Working Nights

It’s Important to Talk with your Doctor about Working Shift Work

If you’ve read much of the material on this blog, you know that working shift work contributes to many challenging, but manageable, health and lifestyle issues.  One way to make sure you manage your own unique circumstances is by talking with your health practitioner about the fact you work shifts and raising any concerns you have about shift work.  A recent study by the University of Illinois at Chicago and the VA Center for Management of Complex Chronic Care found that physicians tend to follow a fairly standard approach to care for most health conditions.  Physicians do not generally take into account  a particular patient’s situation or life context, so the fact that a patient works shift work is not likely to enter the doctor’s radar screen.  But, it’s critical for shift workers to have doctors who understand the unique challenges of working shift work.

Some of the special issues shift workers can face include:

1.  Sleep disturbances from work schedules distrupting sleep schedules.

2. Lower levels of Vitamin D resulting from lack of exposure to sunlight.

3. Overweight due to lack of nutritional food when working nights.

4. Higher rates of divorce due to lifestyle challenges of working shifts.

5. Increased risk for depression arising from lower levels of seratonin.

Read other posts throughout this blog for more areas of risk when working shifts. 

Next time you go to your health practitioner, bring a list of your concerns and be vocal about them with your provider.  Make sure your doctor or nurse practitioner knows you work shift work.  The University of Illinois at Chicago and the VA Center for Management of Complex Chronic Care study found that doctors were more likely to respond to biomedical facts – e.g. test results - than to contextual red flags - such as I work  shift work and I’m concerned about my increased risk for cardiac problems even though I don’t have any family members with heart health issues.  Both biomedical facts and contextual red flags are equally important to planning appropriate care, according to the study researchers.  By planning care with your provider you can prevent shift work challenges from impacting your health and lifestyle.

©2010 Circadian Age, Inc. ‘Working Nights’

Restorative Sleep Improves Memory and Creativity

Johah Lehrer has written  a terrific summary pointing to what we gain and what we lose when we don’t get enough sleep.  Watching his wife sleep comfortably and soundly, while he lies awake with insomnia, Lehrer reviews the literature, touching on how the brain replays our own experiences over and over again, sketching them deeply into the neural networks of our brains.  This cements our long term memories.  Lehrer also points out that REM sleep helps make us more creative and lets us integrate new information into our problem solving. 

To read the entire article, click here.  

Jonah Lehrer is a contributing editor at Wired Magazine. He’s the author of “How We Decide” and “Proust Was A Neuroscientist” and blogs at The Frontal Cortex.

2010 Sleep in America Poll Released!

The National Sleep Foundation (NSF) has just released the 1st poll to examine sleep among four ethnic groups in the United States: Asians, Blacks/African Americans, Hispanics and Whites-the 2010 Sleep in America Poll. Although significant differences in the sleep habits and attitudes of each group are revealed, there are also a number of interesting similarities. The poll found that more than three fourths of respondents from each ethnic group agree that poor sleep is associated with health problems. It also showed that each group reports similar experiences missing work or family functions because of fatigue. This is of extreme significance to shift workers who routinely average less sleep than day workers.

The NSF is committed to understanding people’s sleep needs and giving them the tools necessary to get the optimum amount of rest. Read more about the poll and its findings at the NSF’s website…

Working Nights President, Betsy Connolly, to Chat with Nurses on NurseTogether.com – Join us Tomorrow at 6 pm est.

Nurses are used to working shifts - nursing was one of the first professions to require that work schedules be matched to the needs of patients.  Medical complexities, expanded services, and consumer demand for all types of health care around the clock has meant that more nurses are working shift work now than ever.

Betsy Connolly, President of Working Nights is going to be chatting on-line with nurse members of NurseTogether.com.  Topics will include a review of circadian rhythms as well as practical tips for managing work/life balance when working shifts, particularly roating ones. 

When:  Thursday, February 25, 2010 at 6 pm est.

Where:  NurseTogether.com – click here for the link and to become a member.

Differences Between Men and Women at Work – We Need Both Sexes!

Women continue to be a significant force in the workplace; the numbers of working women are gaining on working men. The Bureau of Labor statistics reported this June that women held 49.8% of the U.S jobs. Here are some trends:

• Women have been gaining the vast majority of positions in the few sectors of the economy that are growing (health care, education, and government).

