Table 2 Change in internal medicine residents’ perceptions of the impact of the schedule on aspects of the seniors’ self/work Pre- and post-intervention (N = 50)
From: Shifting perceptions: a pre-post study to assess the impact of a senior resident rotation bundle
Aspects of senior resident self/work affected by 24 hour shifts | Pre | Post | Difference | Â |
|---|---|---|---|---|
Senior resident wellness | Mean (SE) | Mean (SE) | Mean (95% CI) | P value* |
Allows general wellness | 2.2 (0.1) | 2.6 (0.1) | 0.39 (-0.04 – 0.8) | 0.07 |
Allows exposure to personal harm | 4.0 (0.1) | 2.8 (0.2) | −1.29 (-1.8 – -0.8) | <0.001 |
Causes conflicting role demands | 2.9 (0.1) | 3.7 (0.1) | 0.77 (0.3 – 1.2) | 0.002 |
Allows healthy relationships | 2.6 (0.1) | 2.7 (0.2) | 0.05 (-0.4 – 0.5) | 0.81 |
Causes feelings of isolation | 2.3 (0.1) | 1.9 (0.1) | −0.36 (-0.7 – 0.02) | 0.06 |
Ability to deliver quality health care | Â | Â | Â | Â |
Allows potential for error | 3.2 (0.1) | 2.5 (0.1) | −0.68 (-1.1 – -0.3) | 0.003 |
Allows clinical skills expertise | 3.5 (0.1) | 3.8 (0.1) | 0.26 (-0.03 – 0.6) | 0.07 |
Allows continuity of patient care | 3.6 (0.1) | 3.6 (0.1) | 0.04 (-0.3 – 0.4) | 0.80 |
Causes expenditure of emotional labour | 2.2 (0.1) | 2.2 (0.1) | 0.07 (-0.2 – 0.3) | 0.57 |
Allows work efficiency | 3.4 (0.1) | 3.6 (0.1) | 0.21 (-0.1 – 0.5) | 0.15 |
Medical education experience | Â | Â | Â | Â |
Allows successful teaching | 3.0 (0.1) | 3.5 (0.1) | 0.48 (0.1 – 0.8) | 0.0097 |
Allows medical skills proficiency | 3.3 (0.1) | 3.5 (0.1) | 0.24 (-0.1 – 0.6) | 0.14 |
Allows successful learning | 3.1 (0.1) | 3.5 (0.1) | 0.42 (-0.02 – 0.9) | 0.06 |
Allows staff physician supervision | 3.1 (0.1) | 2.7 (0.1) | −0.42 (-0.7 – -0.1) | 0.0099 |
Causes rotation disruptions | 4.1 (0.2) | 3.3 (0.1) | −0.83 (-1.4 – -0.3) | 0.003 |