“Too tired to care” – the experiences of doctors involved in car accidents after working extended shifts

Purpose Medical doctors in Malta, a small European island state, routinely work extended shifts of 24–32 h duration. These have been associated with increased medical errors, more injuries at the workplace and increased risk of car accidents. Design/methodology/approach This study explored in depth the experiences of eight Maltese doctors involved in car accidents after extended shifts through semi-structured interviews. Reflexive thematic analysis was used to analyse the data and seven main themes emerged. Findings Themes included guilt and shame following the accident, feelings of relief that the situation did not end up worse, emotional numbness that accompanies sleep deprivation and anger at the healthcare system. Participants also reflected on the ultimate medicolegal responsibility of a doctor, a sense of being disregarded by authorities and frustration at the reluctance of the outdated healthcare system to change. The findings were interpreted and given meaning within the overarching theme of “care” using Jecker’s caring for and about model. Originality/value This study is the first to highlight, in depth, the profound impact of such experiences on doctors and the need to see physicians first and foremost as human beings with needs and emotions. If these are neglected, the doctor, patient and system at large will suffer.