arendt J . Adaptation of the melatonin rhythm in human subjects following night-shift work in Antarctica. Neurosci Lett. 1991; 122(2):195-8. DOI: 10.1016/0304-3940(91)90856-o. View

Akerstedt T . Sleepiness as a consequence of shift work. Sleep. 1988; 11(1):17-34. DOI: 10.1093/sleep/11.1.17. View

10.

Kurumatani N, Koda S, Nakagiri S, Hisashige A, Sakai K, Saito Y . The effects of frequently rotating shiftwork on sleep and the family life of hospital nurses. Ergonomics. 1994; 37(6):995-1007. DOI: 10.1080/00140139408963713. View

11.

Rutenfranz J, Colquhoun W, Knauth P, Ghata J . Biomedical and psychosocial aspects of shift work. A review. Scand J Work Environ Health. 1977; 3(4):165-82. DOI: 10.5271/sjweh.2777. View

12.

Colligan M, Frockt I, Tasto D . Frequency of sickness absence and worksite clinic visits among nurses as a function of shift. Appl Ergon. 1979; 10(2):79-85. DOI: 10.1016/0003-6870(79)90058-9. View

13.

Munakata M, Ichi S, Nunokawa T, Saito Y, Ito N, Fukudo S . Influence of night shift work on psychologic state and cardiovascular and neuroendocrine responses in healthy nurses. Hypertens Res. 2001; 24(1):25-31. DOI: 10.1291/hypres.24.25. View

14.

Bohle P, Tilley A . The impact of night work on psychological well-being. Ergonomics. 1989; 32(9):1089-99. DOI: 10.1080/00140138908966876. View

15.

Smith M, Colligan M, Tasto D . Health and safety consequences of shift work in the food processing industry. Ergonomics. 1982; 25(2):133-44. DOI: 10.1080/00140138208924933. View

16.

Suzuki K, Ohida T, Kaneita Y, Yokoyama E, Miyake T, Harano S . Mental health status, shift work, and occupational accidents among hospital nurses in Japan. J Occup Health. 2004; 46(6):448-54. DOI: 10.1539/joh.46.448. View

17.

Schneider S, Hamilton G, Moyer P, Stapczynski J . Definition of emergency medicine. Acad Emerg Med. 1998; 5(4):348-51. DOI: 10.1111/j.1553-2712.1998.tb02720.x. View

18.

Dula D, Dula N, Hamrick C, Wood G . The effect of working serial night shifts on the cognitive functioning of emergency physicians. Ann Emerg Med. 2001; 38(2):152-5. DOI: 10.1067/mem.2001.116024. View

19.

Goodger B, Byles J, Higganbotham N, Mishra G . Assessment of a short scale to measure social support among older people. Aust N Z J Public Health. 1999; 23(3):260-5. DOI: 10.1111/j.1467-842x.1999.tb01253.x. View

20.

Goichot B, Weibel L, Chapotot F, Gronfier C, Piquard F, Brandenberger G . Effect of the shift of the sleep-wake cycle on three robust endocrine markers of the circadian clock. Am J Physiol. 1998; 275(2):E243-8. DOI: 10.1152/ajpendo.1998.275.2.E243. View