Problems Experienced by Health Personnel on Duty and Solution Suggestions

Abstract

Aim: The aim of this study is to investigate the difficulties encountered by healthcare personnel working with a shift system in training and research hospitals and to suggest solution-oriented approaches. Material and Method: Designed as a qualitative case study, the study was conducted with 28 healthcare personnel working in research hospitals in Istanbul. Data were collected using a semistructured interview form and analyzed with MAXQDA 2020. Results: The effects of the shift system and the proposed solutions were categorized under 10 main codes. Sleep Problems and Positive Feedback were the most emphasized subcodes for daily routines (28%). While Impact on Family Relationships (38%) was emphasized regarding family and social life, Resentment and Criticism (44%) were prominent in the perspectives of family and friends. Participants emphasized Positive Feedback in career development and job satisfaction. Health effects were dominated by Physical Health Problems such as insomnia and headache (56%). Lack of Time and Other subcodes were equally prominent problems regarding educational opportunities (32%). The difficulties experienced during shifts were mostly attributed to Relationships with Patients and Their Relatives (33%), while Self-Motivation (50%) was the most frequently mentioned coping strategy. Solution suggestions were highlighted as Shift Arrangements and Staff Increase (52%). These findings underline the extensive impact of on-call systems on healthcare professionals. Conclusion: On-call systems affect healthcare professionals’ daily lives, family dynamics, careers and health. Improvements are essential, especially in managing physical health issues, improving patient relationships and optimizing shift arrangements.

Keywords

• on-call system
• healthcare management
• healthcare business management
• strategic management

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