SLEEP QUALITY ANALYSIS AND DECISION-MAKING PROFILE IN RESIDENT PHYSICIANS
Palavras-chave:
Hospital Clinical Staff, Sleep Quality, Decision MakingResumo
Decision-making is crucial for medical residents, who face uncertainties and complexities in their profession. The current study conducted a cross-sectional, analytical, and associative analysis of the decision-making profile and its relationship with sleep quality in 52 residents. Most of the professionals were female and had a high prevalence of poor sleep quality (92%), which can negatively impact mental health, learning, and cognition. The “vigilant” profile, characterized by rational decisions, was the most recurrent in the sample, followed by the “hypervigilant” profile, associated with quick decisions. Poor sleep quality calls into question residents' self-perception of their decision-making profile, as sleep deprivation can affect the ability to integrate emotion and cognition. The study highlights the need to improve residents' sleep and to further investigate its relationship with decision-making. Adapting residency programs to the reality of female physicians and promoting the health and well-being of residents are crucial. Despite its limitations, the study contributes to understanding the reality of residents and paves the way for future research on the impacts of sleep on the lives of these professionals.
Referências
BERTOLAZI, A. N. et al. Translation into Portuguese and validation of the Epworth Sleepiness Scale. Brazilian Journal of Pulmonology, v. 35, n. 5, p. 489-495, 2009.
BUYSSE, D. J. et al. The Pittsburgh Sleep Quality Index (PSQI): a new instrument for psychiatric practice and research. Psychiatry research, v. 28, n. 2, p. 193-213, 1989.
CONTRENA, M. T. R.; BRANCO, A.; FONSECA, A. C. Cross-cultural adaptation and validation of the Melbourne Decision Making Questionnaire for European Portuguese. Psychology: Reflection and Criticism, v. 31, n. 1, p. 1-10, 2018.
HARVEY, A. et al. Impact of Stress on Resident Performance in Simulated Trauma Scenarios. The Journal of Trauma and Acute Care Surgery, v.72, n.2, p. 497-503, 2012.
JENNIS, I.L.; MANN, L.. Decision Making: A Psychological Analysis of Conflict, Choice and Commitment. American Psychological Association, 1977.
LAUFFENBURGER, J.C. et al. Prescribing Decision Making by Medical Residents on Night Shifts: A Qualitative Study. Medical Education, v. 56, n.10, p. 1032-1041, 2022.
MANN, L. et al. The Melbourne Decision Making Questionnaire- An Instrument for Measuring Patterns for Coping with Decisional Conflict. Journal of Behavioral Decision Making, v. 10, p. 1-19, 1997.
PASSOS, M. H. P. et al. Reliability and Validity of the Brazilian Version of the Pittsburgh Sleep Quality Index in Adolescents. Jornal de Pediatria, v. 93, n.2, p. 200-206, 2016.
PIQUETTE, D. et al. Impact of Acute Stress on Resident Performance During Simulated Resuscitation Episodes: A Prospective Randomized Cross-Over Study. Teaching and Learning in Medicine, v.26, n.1, p. 9-16, 2014.
QUICK, J.D. et al. Decision-Making Among Emergency Room Residents. Journal of Medical Education, v.68, n.2, p. 117-125, 1983.
SIMPKIN, A.L. et al. Stress from Uncertainty and Resilience among Depressed and Burned-Out Residents: A Cross-Sectional Study. Academic Pediatrics, Boston, v.18, n.6, p. 698-704, 2018.
