head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2020, vol. 26, issue2
Subject Area: Medicine
DOI: 10.5272/jimab.2020262.3163
Published online: 27 May 2020

Original article

J of IMAB. 2020 Apr-Jun;26(2):3163-3167
Marina Samuneva-ZhelyabovaORCID logo Corresponding Autoremail, Karolina LyubomirovaORCID logo, Todor KundurzhievORCID logo,
Department of Occupational Medicine, Faculty of Public Health, Medical University- Sofia, Bulgaria.

Background: Fatigue and sleepiness during shift work pose a safety risk for emergency healthcare workers. These are factors which can compromise the effectiveness of these workers and as a result, can have detrimental consequences on the workers’ health and overall well-being. A large share of emergency healthcare personnel reports high levels of work-related fatigue and poor sleep.
Objectives: Investigation of sleep disorders and mental and physical fatigue among emergency healthcare workers.
Material and Methods: The study was conducted among 468 workers in 2 emergency healthcare centres. The male participants were 58.3%, and 41.7% were female. The distribution by position was nurses  35.8%, followed by drivers - 26.1% , doctors - 18.1%, paramedics - 14.2%, and sanitation workers - 5.8%. Statistical methods used included descriptive statistics and Chi-square test.
Results: The results showed that the biggest share was that of participants who have sleep disorders at age over 55 years – 41%, while by position, that of the physicians – 46.4%. The levels of physical fatigue were higher among participants from the age up to 35 years – 53.1%, and among paramedics – 59.1%, followed by physicians – 58.3%. Mental fatigue was higher among women – 52.7%. The share of mental fatigue at the end of the working day among doctors was higher - 64.3%.
Sleep disorders and fatigue are common among emergency healthcare workers.The levels of sleep disorders and physical and mental fatigue are high and unhealthy.

Keywords: Emergency healthcare workers, Sleep disorders, Mental fatigue, Physical fatigue,

pdf - Download FULL TEXT /PDF 1125 KB/
Please cite this article as: Samuneva-Zhelyabova M, Lyubomirova K, Kundurzhiev T. Sleep Disorders and Fatigue among Emergency Healthcare Workers. J of IMAB. 2020 Apr-Jun;26(2):3163-3167.
DOI: 10.5272/jimab.2020262.3163

Corresponding AutorCorrespondence to: Marina Samuneva-Zhelyabova, MD, PhD. Department of Occupational Medicine, Faculty of Public Health, Medical University – Sofia; 8, Bialo more str., Sofia, Bulgaria; E-mail: msamuneva@gmail.com

1. Cappuccio FP, D’Elia L, Strazzullo P, Miller MA. Sleep Duration and All-Cause Mortality: A Systematic Review and Meta-Analysis of Prospective Studies. Sleep. 2010 May;33(5):585-92. [PubMed] [Crossref]
2. Itani O, Jike M, Watanabe N, Kaneita Y. Short Sleep Duration and Health Outcomes: A Systematic Review, Meta-Analysis, and Meta-Regression. Sleep Med. 2017 Apr;32:246-56. [PubMed] [Crossref]
3. Ream E, Richardson A. Fatigue: A Concept Analysis. Int J Nurs Stud. 1996 Oct;33(5):519-29. [PubMed] [Crossref]
4. Caruso CC. Negative Impacts of Shiftwork and Long Work Hours. Rehabil Nurs. 2014 Jan-Feb;39(1):16-25. [PubMed] [Crossref]
5. Williamson A, Lombardi DA, Folkard S, Stutts J, Courtney TK, Connor JL. The Link Between Fatigue and Safety. Accid Anal Prev. 2011 Mar;43(2):498-515. [PubMed] [Crossref]
6. Courtney James, Fatigue and Mental Health in Ambulance Paramedic Shiftworkers, Graduate Diploma in Behavioral Science, School of Psychological Science, Faculty of Science Technology and Engineering, La Trobe University, Bundoora, Victoria 3086, Australia, October 2010
7. Bauder B: Safety fears rise with city’s use of overtime. Pittsburgh Tribune-Review. 2012, Pittsburgh, PA: The Tribune-Review Publishing Company, B1-B7
8. Patterson PD, Weaver MD, Frank RC, Warner CW, Martin-Gill C, Guyette FX, et al. Association Between Poor Sleep, Fatigue, and Safety Outcomes in Emergency Medical Services Providers. Prehosp Emerg Care. 2012  Jan-Mar;16(1):86-97. [PubMed] [Crossref]
9. Boudreaux E, Jones GN, Mandry C, Brantley PJ. Patient Care and Daily Stress Among Emergency Medical Technicians. Prehosp Disaster Med. 1996 Jul-Sep;11(3):188-93; discussion 193-4. [PubMed] [Crossref]
10. Barger LK, Runyon MS, Renn ML, Moore CG, Weiss MP, Condle JP, et al. Effect of Fatigue Training on Safety, Fatigue, and Sleep in Emergency Medical Services Personnel and Other Shift Workers: A Systematic Review and Meta-Analysis. Prehosp Emerg Care. 2018 Feb 15;22(sup1):58-68. [PubMed] [Crossref]
11. Pirrallo RG, Loomis CC, Levine R, Woodson BT. The Prevalence of Sleep Problems in Emergency Medical Technicians. Sleep Breath. 2012 Mar;16(1):149-62. [PubMed] [Crossref]
12. Patterson PD, Buysse DJ, Weaver MD, Callaway CW, Yealy DM. Recovery Between Work Shifts Among Emergency Medical Services Clinicians. Prehosp Emerg Care. 2015 Jul-Sep;19(3):365-75. [PubMed] [Crossref]
13. Patterson PD, Suffoletto BP, Kupas DF, Weaver MD, Hostler D. Sleep Quality and Fatigue Among Prehospital Providers. Prehosp Emerg Care. 2010 Apr-Jun;14(2):187-93. [PubMed] [Crossref]
14. Patterson P, Moore C, Weaver M, Buysse D, Suffoletto B, Callaway C, et al. Mobile phone text messaging intervention to improve alertness and reduce sleepiness and fatigue during shiftwork among emergency medicine clinicians: study protocol for the Sleep TrackTXT pilot randomized controlled trial. Trials. 2014 Jun 21;15:244. [PubMed] [Crossref]
15. Aasa U, Angquist KA, Barnekow-Bergkvist M. The effects of a 1-year physical exercise programme on development of fatigue during a simulated ambulance work task. Ergonomics. 2008 Aug;51(8):1179-94
16. Akerstedt T, Fredlund P, Gillberg M, Jansson B. Work Load and Work Hours in Relation to Disturbed Sleep and Fatigue in a Large Representative Sample. J Psychosom Res. 2002 Jul;53(1):585-8. [PubMed] [Crossref]
17. Sofianopoulos S, Williams B, Archer F. Paramedics and the effects of shift work on sleep: a literature review. Emerg Med J. 2012;29:152-155
18. Akerstedt T. Shift Work and Disturbed Sleep/Wakefulness. Occup Med (Lond). 2003 Mar;53(2):89-94. [PubMed] [Crossref]
19. Bensing JM, Hulsman RL, Schreurs KM. Gender Differences in Fatigue: Biopsychosocial Factors Relating to Fatigue in Men and Women. Med Care. 1999 Oct;37(10):1078-83. [PubMed]
20. Sluiter JK, de Croon EM, Meijman TF, Frings-Dresen MH. Need for recovery from work related fatigue and its role in the development and prediction of subjective health complaints. Occup Environ Med. 2003 Jun;60(Suppl 1):i62-70. [PubMed]

Received: 12 June 2019
Published online: 27 May 2020

back to Online Journal