Reference : Informal fatigue-related risk management in the emergency department: a trade-off bet...
E-prints/Working papers : First made available on ORBi
Social & behavioral sciences, psychology : Social, industrial & organizational psychology
http://hdl.handle.net/2268/234520
Informal fatigue-related risk management in the emergency department: a trade-off between doing well and feeling well?
English
Berastegui, Pierre mailto [Université de Liège - ULiège > Département de Psychologie > Ergonomie et intervention au travail >]
Jaspar, Mathieu mailto [Université de Liège - ULiège > Département de Psychologie > Ergonomie et intervention au travail >]
Ghuysen, Alexandre mailto [Université de Liège - ULiège > Département des sciences de la santé publique > Simulation médicale en situation critique >]
Nyssen, Anne-Sophie mailto [Université de Liège - ULiège > Département de Psychologie > Ergonomie et intervention au travail >]
In press
Yes
[en] Fatigue ; Risk management ; Burnout ; Emergency department ; Proofing ; Performance
[en] The effect of shift work on health and safety has long been a concern of public authorities, and increasingly stringent directives have been issued over the past decades. However, there are evidences that current directives still represent a hazard in some work settings by disturbing the sleep/wake regulation processes. Emergency physicians are known to be particularly vulnerable to sleep deprivation due to inconsistent shift rotation, extended duty periods and overnight calls. However, naturalistic studies have actually failed to systematically demonstrate that sleep deprivation is associated with poorer work performance in emergency physicians. The inconsistency of these results could reside in physicians’ ability to compensate for fatigue-related impairments. Our aim is to identify informal fatigue management strategies used by emergency physicians and to assess the efficiency in terms of fatigue, work performance and associated risks for physician burnout. We conducted a prospective longitudinal study with 28 emergency physicians for a total of 182 shifts. At enrolment, participants answered the Maslach Burnout Inventory and the Fatigue Management Survey. During shifts, we measured fatigue using the Psychomotor Vigilance Task and work performance using an adapted version of the Physician Achievement Review. Our results show that emergency physicians working at this public sector hospital use different types of compensatory strategies to manage fatigue-related risk, and that some of these strategies might result in a trade-off between work performance and occupational burnout. We propose further considerations for the implementation and follow-up of a fatigue risk management system in the emergency department.
Adaptation, Résilience et CHangement - ARCH ; Psychologie et Neuroscience Cognitives - PsyNCog
http://hdl.handle.net/2268/234520

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