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- 1. Cheryl Flaherty, ADN, CCRN, PCCN Nursing 417 Boise State University
- 2. But what about our health?
- 3. Nurses working the night shift all too often try to function on too little sleep, unaware they are endangering others. Often they are even more unaware that their own health is at risk.
- 4. After to speaking with coworkers, I found that some had concerns, but not enough to make lifestyle changes at this time.
- 5. 56% of nurses are sleep deprived6 Increased risk of car accidents (responsible for 100,000 automobile crashes, 71,000 injuries, and 1,550 fatalities each year)4 Increased risk of medication errors (7,000 deaths annually)2 Falling asleep on the job Poor judgment Poor quality of life (chronic fatigue)
- 6. Circadium rhythm disturbance³ Increase in inflammatory markers¹ Increased risk of atherosclerosis in men and increase in cholesterol in both men and women Poor eating habits/physical inactivity8 Increased risk of breast and endometrial cancers7
- 7. Make sleep one of your top priorities Be aware of increased risk factors Be more pleasant to those around you Adopt a healthier lifestyle.
- 8. Nurses more concerned Somepossibly willing to make lifestyle changes Some now correlating current health problems with possible relation to shift work
- 9. REFERENCES ¹Alireza, S., Khrsro, S., Omid, A., etal. (2011) Night work and inflammatory markers. Indian journal of occupational and environmental medicine, 15(1) 38. Retrieved September 17, 2011 from http://proquest.umi.com.libproxy.boisestate.edu/pqdweb?index=0&did=2404137171&srchmode=1&sid=1 &fmt=3&vinst=prod&vtype=pqd&rqt=309&vname=pqd&ts=1316401175&clientid=8813 ²Anderson, P., & Townsend, T. (2010). Medication errors: don’t let them happen to you. American nurse today. Retrieved October 15, 2011 from http://www.americannursetoday.com/assets/0/434/436/440/6276/6334/6350/6356/8b8dac76-6061- 4521-8b43-d0928ef8de07.pdf ³Arendt, J. (2010) Shift work: coping with the biological clock. Occupational medicine, 60(1), 10-20. Retrieved September 18, 2011 from http://occmed.oxfordjournals.org.libproxy.boisestate.edu/content/60/1/10.full 4Breus, M. PhD. Chronic sleep deprivation may harm health. Sleep habits: more important than you think. Retrieved October 20, 2011 from http://www.webmd.com/sleep-disorders/guide/important-sleep-habits 5Elovanio, M., Kivimaki, M., Puttones, S., et al. (2009) shift work in young adults and carotid artery intima media thickness: the cardiovascular risk in young finns study. Atherosclerosis. 205(2), 608- 613. Retrieved September 18, 2011 from http://www.sciencedirect.com.libproxy.boisestate.edu /science/article/pii/s0021915009000586
- 10. 6Johnson, A., Brown, K., & Weaver, M. (2010). Sleep deprivation and psychomotor performance among night shift nurses. AAOHN journal, 58(4), 147-54. Retrieved September 17, 2011 from http://proquest.umi.com.libproxy.boisestate.edu/pqdweb?index=1&did=202145681&srchmode=1 &sid=2&fmt=6&vinst=prod&vtype=pqd&rqt=309&vname=pqd&ts=1316401830&clientid=8813 7Poole, Elizabeth., Schernhammer, Eva S., & Tworoger, Shelley, S. (2011). Rotating night shift work and the risk of ovarian cancer. Cancer Epidemiology, Biomarkers, & Prevention 20,934. Retrieved September 17, 2011 from http://cebp.aacrjournals.org.libproxy.boisestate.edu/content/20/5/934.full 8Wong, H., Wong, M., Wong, S., et al. (2010) The association between shift duty and abnormal eating behavior among nurses working in a major hospital: a cross sectional study. International Journal of Nursing Studies . 47(8), 1021-1027. Retrieved September 18, 2011 from http://www.sciencedirect.com.libproxy.boisestate.edu/science/article/pii/S0020748910000027
Editor's Notes
- I know from personal experience that working night shift has caused me to suffer sleep deprivation, mostly due in part to family obligations. After talking to others, I know this is a common problem that is often ignored. It is imperative that we not only care for those around us, but ourselves as well. One way we can do this is ensuring we are getting enough rest.
- I was unable to find statistics on the actual number of medication errors and deaths specifically related to fatigue, but a well rested nurse is more likely to intervene prior to an error actually reaching the patient. The actual number of medication errors that occur each year is unknown because many go unreported.
- Our circadium rhythm regulates our sleep/wake cycle. Night shift workers are especially prone to this disturbance because we sleep during the day and stay up at night, which is abnormal for our bodies. Inflammatory markers increase with working night shift. This increases the risk of heart disease, GI disorders, diabetes, and metabolic syndrome. Night shift workers tend to have poorer eating habits, as well, further increasing the risks associated with increased inflammatory markers.
- It’s hard to function on little sleep: don’t increase the risk of injury to yourself and others. If you’re having health issues, consider abnormal sleep/wake cycles related to working night shift as a possible cause. We all know lack of sleep can make someone irritable, making them unpleasant to be around. If you are a shift worker, you are not destined to have all these issues. Just know that it may take a little more effort on your part to adopt a healthier lifestyle. Make time for exercise, stick to a healthier diet, and of course, get enough sleep.