Médicos de Sala de Emergencias de Puerto Rico: Relación entre la Privación de Sueño y el Desempeño
Palabras clave:
privación de sueño, desempeño, médicos de sala de emergenciasResumen
Los/as profesionales de la medicina de sala de emergencia suelen tener turnos nocturnos que los pone en riesgo de privación de sueño. Este último ocurre cuando un adulto no duerme lo suficiente, de siete a ocho horas, para sentirse alerta y descansado (American Academy of Sleep Medicine, 2008). Esta investigación tuvo el propósito de auscultar los niveles de privación de sueño en los médicos de sala de emergencias y determinar su relación con el desempeño. A través de un diseño no experimental, de corte transversal, se encuestó electrónicamente a 32 médicos de salas de emergencias en Puerto Rico. Los resultados muestran que después de ser llamados a un turno nocturno la mayoría de los médicos indican estar irritados/as (50%, n = 16) y menos empáticos/as con los pacientes (40%, n = 13). Los resultados son consistentes con investigaciones previas, en las que los/as profesionales de la medicina están privados del sueño y se vincula a su desempeño laboral.
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Al-Maddah, E., Al-Dabal, B., & Khalil, M. (2015). Prevalence of Sleep Deprivation and Relation with Depressive Symptoms among Medical Residents in King Fahd University Hospital, Saudi Arabia. Sultan Qaboos University Med J., 15(1), 78-84.
Ali, M., Ali, N., & Alani, W. (2020). Assessment of Sleep Quality Among Doctors with On-Call Duties in Bahrain Defense Force Hospital. Journal of the Bahrain Medical Society, 32(2), 1-7.
American Academy of Sleep Medicine. (2008). Sleep Deprivation Fact Sheet. https://aasm.org/resources/factsheets/sleepdeprivation.pdf
Buysse, D.J., Reynolds, C. F. III, Monk T.H., Berman, S.R, & Kupfer, D.J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2),193-213. DOI: 10.1016/0165-1781(89)90047-4.
Cheung, V., Yuen, V. M., Wong, G. T. C., & Choi, S. W. (2018). The effect of sleep deprivation and disruption on DNA damage and health of doctors. Anaesthesia, 74(4), 434–440. https://doi.org/10.1111/anae.14533
Datta, A., Nag, K., Karmakara, N., Chakraborty, T., & Bhattacharjee, O. (2019). Sleep disturbance and its effect on work performance of staffs following shifting duties: A cross-sectional study in a medical college and hospital of Tripura. Medical Journal of Dr. D.Y. Patil Vidyapeeth 12(3), 211-216. https://doi.org/10.4103/mjdrdypu.mjdrdypu_116_18
Hernández-Sampieri, R., & Mendoza-Torres, C. P. (2018). Metodología de la Investigación (7ma ed.). Mcgraw-Hill.
Howard, S. K. (2005). Sleep Deprivation and Physician Performance: Why Should I Care? Baylor University Medical Center Proceedings, 18(2), 108-112. https://doir.org/10/1080/08998280.2005.11928045
Johns, M. W. (1991). A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Journal of Sleep Research & Sleep Medicine, 14(6), 540-545. https://doi.org/10.1093/sleep/14.6.540
Kalmbach, D. A., Arnedt, J. T., Song, P. X., Guille, C., & Sen, S. (2017) Sleep Disturbance and Short Sleep as Risk Factors for Depression and Perceived Medical Errors in First-Year Residents. Sleep. 40(3). https://doi.org/10.1093/sleep/zsw073
Morales, J., Yáñez, A., Fernández-González, L., Montesinos-Magraner, L., Marco-Ahulló, A., Solana-Tramunt, M., & Calvete, E. (2019). Stress and autonomic response to sleep deprivation in medical residents: A comparative cross-sectional study. PLOS ONE, 14(4), e0214858. https://doi.org/10.1371/journal.pone.0214858
Motowidlo, S. J., Borman, W. C., & Schmit, M. J. (1997). A Theory of Individual Differences in Task and Contextual Performance. Human Performance, 10(2), 71-83. https://doi.org/10/1207/s15327043hup1002_1
Olson, E. J., Drage, L. A., & Auger, R. R. (2009). Sleep Deprivation, Physician Performance, and Patient Safety. Chest, 136(5), 1389-1396. https://doi.org/10.1378/chest.08-1952
Porter, L. W., & Steers, R. M. (1973). Organizational, work, and personal factors in employee turnover and absenteeism. Psychological Bulletin, 80(2), 151–176. https://doi.org/10.1037/h0034829
Instituto Nacional de Ciencias de la Medicina General. (2021, enero). Ritmos Circadianos. https://www.nigms.nih.gov/education/fact-sheets/Pages/circadian-rhythms-spanish.aspx
Samatra, P., Kesanda, P., Adnyana, O., & Widyadharma, E. (2017). The Effect of Partial Sleep Deprivation in Decrease of Cognitive Function in Resident Doctors of Udayana University/Sanglah General Hospital. International Journal of Science and Research, 6(4). DOI: 10.21275/ART20172233
Sanches, I., Teixeira, F., Santos, J. M. D., & Ferreira, A. J. (2015). Effects of Acute Sleep Deprivation Resulting from Night Shift Work on Young Doctors. Acta Médica Portuguesa, 28(4), 457. https://doi.org/10.20344/amp.5777
Vargas, I. P., Aguiar, S. A., & Barela, J. A. (2017). Effects of sleep deprivation on sustained attention in young adults. Brazilian Journal of Motor Behavior, 11(1). https://doi.org/10.20338/bjmb.v11i1.96
Woodrow, S. I., Park, J., Murray, B. J., Wang, C., Bernstein, M., Reznick, R. K., & Hamstra, S. J. (2008). Differences in the perceived impact of sleep deprivation among surgical and non-surgical residents. Medical Education, 42(5), 459-67. DOI: 10.1111/j.1365-2923.2007. 02963.x
Yogi, J., & Hirkani, M. (2016). Effect of sleep deprivation on audio-visual reaction time in resident doctors – a measure of task performance. Indian Journal of Basic and Applied Medical Research, 5(2) 29-35.
