4 Taking regular breaks is important to maintain the health and wellbeing of all staff members, whilst ensure that a high standard of patient care is delivered continuously

Abstract

<h3>Aim</h3> As the volume and complexity of paediatric problems, including medical and social issues continues to rise, there remains limited guidance for paediatrics doctors to strike the balance between achieving satisfactory patient care and prevent themselves from developing work fatigue. The aim of the questionnaire was to review current staff break policy and confirm that this was being adhered to within the workplace. Where this was not taking place, the questionnaire looked to identify whether there was risk to patient safety and whether the health and wellbeing of workers was being effected. <h3>Methods</h3> We conducted a survey at the District General Hospital, which included 9 questions and where 33 Doctors were anonymously interviewed. Of these 33 Doctors, 12 were Consultant Paediatricians, whilst 21 were junior doctors FY1 FY2. The Paediatrics and GP trainees from ST1 to ST6. <h3>Result</h3> 94% of interviewees confirmed that they had days were they would not have breaks at all. 70% admitted that they felt guilty taking breaks, whilst 79% confirmed that senior members of staff had prevented them from taking breaks. 79% answered that planning breaks during handover/takeover is not acceptable, whilst overall, 91% believe that senior members of staff should be actively seen to monitor/enforce taking of breaks. All interviewees confirmed that a break should constitute time free from holding the bleep, where they would be permitted to take fluids and food on board. It was also pointed out that a break should constitute time outside of the unit, preferably in an environment where an individual could relax. <h3>Conclusion</h3> Based on the findings and review of various literature, it is recommended that a 30 minute break be provided and after 6 hours of continuous work. This would comply with the Trust. Where members of staff are required to work at commuter more than 1.5hrs daily, a 10 minute break is to be taken. For each shift, a senior doctor is to be identified and who will monitor whether staff are taking breaks. To promote wider cultural awareness, a poster and flyer was put up on notice boards for all staff members to view. These visual aids encourage staff to take breaks whilst also serve as an educational piece, reminding all staff members of the importance of the having rest: to ensure a high standard of patient care is maintained, as well as maintain individual health &amp; wellbeing.