• Through June, men had lost 74% of the 6.4 million jobs eliminated since the recession began in December 2007. Men have lost more than 3 million jobs in construction and manufacturing alone.

• The gender hiring trend is really extreme in local government’s 14.6 million-person workforce. Cities, schools, water authorities and other local jurisdictions have cut 86,000 men during the recession – while adding 167,000 women.

• As a result, at the end of October the jobless rate for women was 8.1% compared to 10.7% for men.

What do these trends mean for men?
Read this article…

Shift Work and Divorce – Does the Work Schedule Really Make a Difference?

Divorce.  It’s not a fun topic for anyone. 

By now most of us have read that we’re better off if we’re married.  According to the Center for Disease Control, married people tend to have lower mortality rates, exhibit less risky behavior, are more likely to monitor their health, comply with necessary medical routines, have sex more often and experience more satisfaction with their sexual lives, save more and earn more.  On a national level, the Census Bureau reports that a shrinking share of Americans are married – only 52% of males and 48% of females were married in 2008. The proportion of Americans who are currently married has been decreasing for decades and is lower than it has been in at least half a century.  The median duration of a marriage in 2008 was 18 years. In 2008, 9% of men were divorced and 12% of women were. 

So why don’t we stick with our marriages?  And, is it true that maintaining a marriage is more difficult for shift workers?

Read this article…

Is Moonlighting Poised to Return, and if so, What Should Employers and Employees Do About it?

As the economy turns, it’s likely that more people will start taking second jobs. Added employment security and the need to double up on paychecks to make up for losses during the recession will drive people in this direction. According to the Bureau of Labor Statistics, 7.6 million Americans held multiple jobs during the first five months of this year, or 5% of all employees, about the same as last year. During earlier economic boom periods, moonlighting has increased. For example, at the end of 1989 over 7.2 million Americans worked more than one job, an increase of 25% since 1985. And, by 1997, 8.5% worked more than one job, almost another 20% increase. Now, during more difficult financial times, perhaps it’s not surprising that the numbers are down a bit.

But, the downward trend seems poised for a quick uptick as the economy improves and employers supplement their workforce with part timers rather than bulk up on full-time employees.
Read this article…

Safety at Work for an Aging Population of Workers

Everywhere we turn there are articles about more seniors in the workforce. This is not a new trend, but the pattern has clearly stepped up as a result of the current recession. According to the Bureau of Labor Statistics, between 1977 and 2007, total employment in the US increased by 59%. Amazingly, employment of workers 65 and over had already increased 101% during this time! For men over 65, the 1977 to 2007 increase was 75%, but for women it was 147%. What does this mean for safety at work? We have a lot to do!
Read this article…

Working Nights Launches 2010 Calendar Season and Announces New Calendar for Health Care Workers

FOR IMMEDIATE RELEASE

Circadian Age, Inc. Announces Launch of New 2010 Working Nights Calendar for Health Care Workers

Boston, MA – (September 9, 2009) – Circadian Age, Inc., – ‘Working Nights’ - specializing in helping managers and employees of organizations with round the clock operations adjust to their unique lifestyles, announces its new 2010 calendar for health care workers. The calendar helps workers in hospitals, assisted living facilities, ambulance units, nursing care facilities, and health clinics face the work/life challenges they encounter as a result of their unusual, and often variable, work schedules.

“Medical workers experience tremendous stress on the job which can lead to fatigue and sleep impairment,” reports Betsy Connolly, Working Nights’ President. “Our calendar provides workers with meaningful tips about health and safety and an opportunity to better manage their lives when working shifts.”

The topics highlighted in the calendar all focus on related health and safety education and prevention for medical workers. February’s topic is Reducing Ergonomic Risks. According to a recent report by the Bureau of Labor Statistics, 2.5% of nursing aides, orderlies, and attendants experienced Musculoskeletal Disorders (MSDs) – injuries or illnesses that affect the connective tissues of the body such as muscles, nerves, joints, tendons, cartilage, or spinal discs. This rate is more than seven times the average national rate of MSDs for all occupations. According to the report, almost 30 percent of all days away from work were related to MSDs. Preventing MSDs requires work scheduling that reduces the time of exposure to demanding work conditions and promotes healthful work–rest patterns.

