ArticleBMC health services research2022
Hospital physicians´ working hour characteristics and sleep quality: a cross-sectional analysis of realized working hour and survey data.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 20 citations in OpenAlex.
- Working time traffic light recommendations: development, use, and implementation in the Finnish social and healthcare.Industrial health · 2026Article
- Changes in working hours and burnout levels among physicians: a cohort study.Human resources for health · 2026Article
- Surgeons' physiological parameters and surgical performance: a systematic scoping review.Patient safety in surgery · 2025Review
- Lifestyle Medicine Assessment Scores in Family Medicine Providers.American journal of lifestyle medicine · 2025Article
- Association of leisure-time physical activity and sleep quality among healthcare workers in China: a cross-sectional study.BMC public health · 2025Article
- The influence of professional identification and organizational incentives on turnover intentions: a hierarchical linear model in Beijing's family doctors.BMC primary care · 2025Article
- Prevalence and Correlates of Poor Sleep Quality Among Psychiatry Physicians in Saudi Arabia: A Cross-Sectional Study.Health science reports · 2024Article
- Behind the times? Associations of working-time autonomy with health-related and occupational outcomes in health care personnel- a latent profile analysis.BMC public health · 2024Article
- Article
- A narrative review of occupational scheduling that impacts fatigue and recovery relevant to veterinarian well-being.The Canadian veterinary journal = La revue veterinaire canadienne · 2023Review
- Shift Happens: Emergency Physician Perspectives on Fatigue and Shift Work.Clocks & sleep · 2023Article
- Quality of life and quality of sleep in health professionals working in critical areas.Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMTArticle
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundHospital physicians' work includes on-call duties to provide 24/7 health care. Previous studies using self-reported survey data have associated long working hours and on-call work with sleep difficulties. To reduce recall bias, we complemented survey data with payroll-based objective data to study whether hospital physicians' realized working hours are associated with sleep.
methodsThe study was nested within the Finnish Public Sector study. We used survey data on 728 hospital physicians (mean age 43.4 years, 62% females) from 2015 linked to realized daily working hour data from 3 months preceding the survey. The associations of working hour characteristics with sleep quantity and quality were studied with multinomial logistic regression analysis adjusted for demographics, overall stressfulness of life situation, control over scheduling of shifts, and hospital district.
resultsOne fourth (26%) of the participants reported short (≤6.5 h) average sleep duration. Frequent night work (> 6 shifts/91 days) was associated with short sleep (OR 1.87 95%CI 1.23-2.83) compared to no night work. Approximately one third (32%) of the physicians reported insufficient sleep. Physicians with long weekly working hours (> 48 hours) had higher odds for insufficient sleep (OR 1.78 95%CI 1.15-2.76) than physicians with short weekly working hours (< 40 hours). Insufficient sleep was also associated with frequent on-call duties (> 12 shifts/3 months OR 2.00 95%CI 1.08-3.72), frequent night work (OR 1.60 95%CI 1.09-2.37), and frequent short shift intervals (≤11 hours; > 12 times/3 months OR 1.65 95%CI 1.01-2.69) compared to not having these working hour characteristics. Nearly half of the physicians (48%) reported at least one sleep difficulty at least two times a week and frequent night work increased odds for difficulties in initiating sleep (OR 2.43 95%CI 1.04-5.69). Otherwise sleep difficulties were not associated with the studied working hour characteristics.
conclusionWe used realized working hour data to strengthen the evidence on on-call work and sleep quality and our results advice to limit the frequency of night work, on-call shifts, short shift intervals and long weekly working hours to promote hospital physicians' sufficient sleep.
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