Related Experiment Video
Updated: Jan 2, 2026
08:36
Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
12.6K
Improving Resident Well-Being During Shiftwork: Are Casino Shifts the Answer?
Helen Levin1, Rodrick Lim, Timothy Lynch
1From the Department of Pediatrics and Medicine, Western University, London, Ontario, Canada.
Pediatric Emergency Care
|December 3, 2019
Summary
Casino shifts did not impact resident well-being compared to standard overnight shifts in a pediatric emergency department. Further research is needed to understand trainee experiences with alternative shift schedules.
Area of Science:
- Medical Education
- Emergency Medicine
- Sleep Medicine
Background:
- Shift work in academic pediatric emergency departments presents unique challenges to resident well-being.
- Previous studies suggest potential benefits of alternative shift schedules for consultant staff, but trainee data is limited.
Purpose of the Study:
- To quantitatively assess the impact of "casino shifts" versus standard overnight shifts on resident well-being.
- To compare resident wellness using the Brief Resident Wellness Profile (BRWP) and other validated surveys.
Main Methods:
- A randomized prospective survey study over one year compared 28-day blocks of standard overnight shifts with "casino" shifts (early evening or early morning).
- Residents completed pre- and post-block surveys assessing well-being, mood, and quality of life.
- The Brief Resident Wellness Profile (BRWP) was the primary outcome measure.
Main Results:
- No significant difference in resident well-being (BRWP scores) was found between standard and casino shift groups.
- Relative changes in BRWP scores from pre- to post-block did not differ significantly between the two shift types.
- Secondary outcomes, including mood and quality of life surveys, also showed no significant differences.
Conclusions:
- This study found no effect of casino shifts on resident well-being in a pediatric emergency department setting.
- Findings contrast with benefits observed in consultant staff, indicating a need for trainee-specific research.
- Further investigation into the effects of alternative shift schedules on trainees is warranted.
Related Concept Videos
01:19Management of Insomnia
465
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
465
01:13Insufficient Sleep and Sleep Deprivation
782
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
782
01:29Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
01:15Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
316
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
316
01:24Substance Use Disorders Affecting Sleep
343
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
343
01:19Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K