Evidence map›Paper›PMID 28845054›Full record

ArticleGeburtshilfe und Frauenheilkunde2017

Duty Rosters and Workloads of Obstetricians in Germany: Results of a Germany-wide Survey.

Johannes Neimann, Julia Knabl, Julian Puppe, Christian Michael Bayer, Paul Gass, Lena Gabriel, Birgit Seelbach-Goebel, Johannes Lermann, Sarah Schott

Abstract read
In one paragraph

Article in Geburtshilfe und Frauenheilkunde, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Johannes NeimannFrauenklinik mit Brustzentrum, KRH Klinikum Siloah, Hannover, Germany.
Julia KnablKlinikum der Universität München Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe Campus Innenstadt, München, Germany.
Julian PuppeKlinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Uniklinik Köln, Köln, Germany.
Christian Michael BayerFrauenklinik, Universitätsklinikum Erlangen, Erlangen, Germany.
Paul GassFrauenklinik, Universitätsklinikum Erlangen, Erlangen, Germany.
Lena GabrielKlinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany.
Birgit Seelbach-GoebelKrankenhaus der Barmherzigen Brüder - Klinik St. Hedwig, Lehrstuhl für Frauenheilkunde und Geburtshilfe der Universität Regensburg, Regensburg, Germany.
Johannes LermannFrauenklinik, Universitätsklinikum Erlangen, Erlangen, Germany.
Sarah SchottUniversitätsfrauenklinik, Universitätsklinikum Heidelberg, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompiling a daily hospital roster which complies with existing laws and tariff regulations and meets the requirements for ongoing professional training while also taking the legal regulations on the health of employees into account makes planning the duty roster a challenge. The aim of this study was to obtain a realistic picture of existing duty roster systems and of the current workloads of obstetricians in Germany.

methodThis online survey was sent to 2770 physicians training to become obstetricians or specializing in specific areas of obstetric care. The survey consisted of an anonymized 95-item questionnaire which collected data on different types of duty roster systems and the workload of obstetricians in Germany for the period from 17.02.2015 to 16.05.2015.

resultsOut of a total of 2770 physicians who were contacted, 437 (16%) completed the questionnaire. Across all forms of care, the care provided outside normal working hours usually (75%) consisted of a combination of regular working times and on-call duty or even consisted entirely of standby duty. Level I perinatal centers were most likely 20% (n = 88) to have a shift system in place. Working a shift system was significantly more common in care facilities which had previously carried out a job analysis. The number of physicians in hospitals who are present during the night shift was higher in facilities with higher numbers of births and in facilities which offered higher levels of care. In addition to regularly working overtime and the fact that often not all the hours worked were recorded, it was notable that the systems used to compile duty rosters often did not comply with legal regulations or with collectively agreed working hours nor were they compatible with the staff planning requirements. OUTLOOK: The results of this study show that the conditions of work, the working times, and the organization of working times in obstetric departments are in need of improvement. Recording the actual times worked together with an analysis of the activities performed during working times and while on standby would increase the level of transparency for employers and employees.

Indexed as

duty rosterobstetricsperinatal centerspecializationwork-life balanceworkload

Identifiers

PMID28845054
PMCPMC5570587

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.