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Objective <p>To assess the effects of shift durations on sleep, fatigue, and wellness among U.S. neonatologists in diverse settings.</p> Methods <p>A cross-sectional survey of U.S. neonatologists yielded 810 responses from 4400 recipients. Statistical analyses included ANOVA, logistic regression, and cluster analysis.</p> Results <p>Younger neonatologists (&lt;35 years) reported the highest fatigue levels, with females more affected than males (<i>p</i> = 0.0185). Male neonatologists were less likely than females (OR 0.55, <i>p</i> = 0.0013), and those in university settings more likely than non-university settings (OR 1.43, <i>p</i> = 0.0389), to report adverse effects of shifts &gt;16 h. Cluster analysis identified three fatigue patterns, with the most severe among younger neonatologists working shifts &gt;16 h.</p> Conclusion <p>Long shifts (&gt;16 h) negatively affect neonatologists’ wellness, particularly younger and female clinicians. With most neonatal-perinatal medicine fellows being female, policies addressing shift duration are needed.</p> <p></p>

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Impact of shift durations on sleep, fatigue, and wellness among neonatologists: a cross-sectional survey analysis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月25日

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  • Ryan M. McAdams,
  • Renate Savich,
  • Patrick J. McNamara,
  • Lily Lou,
  • Jens C. Eickhoff,
  • Satyan Lakshminrusimha

摘要

Objective

To assess the effects of shift durations on sleep, fatigue, and wellness among U.S. neonatologists in diverse settings.

Methods

A cross-sectional survey of U.S. neonatologists yielded 810 responses from 4400 recipients. Statistical analyses included ANOVA, logistic regression, and cluster analysis.

Results

Younger neonatologists (<35 years) reported the highest fatigue levels, with females more affected than males (p = 0.0185). Male neonatologists were less likely than females (OR 0.55, p = 0.0013), and those in university settings more likely than non-university settings (OR 1.43, p = 0.0389), to report adverse effects of shifts >16 h. Cluster analysis identified three fatigue patterns, with the most severe among younger neonatologists working shifts >16 h.

Conclusion

Long shifts (>16 h) negatively affect neonatologists’ wellness, particularly younger and female clinicians. With most neonatal-perinatal medicine fellows being female, policies addressing shift duration are needed.