نشریه علمی پژوهشی طب انتظامی Journal of Police Medicine
Volume 13, Issue 1 (2024)
J Police Med 2024, 13(1) |
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Ethics code: IR.SBMU.TEB.POLICE.REC.1402.058
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Toloei S, Aghdam H, Shirzad O, Vakilipour P. Descriptive and analytical study of factors affecting life expectancy in doctors on duty in the emergency department. J Police Med 2024; 13 (1)
URL: http://jpmed.ir/article-1-1226-en.html
URL: http://jpmed.ir/article-1-1226-en.html
1- Department of Educational Psychology, Faculty of Humanities, Islamic Azad University, Arak Branch, Arak, Iran.
2- Research Center for Trauma in Police Operations, Directorate of Health, Rescue & Treatment, Police Headquarter, Tehran, Iran ,hamedaghdam@gmail.com
3- Department of Law, Faculty of Law, Political Sciences and Foreign Languages, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
4- Research Center for Trauma in Police Operations, Directorate of Health, Rescue & Treatment, Police Headquarter, Tehran, Iran
2- Research Center for Trauma in Police Operations, Directorate of Health, Rescue & Treatment, Police Headquarter, Tehran, Iran ,
3- Department of Law, Faculty of Law, Political Sciences and Foreign Languages, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
4- Research Center for Trauma in Police Operations, Directorate of Health, Rescue & Treatment, Police Headquarter, Tehran, Iran
English Extended Abstract: (504 Views)
Aims: Shift work is implemented in various formats or systems, each with its characteristics, advantages, and disadvantages, and can adversely affect various aspects of human life. Reduced life expectancy affects physical and mental health and is the final consequence of job stress in many shift work occupations, including nursing. This study aims to investigate the factors affecting life expectancy in shift doctors in the emergency department.
Materials and Methods: This is a descriptive-analytical and cross-sectional study conducted in 2023 at the Applied Research Center of Police in which shift-working doctors of the emergency department were included. The study population consisted of shift doctors in the emergency department of 50 hospitals and clinics related to Iran and Alborz Universities of Tehran and Karaj with at least 6 months of continuous work experience with fixed and rotating shifts in 2022. Sampling was done using a stratified method with a sample size of 300 people (95% confidence level). For this purpose, Miller's Hope Questionnaire along with a questionnaire to collect demographic information was provided to the doctors in different work shifts while explaining the objectives of the study and training instructions and how to complete them. Then the data was analyzed by SPSS software version 26. Appropriate parametric and nonparametric tests, including t-test and ANOVA, were utilized to compare numeric data. Also, correlations between numeric data were assessed through Pearson’s correlation and linear regression.
Findings: 313 people (158 women), including 94 general practitioners (30%), 197 emergency physicians (62.9%), and 22 physicians specializing in other fields (7%), with a mean age of 44.07 ± 7.47 years, were included in the study. The mean score of the life expectancy test had significant differences in different subgroups of marital status (p<0.001), parenthood (p<0.001), child living with the parent in question (p<0.001), field of study (p<0.001), spouse employment (p=0.008), level of satisfaction with one's work situation (p<0.001), level of satisfaction with one's life situation (p<0.001), desire to change careers in the current situation (p<0.001), traveling to relieve job stress (p<0.001), interacting with relatives to relieve job stress (p<0.001), exercising to relieve job stress (p<0.001), adequate sleep during the day (p<0.001), specific illness of first-degree family members (p=0.04), and shift status in the emergency room (p<0.001). Also, the results of linear regression showed that the age of physicians, the duration of physicians' marriage, the overall work experience of physicians, and the experience of physicians working in the emergency department significantly predicted the life expectancy test score (R2=0.216 and F=(5,211)11.64 and p<0.001).
Conclusion: Inappropriate shift work reduces life expectancy and, as a result, disrupts the personal, family, and professional lives of healthcare personnel. In addition, demographic characteristics, shift work, adequate nighttime sleep, living conditions, travel, exercise, contact with relatives, specific physical or psychological illnesses, and specific illnesses of family members have a significant effect on life expectancy. Also, increasing shift work of emergency department physicians, especially night shifts, significantly reduces the life expectancy of this group of physicians.
Materials and Methods: This is a descriptive-analytical and cross-sectional study conducted in 2023 at the Applied Research Center of Police in which shift-working doctors of the emergency department were included. The study population consisted of shift doctors in the emergency department of 50 hospitals and clinics related to Iran and Alborz Universities of Tehran and Karaj with at least 6 months of continuous work experience with fixed and rotating shifts in 2022. Sampling was done using a stratified method with a sample size of 300 people (95% confidence level). For this purpose, Miller's Hope Questionnaire along with a questionnaire to collect demographic information was provided to the doctors in different work shifts while explaining the objectives of the study and training instructions and how to complete them. Then the data was analyzed by SPSS software version 26. Appropriate parametric and nonparametric tests, including t-test and ANOVA, were utilized to compare numeric data. Also, correlations between numeric data were assessed through Pearson’s correlation and linear regression.
Findings: 313 people (158 women), including 94 general practitioners (30%), 197 emergency physicians (62.9%), and 22 physicians specializing in other fields (7%), with a mean age of 44.07 ± 7.47 years, were included in the study. The mean score of the life expectancy test had significant differences in different subgroups of marital status (p<0.001), parenthood (p<0.001), child living with the parent in question (p<0.001), field of study (p<0.001), spouse employment (p=0.008), level of satisfaction with one's work situation (p<0.001), level of satisfaction with one's life situation (p<0.001), desire to change careers in the current situation (p<0.001), traveling to relieve job stress (p<0.001), interacting with relatives to relieve job stress (p<0.001), exercising to relieve job stress (p<0.001), adequate sleep during the day (p<0.001), specific illness of first-degree family members (p=0.04), and shift status in the emergency room (p<0.001). Also, the results of linear regression showed that the age of physicians, the duration of physicians' marriage, the overall work experience of physicians, and the experience of physicians working in the emergency department significantly predicted the life expectancy test score (R2=0.216 and F=(5,211)11.64 and p<0.001).
Conclusion: Inappropriate shift work reduces life expectancy and, as a result, disrupts the personal, family, and professional lives of healthcare personnel. In addition, demographic characteristics, shift work, adequate nighttime sleep, living conditions, travel, exercise, contact with relatives, specific physical or psychological illnesses, and specific illnesses of family members have a significant effect on life expectancy. Also, increasing shift work of emergency department physicians, especially night shifts, significantly reduces the life expectancy of this group of physicians.
Keywords: Shift work schedule, Psychometrics, Personal Satisfaction, Hope, Emergency Service, Hospital
Article Type: Original Research |
Subject:
Police Related Psychology
Received: 2023/10/8 | Accepted: 2024/07/19 | Published: 2024/07/24
Received: 2023/10/8 | Accepted: 2024/07/19 | Published: 2024/07/24
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