Mixed shift rotations, sleep, burnout and well-being in professions similar to radiographers: A systematic review

Elliott, J. ORCID: https://orcid.org/0000-0001-7549-527X, Hodges, C., Boots, M., Pattinson, R., Gillen, E., Whybrow, D. ORCID: https://orcid.org/0000-0001-9066-6196 and Bundy, C. ORCID: https://orcid.org/0000-0002-5981-3984 2024. Mixed shift rotations, sleep, burnout and well-being in professions similar to radiographers: A systematic review. Radiography 30 (4) , pp. 1194-1200. 10.1016/j.radi.2024.05.016

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Abstract

Introduction Delivering 24 h healthcare requires rotational shift work from doctors and the medical imaging team, while contributing to safe and timely care of patients. Additional service pressure and staff shortfall leads to workload pressures, adjusted shift patterns and risk of burnout. Evidence should be sought to the effects of this work on staff. Methods This systematic review followed PRISMA reporting guidelines, using a convergent mixed methods approach according to Guidance from Joanna Briggs International. Quantitative trends and results were qualified in order to thematically analyse in conjunction with qualitative data and discussed together in context. Following initial searching, returned articles were screened by title and abstract. A team of 3 reviewers undertook blinded critical appraisal of those suitable, with quality assurance from a 4th team member. Papers passing a threshold of 75% on JBI appraisal tools were accepted for synthesis. Data extraction of appropriate articles retrieved was undertaken in parallel. Results Following screening and critical appraisal, 13 studies were returned focusing exclusively on Non Consultant Doctors. No studies investigated diagnostic radiographers. 85% (n = 11) reported negative association between shift work and the three themes of sleep/fatigue, burnout and wellbeing: including after the introduction of shift pattern control or adjusted shift patterns. The remainder showed no change, or any improvement nullified by countermeasures to maintain service delivery. Conclusion Current working practices and shift plans in the target population showed detrimental effects on the participants – this can be suggested that Diagnostic Radiographers may suffer fatigue, burnout and poor mental health from stretched shift working patterns.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Publisher:	Elsevier
ISSN:	1078-8174
Date of First Compliant Deposit:	20 June 2024
Date of Acceptance:	30 May 2024
Last Modified:	20 Jun 2024 09:30
URI:	https://orca.cardiff.ac.uk/id/eprint/169930

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