Top 10 evidence-based countermeasures for night shift workers

2020 ◽  
Vol 37 (9) ◽  
pp. 562-564 ◽  
Author(s):  
Patrick J Wallace ◽  
Jordana J Haber
Keyword(s):  
Quality Of Life ◽  
Emergency Department ◽  
Formal Education ◽  
Night Shift ◽  
Evidence Based ◽  
Improve Quality ◽  
Weekly Basis ◽  
Shift Workers ◽  
Online Sources

Emergency edicine providers are responsible for ensuring the emergency department is staffed 24 hours a day. As such, providers must efficiently transition between day, swing and night shift on an almost weekly basis. There is no formal education in medical school or residency on how to approach the transition to and from night shift, remain alert and productive and maximise sleep during the day. There are a multitude of blogs and online sources discussing night shift, but few, if any, provide an evidence-based approach. This article will provide the top 10 evidence-based recommendations to increase sleep, maximise performance, decrease fatigue on shift and improve quality of life outside the workplace.

scholarly journals Sleep, Fatigue and Quality of Life: A Comparative Analysis among Night Shift Workers with and without Children

PLoS ONE ◽  
2016 ◽  
Vol 11 (7) ◽  
pp. e0158580 ◽  
Author(s):  
Silvio Araújo Fernandes-Junior ◽  
Francieli Silva Ruiz ◽  
Leandro Stetner Antonietti ◽  
Sergio Tufik ◽  
Marco Túlio de Mello
Keyword(s):  
Quality Of Life ◽  
Comparative Analysis ◽  
Night Shift ◽  
Shift Workers

scholarly journals Workability, quality of life and cardiovascular risk markers in aging nightshift workers: a pilot study

2021 ◽  
Author(s):  
Galateja Jordakieva ◽  
Lovro Markovic ◽  
Walter Rinner ◽  
Isabel Santonja ◽  
Seungjune Lee ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pilot Study ◽  
Sleep Problems ◽  
Night Shift ◽  
World Health ◽  
Risk Markers ◽  
Cvd Risk ◽  
Shift Workers ◽  
Night And Day

Summary Background In aging healthcare professionals, multiple stressors such as night work may affect life and work satisfaction and risk for chronic diseases (e.g. cardiovascular disease [CVD]). In this pilot study we compared workability, quality of life (QoL), and CVD risk markers between night shift and day workers. Methods We included 70 hospital employees (mean age 52 ± 4 years, 91.4% female): 32 rotating night shift workers (> 3 nights/month) and 38 permanent day workers. In addition to sociodemographic, lifestyle, and sleep characteristics, we assessed i) workability index (WAI), ii) QoL (World Health Organization Quality of Life [WHOQOL-Bref]) and iii) CVD risk markers, i.e. carotid ultrasound measurements, and biomarkers (NTproBNP, CRP, IL‑6, LDL, ferritin, copper, zinc, and selenium). WAI, QoL, and CVD risk markers were compared between night and day workers. In a subgroup of participants (N = 38) with complete data, we used quantile regression analysis to estimate age and multivariate adjusted differences in biomarker levels. Results We found no differences in the domains of QoL (physical health, psychological, social relationships, and environment) and WAI scores between night and day workers. Night shift workers were less likely to report excellent workability than day workers, although differences were not statistically significant. Night shift workers reported more sleep problems (73.1% vs. 55.6%) and tended to have lower zinc levels and higher inflammatory markers (CRP, IL‑6, ferritin), but differences were not significant after adjusting for potential confounders. Conclusions Workability, QoL and CVD markers did not significantly differ between rotating night shift and day workers in this small pilot study. Sleep problems and inflammatory marker levels carry implications for occupational health.

scholarly journals P048: Profiling the burdens of working nights. Traditional 8-hour nights vs staggered 6-hour casino shifts in an academic emergency department

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S94
Author(s):  
A.X. Dong ◽  
M. Columbus ◽  
R. Arntfield ◽  
D. Thompson ◽  
M. Peddle
Keyword(s):  
Quality Of Life ◽  
Emergency Department ◽  
Night Shift ◽  
Night Work ◽  
Late Night ◽  
Before And After ◽  
Shift Model ◽  
The Impact ◽  
Night Shifts

