Universität zu Köln

Neimann, Johannes, Knabl, Julia, Puppe, Julian, Bayer, Christian Michael, Gass, Paul, Gabriel, Lena, Seelbach-Goebel, Birgit, Lermann, Johannes and Schott, Sarah ORCID: 0000-0002-1714-1147 (2017). Duty Rosters andWorkloads of Obstetricians in Germany: Results of a Germany-wide Survey. Geburtshilfe Frauenheilkd., 77 (8). S. 894 - 904. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8804

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Abstract

Background Compiling a daily hospital roster which complies with existing laws and tariff regulations and meets the requirements for ongoing professional training while also taking the legal regulations on the health of employees into account makes planning the duty roster a challenge. The aim of this study was to obtain a realistic picture of existing duty roster systems and of the current workloads of obstetricians in Germany. Method This online survey was sent to 2770 physicians training to become obstetricians or specializing in specific areas of obstetric care. The survey consisted of an anonymized 95item questionnaire which collected data on different types of duty roster systems and the workload of obstetricians in Germany for the period from 17.02.2015 to 16.05.2015. Results Out of a total of 2770 physicians who were contacted, 437 (16%) completed the questionnaire. Across all forms of care, the care provided outside normal working hours usually (75%) consisted of a combination of regular working times and on-call duty or even consisted entirely of standby duty. Level I perinatal centers were most likely 20% (n = 88) to have a shift system in place. Working a shift system was significantly more common in care facilities which had previously carried out a job analysis. The number of physicians in hospitals who are present during the night shift was higher in facilities with higher numbers of births and in facilities which offered higher levels of care. In addition to regularly working overtime and the fact that often not all the hours worked were recorded, it was notable that the systems used to compile duty rosters often did not comply with legal regulations or with collectively agreed working hours nor were they compatible with the staff planning requirements. Outlook The results of this study show that the conditions of work, the working times, and the organization of working times in obstetric departments are in need of improvement. Recording the actual times worked together with an analysis of the activities performed during working times and while on standby would increase the level of transparency for employers and employees.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Neimann, Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Knabl, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Puppe, Julian UNSPECIFIED UNSPECIFIED UNSPECIFIED Bayer, Christian Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Gass, Paul UNSPECIFIED UNSPECIFIED UNSPECIFIED Gabriel, Lena UNSPECIFIED UNSPECIFIED UNSPECIFIED Seelbach-Goebel, Birgit UNSPECIFIED UNSPECIFIED UNSPECIFIED Lermann, Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Schott, Sarah UNSPECIFIED orcid.org/0000-0002-1714-1147 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-222717
DOI:	10.1055/s-0043-110863
Journal or Publication Title:	Geburtshilfe Frauenheilkd.
Volume:	77
Number:	8
Page Range:	S. 894 - 904
Date:	2017
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8804
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PATIENT SAFETY; GYNECOLOGISTS; WORK Multiple languages Obstetrics & Gynecology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22271