Abstract：
Delivering 24 h healthcare requires rotational shift work from doctors and the medical imaging team, while contributing to safe and timely care of patients. Additional service pressure and staff shortfall leads to workload pressures, adjusted shift patterns and risk of burnout. Evidence should be sought to the effects of this work on staff.
This systematic review followed PRISMA reporting guidelines, using a convergent mixed methods approach according to Guidance from Joanna Briggs International. Quantitative trends and results were qualified in order to thematically analyse in conjunction with qualitative data and discussed together in context. Following initial searching, returned articles were screened by title and abstract. A team of 3 reviewers undertook blinded critical appraisal of those suitable, with quality assurance from a 4th team member. Papers passing a threshold of 75% on JBI appraisal tools were accepted for synthesis. Data extraction of appropriate articles retrieved was undertaken in parallel.
Following screening and critical appraisal, 13 studies were returned focusing exclusively on Non Consultant Doctors. No studies investigated diagnostic radiographers. 85% (n = 11) reported negative association between shift work and the three themes of sleep/fatigue, burnout and wellbeing: including after the introduction of shift pattern control or adjusted shift patterns. The remainder showed no change, or any improvement nullified by countermeasures to maintain service delivery.
Current working practices and shift plans in the target population showed detrimental effects on the participants - this can be suggested that Diagnostic Radiographers may suffer fatigue, burnout and poor mental health from stretched shift working patterns.
Further study into the effects of shift work on Diagnostic Radiographers and other allied health professionals is indicated - relating to the above themes in the context of errors and patient safety. Additional research into Non Consultant Doctors, shift work effects and the context of wider service delivery required; with suitable interventions and education to maximise understanding of legal working practices, monitoring and self-management of symptoms.
This systematic review followed PRISMA reporting guidelines, using a convergent mixed methods approach according to Guidance from Joanna Briggs International. Quantitative trends and results were qualified in order to thematically analyse in conjunction with qualitative data and discussed together in context. Following initial searching, returned articles were screened by title and abstract. A team of 3 reviewers undertook blinded critical appraisal of those suitable, with quality assurance from a 4th team member. Papers passing a threshold of 75% on JBI appraisal tools were accepted for synthesis. Data extraction of appropriate articles retrieved was undertaken in parallel.
Following screening and critical appraisal, 13 studies were returned focusing exclusively on Non Consultant Doctors. No studies investigated diagnostic radiographers. 85% (n = 11) reported negative association between shift work and the three themes of sleep/fatigue, burnout and wellbeing: including after the introduction of shift pattern control or adjusted shift patterns. The remainder showed no change, or any improvement nullified by countermeasures to maintain service delivery.
Current working practices and shift plans in the target population showed detrimental effects on the participants - this can be suggested that Diagnostic Radiographers may suffer fatigue, burnout and poor mental health from stretched shift working patterns.
Further study into the effects of shift work on Diagnostic Radiographers and other allied health professionals is indicated - relating to the above themes in the context of errors and patient safety. Additional research into Non Consultant Doctors, shift work effects and the context of wider service delivery required; with suitable interventions and education to maximise understanding of legal working practices, monitoring and self-management of symptoms.
摘要：
背景：提供24小时医疗保健需要医生和医学影像团队的轮班工作，同时有助于患者的安全和及时护理。额外的服务压力和人员短缺导致工作量压力,调整后的转变模式和倦怠风险。应寻求证据证明这项工作对工作人员的影响。
方法：本系统评价遵循PRISMA报告指南，根据乔安娜·布里格斯国际的指导，使用融合混合方法方法。定量趋势和结果是合格的，以便结合定性数据进行主题分析，并在上下文中一起讨论。在初始搜索之后,返回的文章按标题和摘要进行筛选。一个由3名审稿人组成的团队对那些合适的人进行了盲目的批判性评估，从第四个团队成员的质量保证。在JBI评估工具上通过75%阈值的论文被接受进行综合。检索到的适当文章的数据提取是并行进行的。
结果：在筛查和关键评估之后，返回的13项研究专门针对非顾问医生。没有研究调查放射诊断技师。85%(n=11)报告轮班工作与睡眠/疲劳三个主题之间存在负相关，倦怠和幸福感：包括引入换档模式控制或调整后的换档模式。其余的没有变化，或因维持服务交付的对策而无效的任何改进。
结论：目标人群的当前工作实践和轮班计划对参与者产生了不利影响-这可以表明诊断放射技师可能会感到疲劳，紧张轮班工作模式导致的倦怠和不良心理健康。
结论：进一步研究轮班工作对诊断放射技师和其他专职医疗专业人员的影响-与错误和患者安全相关的上述主题有关。对非顾问医生的额外研究，转变工作效果和需要更广泛的服务提供的背景；通过适当的干预措施和教育，以最大限度地理解法律工作实践，症状监测和自我管理。
方法：本系统评价遵循PRISMA报告指南，根据乔安娜·布里格斯国际的指导，使用融合混合方法方法。定量趋势和结果是合格的，以便结合定性数据进行主题分析，并在上下文中一起讨论。在初始搜索之后,返回的文章按标题和摘要进行筛选。一个由3名审稿人组成的团队对那些合适的人进行了盲目的批判性评估，从第四个团队成员的质量保证。在JBI评估工具上通过75%阈值的论文被接受进行综合。检索到的适当文章的数据提取是并行进行的。
结果：在筛查和关键评估之后，返回的13项研究专门针对非顾问医生。没有研究调查放射诊断技师。85%(n=11)报告轮班工作与睡眠/疲劳三个主题之间存在负相关，倦怠和幸福感：包括引入换档模式控制或调整后的换档模式。其余的没有变化，或因维持服务交付的对策而无效的任何改进。
结论：目标人群的当前工作实践和轮班计划对参与者产生了不利影响-这可以表明诊断放射技师可能会感到疲劳，紧张轮班工作模式导致的倦怠和不良心理健康。
结论：进一步研究轮班工作对诊断放射技师和其他专职医疗专业人员的影响-与错误和患者安全相关的上述主题有关。对非顾问医生的额外研究，转变工作效果和需要更广泛的服务提供的背景；通过适当的干预措施和教育，以最大限度地理解法律工作实践，症状监测和自我管理。
