Evidence map›Paper›PMID 37092431›Full record

ArticleClocks & sleep2023

Shift Happens: Emergency Physician Perspectives on Fatigue and Shift Work.

Zachary Klinefelter, Emily L Hirsh, Thomas W Britt, Caroline L George, Margaret Sulzbach, Lauren A Fowler

Open access · goldAbstract read
In one paragraph

Article in Clocks & sleep, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 5% of its field
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. A Systematic Review of Nutrition Interventions for Shift Workers, With Subgroup Analysis of First Responder Populations.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
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  10. Assessing the psychobiological demands of high-fidelity training in pre-hospital emergency medicine.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Decision Fatigue among Emergency Physicians: Reality or Myth.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  15. 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

6 authors at 5 institutions in 1 country.

Zachary KlinefelterAptima, Inc., Woburn, MA 01801, USA.
Emily L HirshPrisma Health, Greenville, SC 29605, USA.
Thomas W BrittDepartment of Psychology, Clemson University, Clemson, SC 29634, USA.
Caroline L GeorgeDepartment of Psychology, Clemson University, Clemson, SC 29634, USA.
Margaret SulzbachSchool of Medicine Greenville, University of South Carolina, Greenville, SC 29605, USA.
Lauren A FowlerDepartment of Physiology and Pharmacology, Wake Forest School of Medicine, Charlotte, NC 28203, USA.ORCID 0000-0002-3494-6334
Clemson University · USAptima (United States) · USPrisma Health · USUniversity of South Carolina · USWake Forest University · US

Funding

Prisma Health Sciences Seed Grant NA
6 · The paper itself

Abstract

Research has shown that shiftworkers experience poor sleep and high levels of fatigue. Although considerable research has been performed on fatigue within many shift-work occupations, very little has been done with emergency physicians (EPs). This qualitative study was conducted with the goal of gaining insight into EPs' perceptions of fatigue at work. Twenty EPs from an academic medical center participated in virtual interviews, with nine open-ended questions asked in a semi-structured interview format. Twelve common topics with four main themes emerged from the interviews. Three of these common themes included sources of fatigue (including both work- and home-related sources), consequences of fatigue (including impacts on individuals and performance), and prevention and mitigation strategies to cope with fatigue. The fourth main theme was the belief in the inevitability of fatigue due to high cognitive load, emotionally taxing work experiences, work unpredictability, and the 24/7 shift-work nature of emergency medicine. EPs' experiences with fatigue are consistent with but extend those of other types of shiftworkers. Our findings suggest that EPs tend to incorporate the inevitability of fatigue at work into their identity as EPs and experience a sense of learned helplessness as a result, suggesting areas for future interventions.

Indexed as

fatigueshiftwork emergency physician

Identifiers

PMID37092431
PMCPMC10123702
OpenAlexW4366281387

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.