The Effect of Transition from 12-hour to 24-hour Shiftwork on Burnout and Anxiety in Emergency Medicine Residents During the SARS-COV-2 Pandemic

Abstract

Objectives: Anxiety and burnout of physicians are increasing day by day during the Coronavirus disease-2019 pandemic period. Emergency medicine doctors also have a higher tendency to burnout due to the high workload. In our study, we aimed to evaluate the effects of a transition from 12- hour to 24-hour shiftwork in emergency medicine residents on burnout and anxiety. Materials and Methods: In the study initiated with 20 participants in August, 2021, the State-trait anxiety inventory (STAI), the Maslach burnout inventory (MBI) and the Copenhagen burnout inventory (CBI) scores were evaluated at baseline and three months after the transition to 24-hour shiftwork, along with a questionnaire including socio-demographic information. Results: STAI, MBI and CBI scores were found to be statistically significantly lower in the 24-hour shiftwork system compared to the 12-hour shiftwork system (p<0.05). Conclusion: Anxiety and burnout in emergency physicians have been detected to a great extent due to current working conditions and the severe acute respiratory syndrome-coronavirus 2 pandemic. It was determined that the change in scheduling had a positive effect as it increased the rest period of the residents. However, it is necessary not only to regulate working conditions, but also to provide mental health support to residents.

Keywords

• Burnout
• Emergency Medicine
• Residents
• Shiftwork

SARS-COV-2 Pandemisi Sırasında Acil Tıp Asistanlarının 12 Saatlik Şift Sisteminden 24 Saatlik Nöbet Sistemine Geçişinin Tükenmişlik ve Kaygıya Etkisi

Abstract

Amaç: Koronavirüs hastalığı-2019 pandemi döneminde hekimlerin kaygıları ve tükenmişlikleri her geçen gün artmaktadır. Acil tıp asistanlarının da yoğun iş yükü nedeniyle tükenmişlik eğilimleri daha yüksektir. Çalışmamızda acil tıp asistanlarında 12 saatten 24 saatlik nöbet çalışma sistemine geçişin tükenmişlik ve anksiyete üzerindeki etkilerini değerlendirmeyi amaçladık. Gereç ve Yöntem: Ağustos 2021’de 20 katılımcı tarafından başlatılan çalışmada, durumluk-sürekli kaygı envanteri (STAI), Maslach tükenmişlik envanteri (MBI) ve Kopenhag tükenmişlik envanteri (CBI) puanları çalışmanın başında ve 24 saatlik nöbet çalışma şekline geçişten üç ay sonra değerlendirildi. Sosyo-demografik bilgiler içeren bir anket de hekimler tarafından dolduruldu. Bulgular: STAI, MBI ve CBI puanları 24 saatlik nöbet sisteminde 12 saatlik şift sistemine göre istatistiksel olarak anlamlı derecede düşük saptandı (p<0,05). Sonuç: Mevcut çalışma koşulları ve şiddetli akut solunum yolu sendromu-koronavirüs-2 pandemisi nedeniyle acil tıp asistanlarında kaygı ve tükenmişlik oldukça fazla oranda tespit edilmiştir. Nöbet sistemi değişikliğinin, asistanların dinlenme süresini artırması nedeniyle olumlu etki yaptığı düşünülmüştür. Çalışma koşullarının düzenlenmesiyle birlikte acil tıp asistanlarına ruh sağlığı desteği de sağlanmalıdır.

Keywords

• Tükenmişlik
• Acil Tıp
• Asistan
• Şiftler Şeklinde Çalışma

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