ArticleBMJ open2020
Fatigue and recovery among Malaysian doctors: the role of work-related activities during non-work time.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.
- Factors associated with occupational fatigue among healthcare workers in Malaysia: a systematic review.BMJ open · 2026Pooled it
- Individual evaluation of fatigue at work to enhance the safety performance in the construction industry: A systematic review.PloS one · 2024Pooled it
- Perception of patient safety culture among perioperative staff: exploring the roles of individual factors and organizational factors.BMC health services research · 2025Article
- Impact of perceived fatigue on sleep quality among critical care nurses in a selected hospital.Journal of education and health promotion · 2025Article
- Experiences of Malaysian primary healthcare providers with vaccine hesitancy: A qualitative study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2024Article
- Quality of Life and Its Association with Effort-Reward Imbalance among Medical Officers Working in Government Hospitals in Kuching, Sarawak, Malaysia.The Malaysian journal of medical sciences : MJMS · 2022Article
- Observational study on the potential psychological factors that affected Italian nurses involved in the COVID-19 health emergency.Acta bio-medica : Atenei Parmensis · 2021Observational
- Doctors' Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences.International journal of environmental research and public health · 2020Article
- Development and validation of Work-Related Activities during Non-Work Time Scale (WANTS) for doctors.PloS one · 2020Article
- Effect of an electroencephalogram-verified 20-min power nap on fatigue and daytime sleepiness among emergency doctors following night shifts: A randomized controlled trial.Turkish journal of emergency medicineArticle
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis paper aims to estimate the level of acute fatigue, chronic fatigue and intershift recovery among doctors working at public hospitals in Malaysia and determine their inter-relationship and their association with work-related activities during non-work time.
designCross-sectional.
settingSeven core clinical disciplines from seven tertiary public hospitals in Malaysia.
participantsStudy was conducted among 330 randomly-sampled doctors. Response rate was 80.61% (n=266).
resultsThe mean score of acute fatigue, chronic fatigue and intershift recovery were 68.51 (SD=16.549), 54.60 (SD=21.259) and 37.29 (SD=19.540), respectively. All these scores were out of 100 points each. Acute and chronic fatigue were correlated (r=0.663), and both were negatively correlated with intershift recovery (r=-0.704 and r=-0.670, respectively). Among the work-related activities done during non-work time, work-related ruminations dominated both the more frequent activities and the association with poorer fatigue and recovery outcomes. Rumination on being scolded/violated was found to be positively associated with both acute fatigue (adjusted regression coefficient (Adj.
conclusionsWork-related ruminations during non-work time were common and associated with poor fatigue and recovery outcomes while overt work activities done at workplace during non-work time were associated with better fatigue and recovery levels. There is a need for future studies with design that allow causal inference to address these relationships.
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