With the increased use of on-line shift scheduling by health care employees, workers need to make sure that the shift schedules they sign up for maximize sleep opportunities to prevent fatigue related errors, provide adequate recovery periods to limit personal injury risk, and provide time for social activities with friends and family members. Other calendar topics include, Men and Women and Sleep, Managing Hazardous and Toxic Substances, Lowering Stress and Anxiety, New Tips about Caffeine, Restless Leg Syndrome and Vitamin Tips. The calendar incorporates color-coded stickers to help workers and their families manage their day-to-day lives.

For the full release please see Working Nights Calendar for Health Care Workers

Learning from Past Mistakes about Managing Overtime after a Recession

After the last recession was over in 2002, overtime spiked at many extended hours operations and so did accidents and injuries on the job. After a recession, managers are usually gun-shy about hiring and for good reason – they want to feel confident that demand is truly back so they don’t generate oversupply. There are starting to be some early signs of improvement in the current economic climate, which means we may see overtime starting to creep up soon. Now’s the time to start planning in order to prevent accidents and injuries resulting from overtime.
Read this article…

Untreated Sleep Apnea Outcomes Continue to be More and More Severe

Since shift workers are more likely to suffer from sleep disorders than day time workers, these workers and their family members, employers, insurance providers, and medical practitioners should be especially knowledgeable about the various types of sleep disorders. And, they should stay on top of new information that is released about chronic sleep issues that may impact them. Sleeping is fun – just think of all those wonderful dreams. Not dreaming, maybe you have a sleep disorder. Read here for information on sleep apnea. See other parts of our blog for insomnia, restless leg syndrome and other disorders.
Read this article…

Positive Benefits of Working Shift Work

Let’s face it, many people who work shift work only talk about the negative. But for some, it’s the positive aspects that lead the way. There are certain lifestyle benefits that can come from working shifts. For example, some people choose to work shift work for social, financial, or lifestyle reasons. Read this article…

Ten Secrets to Good Communication

Have you ever had to talk with someone about a topic that you just knew would cause either you or the other person to be very uncomfortable? Unfortunately at work, home, or in other personal settings, personalities may clash, or issues that need to be discussed are so “hot” that it’s almost like a volcano errupting. Discussing safety issues at work can be one of these topics that causes angst in communication between otherwise very calm and relaxed people. But, safety problems have to be addresses, so we need to learn how to talk about them. Read this article…

New York Times Opinion Supports Napping and Working Nights Agrees

Here’s the letter to the Editor and the link to the original editorial:

August 5, 2009
To the Editor:

Re “To Nap, Perchance to Dream” (editorial, Aug. 5):

I agree wholeheartedly with the statements made about the positive effects of a good nap.

But as an expert in researching, writing and consulting with numerous companies regarding employees’ readiness for work, I know that many not only allow naps, they even provide napping facilities.

These businesses recognize just what the editorial pointed out, that “short naps enhance alertness and productivity.” Our work on how our bodies’ circadian rhythms affect workers’ abilities to focus and concentrate, particularly in businesses running 24/7, supports that even just a 20-minute nap can be highly invigorating.

Betsy Connolly
President, Circadian Age Inc.
Wayland, Mass., Aug. 5, 2009

A version of this article appeared in print on August 6, 2009, on page A28 of the New York edition.

Shift Workers as Knowledge Workers

As the world of work and industry evolves, shift workers can no longer be contained in the small box they once were. Shift work incorporates all types of jobs and occupations, and management needs to realize how to encourage and support the new breed of shift worker. Way back in 1959, business commentator Peter Drucker, whom a recent Business Week article called “the man who invented management”, coined the term “Knowledge Worker.” He created the idea that many workers traditionally considered blue-collar have a unique ability to learn and process information in their subject area. Extended hours workers are often experts about their jobs in a way no one else is, and managers need to focus on training and supporting night and shift workers so they can make better use of their ability. Until companies realize they need to tap into these gifts of their employees, they will be letting millions of dollars of potential go to waste. Read this article…