Introduction: Emergency physicians (EP) often work at undesirable hours. In response to deleterious effects on quality of life for EPs, traditional 2300-0700 night shifts have been replaced at some centres with staggered 6-hour casino shifts (22:00-04:00 and 04:00-10:00). Though purported to allow for better sleep and recovery patterns, no evidence exists to support the benefits on sleep or quality of life that is used to justify a casino shift model. Using a before and after survey model, this study examines the impact of overhauling night work from a traditional 8-hour shift to casino shifts on the quality of life and job satisfaction of EPs working in an academic emergency department (ED). Methods: In 2010, an initial online, 37-item survey, was sent to all EPs working in the ED, just prior to the transition to casino shifts. 6 years following the transition, a slightly modified 37-item survey was again distributed to all current EPs working at that same centre. Participants rated their level of agreement on a 7-point Likert scale regarding questions related to night work. Results from the two surveys were compared. Results: 43 2010- and 47 2016-surveys were completed. In 2016, recovery to baseline function after a single early shift (22:00-04:00) was most common after 1 day at 52.4%, and after multiple early shifts was ≥2 days at 66.7%. Recovery after a single late shift (04:00-10:00) was most common at 1 day at 54.8%, and after multiple late shifts was ≥2 days at 59.5%. This was in contrast to 2010, when 55.8% recovered from a single traditional night shift after 1 day, and 95.3% required ≥2 days to recover from multiple traditional night shifts. In relation to casino shifts, 40.5% of respondents stated that night shifts are the greatest drawback of their job, compared to 79.1% previously. A minority of respondents felt that teaching (36.5%), diagnostic test interpretation (23.2%), and quality of handover (33.5%) were inferior on early and late night shifts compared to other shifts (74.4%, 58.1%, and 60.5% for traditional night shifts respectively).95.0% of respondents preferred casino over traditional night shifts. Conclusion: There were self-reported improvements in all domains following the implementation of casino shifts.

Pruritus, Fever, and Sweats

2019 ◽  
pp. 285-290
Author(s):  
Angel Smothers
Keyword(s):  
Quality Of Life ◽  
Symptom Management ◽  
Chronic Illnesses ◽  
Evidence Based ◽  
Improve Quality ◽  
Pharmacological Treatments ◽  
Physical Response ◽  
Underlying Causes ◽  
Underlying Pathophysiology

The key to successful symptom management with pruritus, fever, and sweats rests on identifying common underlying causes for the symptoms and using evidence-based nonpharmacological and pharmacological treatments to improve quality of life. Pruritus is explained by those who experience it as an itching sensation where the location of the itch usually cannot be identified. Pruritus can accompany different serious chronic illnesses with the underlying pathophysiology not well understood. Fever and sweats can accompany pruritus or can occur as isolated symptoms. Fever can be related to an infection but also can be related to other physiological issues including neurological ones. Sweating can occur as a physical response or an emotional one.

Energy Through Motion©: An Evidence-Based Exercise Program to Reduce Cancer-Related Fatigue and Improve Quality of Life

2016 ◽  
Vol 20 (3) ◽  
pp. E60-E70 ◽  
Author(s):  
Katie Huether ◽  
Linda Abbott ◽  
Laura Cullen ◽  
Liz Cullen ◽  
Ami Gaarde
Keyword(s):  
Quality Of Life ◽  
Exercise Program ◽  
Evidence Based ◽  
Improve Quality ◽  
Cancer Related Fatigue

scholarly journals Evaluation of quality of life and depression in nursing technicians and nursing assistants

2010 ◽  
Vol 18 (3) ◽  
pp. 413-420 ◽  
Author(s):  
Kátia Assalvi Rios ◽  
Dulce Aparecida Barbosa ◽  
Angélica Gonçalves Silva Belasco
Keyword(s):  
Quality Of Life ◽  
Private Hospital ◽  
Night Shift ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Nursing Assistants ◽  
Cross Sectional ◽  
Shift Workers ◽  
Professional Activities

The aim of this study was to evaluate the quality of life (QoL) and depression, and relate them to the sociodemographic characteristics of nursing technicians and nursing assistants in a private hospital. This was an epidemiological and cross-sectional study. The number of technicians and assistants who participated in this study was 266. The instruments used were the WHOQOL-BREF and the Beck Depression Inventory. The evaluation of quality of life of nursing technicians and assistants showed similar values to those found in individuals with chronic diseases. The presence of health problems led to higher indices of depression and lower QoL scores in the general and psychological domains and correlated to labor activity. Night-shift workers had higher scores of depression. Understanding factors, related to professional activities, which trigger health problems and alter quality of life, can provide tools in the search for alternatives to remedy or mitigate their effects.

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