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Need for recovery amongst emergency physicians in the UK and Ireland: a cross-sectional survey.

ABSTRACT: OBJECTIVES:To determine the need for recovery (NFR) among emergency physicians and to identify demographic and occupational characteristics associated with higher NFR scores. DESIGN:Cross-sectional electronic survey. SETTING:Emergency departments (EDs) (n=112) in the UK and Ireland. PARTICIPANTS:Emergency physicians, defined as any registered physician working principally within the ED, responding between June and July 2019. MAIN OUTCOME MEASURE:NFR Scale, an 11-item self-administered questionnaire that assesses how work demands affect intershift recovery. RESULTS:The median NFR Score for all 4247 eligible, consented participants with a valid NFR Score was 70.0 (95% CI: 65.5 to 74.5), with an IQR of 45.5-90.0. A linear regression model indicated statistically significant associations between gender, health conditions, type of ED, clinical grade, access to annual and study leave, and time spent working out-of-hours. Groups including male physicians, consultants, general practitioners (GPs) within the ED, those working in paediatric EDs and those with no long-term health condition or disability had a lower NFR Score. After adjusting for these characteristics, the NFR Score increased by 3.7 (95% CI: 0.3 to 7.1) and 6.43 (95% CI: 2.0 to 10.8) for those with difficulty accessing annual and study leave, respectively. Increased percentage of out-of-hours work increased NFR Score almost linearly: 26%-50% out-of-hours work=5.7 (95% CI: 3.1 to 8.4); 51%-75% out-of-hours work=10.3 (95% CI: 7.6 to 13.0); 76%-100% out-of-hours work=14.5 (95% CI: 11.0 to 17.9). CONCLUSION:Higher NFR scores were observed among emergency physicians than reported in any other profession or population to date. While out-of-hours working is unavoidable, the linear relationship observed suggests that any reduction may result in NFR improvement. Evidence-based strategies to improve well-being such as proportional out-of-hours working and improved access to annual and study leave should be carefully considered and implemented where feasible.

SUBMITTER: Cottey L

PROVIDER: S-EPMC7607596 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Need for recovery amongst emergency physicians in the UK and Ireland: a cross-sectional survey.

Cottey Laura L Roberts Tom T Graham Blair B Horner Daniel D Stevens Kara Nicola KN Enki Doyo D Lyttle Mark David MD Latour Jos J

BMJ open 20201102 11

<h4>Objectives</h4>To determine the need for recovery (NFR) among emergency physicians and to identify demographic and occupational characteristics associated with higher NFR scores.<h4>Design</h4>Cross-sectional electronic survey.<h4>Setting</h4>Emergency departments (EDs) (n=112) in the UK and Ireland.<h4>Participants</h4>Emergency physicians, defined as any registered physician working principally within the ED, responding between June and July 2019.<h4>Main outcome measure</h4>NFR Scale, an ...[more]

PMID: 33139301

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Dataset Information

Need for recovery amongst emergency physicians in the UK and Ireland: a cross-sectional survey.

Publications

Need for recovery amongst emergency physicians in the UK and Ireland: a cross-sectional survey.

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