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

Ryan M McAdams; Renate Savich; Patrick J McNamara; Lily Lou; Jens C Eickhoff; Satyan Lakshminrusimha

doi:10.1038/s41372-025-02310-4

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

Journal article

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Peer reviewed

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

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

Journal of perinatology, Vol.45(5), pp.589-594

05/2025

DOI: 10.1038/s41372-025-02310-4

PMCID: PMC12222019

PMID: 40281106

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Abstract

To assess the effects of shift durations on sleep, fatigue, and wellness among U.S. neonatologists in diverse settings. A cross-sectional survey of U.S. neonatologists yielded 810 responses from 4400 recipients. Statistical analyses included ANOVA, logistic regression, and cluster analysis. 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. 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.

Details

Title: Subtitle: Impact of shift durations on sleep, fatigue, and wellness among neonatologists: a cross-sectional survey analysis
Creators: Ryan M McAdams - University of Wisconsin School of Medicine and Public Health
Renate Savich - Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA
Patrick J McNamara - Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, IA, USA
Lily Lou - University of Illinois Urbana-Champaign
Jens C Eickhoff - University of Wisconsin School of Medicine and Public Health
Satyan Lakshminrusimha - University of California, Davis
Resource Type: Journal article
Publication Details: Journal of perinatology, Vol.45(5), pp.589-594
DOI: 10.1038/s41372-025-02310-4
PMID: 40281106
PMCID: PMC12222019
NLM abbreviation: J Perinatol
ISSN: 1476-5543
eISSN: 1476-5543
Publisher: SPRINGERNATURE
Language: English
Electronic publication date: 04/25/2025
Date published: 05/2025
Academic Unit: Stead Family Department of Pediatrics; Neonatology; Internal Medicine
Record Identifier: 9984816010302771

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