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Zana-Taïeb E, Kermorvant E, Beuchée A, Patkaï J, Rozé JC, Torchin H. Excessive workload and insufficient night-shift remuneration are key elements of dissatisfaction at work for French neonatologists. Acta Paediatr 2023; 112:2075-2083. [PMID: 37300876 DOI: 10.1111/apa.16871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Revised: 06/06/2023] [Accepted: 06/08/2023] [Indexed: 06/12/2023]
Abstract
AIM Neonatologists are exposed to ethical issues and unplanned emergencies that require 24-h in-house coverage. These elements may affect quality of life at work, which we surveyed. METHODS This was a self-administered, voluntary and anonymous cross-sectional survey of French neonatologists. An online questionnaire was sent to members of the French Society of Neonatology from June to October 2022. RESULTS Of approximately 1500 possible responses, 721 were analysed, with a response rate of 48%. Respondents were mostly women (77%), aged 35-50 years (50%), and hospital practitioners (63%). Reported weekly working time was over 50 h for 80%. Among the 650 neonatologists with on-call duty, 47% worked ≥5 shifts per month. For 80% of practitioners, on-call duty was perceived to have a negative impact on personal life; 49% indicated having sleep disorders. The mean satisfaction score at work was 5.7 ± 1.7 on a scale of 0-10. The main reasons for dissatisfaction were excessive working hours and insufficient remuneration for on-call duty. CONCLUSION This first evaluation of the quality of life at work of French neonatologists showed high workload. The working conditions and specificities of NICU activity may have significant consequences for their mental health.
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Affiliation(s)
- Elodie Zana-Taïeb
- Médecine et Réanimation néonatales de Port-Royal, Centre Hospitalier Cochin Port-Royal, AP-HP, Paris, France
- FHU Prema, Paris, France
- Université Paris Cité, Paris, France
| | - Elsa Kermorvant
- Université Paris Cité, Paris, France
- AP-HP, Pédiatrie et Réanimation Néonatales, Hôpital Necker-Enfants Malades, Paris, France
| | - Alain Beuchée
- University of Rennes, CHU Rennes, Inserm, LTSI-UMR 1099, Rennes, France
| | - Juliana Patkaï
- Médecine et Réanimation néonatales de Port-Royal, Centre Hospitalier Cochin Port-Royal, AP-HP, Paris, France
- FHU Prema, Paris, France
| | - Jean-Christophe Rozé
- Department of Neonatology, CHU Nantes, UMR PhAN 1280 INRAE, CIC004 INSERM, Nantes, France
| | - Héloïse Torchin
- Médecine et Réanimation néonatales de Port-Royal, Centre Hospitalier Cochin Port-Royal, AP-HP, Paris, France
- FHU Prema, Paris, France
- Université Paris Cité, Paris, France
- CRESS Obstetrical Perinatal and Pediatric Epidemiology Research Team, EPOPé, INSERM, INRAE, Université Paris Cité, Paris, France
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Caillaud I, Torchin H, Basset A, Mouillé M, Jarreau PH, Zana-Taïeb É. [Caregivers' experiences with extreme prematurity]. Soins Psychiatr 2022; 43:10-13. [PMID: 36731975 DOI: 10.1016/j.spsy.2022.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Neonatal intensive care units receive very immature premature newborns. Mortality and morbidity rates remain high in this particularly fragile population. Caregivers involved with the child and his or her parents may experience moral distress. There are few studies on the experience of caregivers in these situations. Training, service architecture and sharing of experiences with specifically trained psychologists can improve this experience in these highly technical services.
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Affiliation(s)
- Isabelle Caillaud
- Service de médecine et réanimation néonatales de Port-Royal, AP-HP, Université Paris Cité, Site Cochin, 123 boulevard de Port-Royal, 75014 Paris, France
| | - Héloïse Torchin
- Service de médecine et réanimation néonatales de Port-Royal, AP-HP, Université Paris Cité, Site Cochin, 123 boulevard de Port-Royal, 75014 Paris, France; Fédération hospitalo-universitaire Combattre la prématurité (FHU Préma), Maternité de Port-Royal, AP-HP, 123 boulevard de Port-Royal, 75014 Paris, France; Centre de recherche en épidémiologie et statistiques/Cress, Inserm, Inrae, Université Paris Cité, 1 place du Parvis Notre-Dame, 75004 Paris, France
| | - Aurélie Basset
- Service de médecine et réanimation néonatales de Port-Royal, AP-HP, Université Paris Cité, Site Cochin, 123 boulevard de Port-Royal, 75014 Paris, France; Fédération hospitalo-universitaire Combattre la prématurité (FHU Préma), Maternité de Port-Royal, AP-HP, 123 boulevard de Port-Royal, 75014 Paris, France
| | - Marion Mouillé
- Service de médecine et réanimation néonatales de Port-Royal, AP-HP, Université Paris Cité, Site Cochin, 123 boulevard de Port-Royal, 75014 Paris, France; Fédération hospitalo-universitaire Combattre la prématurité (FHU Préma), Maternité de Port-Royal, AP-HP, 123 boulevard de Port-Royal, 75014 Paris, France
| | - Pierre-Henri Jarreau
- Service de médecine et réanimation néonatales de Port-Royal, AP-HP, Université Paris Cité, Site Cochin, 123 boulevard de Port-Royal, 75014 Paris, France; Fédération hospitalo-universitaire Combattre la prématurité (FHU Préma), Maternité de Port-Royal, AP-HP, 123 boulevard de Port-Royal, 75014 Paris, France; Centre de recherche en épidémiologie et statistiques/Cress, Inserm, Inrae, Université Paris Cité, 1 place du Parvis Notre-Dame, 75004 Paris, France
| | - Élodie Zana-Taïeb
- Service de médecine et réanimation néonatales de Port-Royal, AP-HP, Université Paris Cité, Site Cochin, 123 boulevard de Port-Royal, 75014 Paris, France; Fédération hospitalo-universitaire Combattre la prématurité (FHU Préma), Maternité de Port-Royal, AP-HP, 123 boulevard de Port-Royal, 75014 Paris, France.
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