172 lines
6 KiB
YAML
172 lines
6 KiB
YAML
|
abstract: 'Most adults spend a significant number of their waking hours at work.
|
||
|
|
|
||
|
|
The work relatedness of employees'' sleep is not always obvious to
|
||
|
|
|
||
|
|
employers, as sleep is usually a private behavior. Yet there is much
|
||
|
|
|
||
|
|
about how work is organized that influences the opportunity to sleep,
|
||
|
|
|
||
|
|
the quality of sleep that is achieved, and the risk for sleep disorders.
|
||
|
|
|
||
|
|
Circadian rhythm disruptions influence sleep when work schedules include
|
||
|
|
|
||
|
|
very early start times, night shift work, or shift rotation. Reduced
|
||
|
|
|
||
|
|
sleep opportunity from long working hours, shift overruns and overtime,
|
||
|
|
|
||
|
|
long commutes, and being called in during time off may cause sleep
|
||
|
|
|
||
|
|
deprivation. The physical surroundings of the job (light, noise) can
|
||
|
|
|
||
|
|
increase or inhibit alertness, and over time can alter circadian
|
||
|
|
|
||
|
|
rhythms. When work is physically or psychologically stressful, it can
|
||
|
|
|
||
|
|
inhibit sleep by increasing sympathetic nervous system activity that is
|
||
|
|
|
||
|
|
incompatible with restful sleep. Certain occupational groups (health
|
||
|
|
|
||
|
|
care, transportation, public safety, food service, mining, construction,
|
||
|
|
|
||
|
|
executive travel) are at particular risk for impaired sleep because of
|
||
|
|
|
||
|
|
work stress and the scheduling of work hours. Because nurses care for
|
||
|
|
|
||
|
|
workers throughout the life span in all health care settings, the
|
||
|
|
|
||
|
|
nursing curriculum must teach the basics of sleep to entry-level nurses,
|
||
|
|
|
||
|
|
nurse practitioners, and occupational health nurses (OHNs). (See Chapter
|
||
|
|
|
||
|
|
24, Future Directions in Sleep Promotion: Nursing Practice, Research,
|
||
|
|
|
||
|
|
and Education.) This chapter discusses the work-related impediments to
|
||
|
|
|
||
|
|
sleep and interventions to improve sleep, with implications for health
|
||
|
|
|
||
|
|
promotion and occupational health programs in the workplace.
|
||
|
|
|
||
|
|
The consequences of acute and chronic sleep deprivation for workers are
|
||
|
|
|
||
|
|
well documented. Workplace injuries and accidents are more frequent,
|
||
|
|
|
||
|
|
causing pain and suffering, as well as lost productivity for the worker
|
||
|
|
|
||
|
|
who is sleep deprived. Frequent or high cost claims can lead to higher
|
||
|
|
|
||
|
|
costs to the employer for health benefits. Chronic sleep deprivation
|
||
|
|
|
||
|
|
increases the risk for cardiovascular diseases such as hypertension,
|
||
|
|
|
||
|
|
stroke, and heart disease, as well as metabolic disorders such as
|
||
|
|
|
||
|
|
obesity and diabetes. These work-related health hazards can be addressed
|
||
|
|
|
||
|
|
with active health promotion and occupational health programs and
|
||
|
|
|
||
|
|
practices that minimize serious adverse outcomes.
|
||
|
|
|
||
|
|
Sleep promotion is ideally a shared responsibility of workers, their
|
||
|
|
|
||
|
|
employers, and health care providers. Workers themselves must consider
|
||
|
|
|
||
|
|
the priority they place on sleep when competing demands threaten to
|
||
|
|
|
||
|
|
derail a healthy lifestyle and performance at work. They must also be
|
||
|
|
|
||
|
|
aware when their sleep is abnormal, seek treatment, and adhere to
|
||
|
|
|
||
|
|
treatment recommendations if a sleep disorder is detected. Employers who
|
||
|
|
|
||
|
|
are trying to create a healthy work environment must have a systematic
|
||
|
|
|
||
|
|
plan at all levels of the organization to recognize sleep-related
|
||
|
|
|
||
|
|
aspects of the physical work environment, the intensity of workplace
|
||
|
|
|
||
|
|
stressors, and how work is organized to advantage workers'' sleep. They
|
||
|
|
|
||
|
|
must provide health insurance coverage to ensure that workers receive
|
||
|
|
|
||
|
|
specialty treatment for their sleep disorder-related symptoms and
|
||
|
|
|
||
|
|
provide accommodations if chronic sleep disorders continue to impair
|
||
|
|
|
||
|
|
functioning.
|
||
|
|
|
||
|
|
The employee health unit is the best place to coordinate the health
|
||
|
|
|
||
|
|
promotion activities at work as well as screening, clinical care,
|
||
|
|
|
||
|
|
referrals, and accommodation. The personnel in the employee health
|
||
|
|
|
||
|
|
and/or safety departments should conduct exposure assessments of
|
||
|
|
|
||
|
|
scheduling practices and monitor trends in injuries to inform healthy
|
||
|
|
|
||
|
|
scheduling practices. When the exposure assessment identifies possible
|
||
|
|
|
||
|
|
risk factors for sleep deprivation or sleep disorders, the occupational
|
||
|
|
|
||
|
|
health nurse clinicians must incorporate thorough sleep and occupational
|
||
|
|
|
||
|
|
exposure histories, provide health education regarding sleep and work,
|
||
|
|
|
||
|
|
and tailor interventions to improve sleep quantity and quality. The
|
||
|
|
|
||
|
|
health care providers in the employee health department can also
|
||
|
|
|
||
|
|
recognize sentinel occupational health events, such as sleep complaints,
|
||
|
|
|
||
|
|
drowsiness at work, and accidents and injuries which might indicate
|
||
|
|
|
||
|
|
additional workers at risk for occupational sleep disorders (Figure
|
||
|
|
|
||
|
|
22.1). In the ideal situation, all are motivated to create a healthy
|
||
|
|
|
||
|
|
workplace where workers can be safe and productive and then go home,
|
||
|
|
|
||
|
|
sleep restfully and long enough, and enjoy a high quality of life.
|
||
|
|
|
||
|
|
Combined, these concerns clearly have implications for workplace policy
|
||
|
|
|
||
|
|
development to ensure worker safety and productivity.'
|
||
|
|
affiliation: 'Geiger-Brown, J (Corresponding Author), Univ Maryland, Sch Nursing,
|
||
|
|
Work \& Hlth Res Ctr, Dept Family \& Community Hlth, Baltimore, MD 21201 USA.
|
||
|
|
|
||
|
|
Geiger-Brown, Jeanne, Univ Maryland, Sch Nursing, Work \& Hlth Res Ctr, Dept Family
|
||
|
|
\& Community Hlth, Baltimore, MD 21201 USA.'
|
||
|
|
author: Geiger-Brown, Jeanne and McPhaul, Kathleen M.
|
||
|
|
author_list:
|
||
|
|
- family: Geiger-Brown
|
||
|
|
given: Jeanne
|
||
|
|
- family: McPhaul
|
||
|
|
given: Kathleen M.
|
||
|
|
booktitle: SLEEP DISORDERS AND SLEEP PROMOTION IN NURSING PRACTICE
|
||
|
|
da: '2023-09-28'
|
||
|
|
editor: Redeker, NS and McEnany, GP
|
||
|
|
files: []
|
||
|
|
isbn: 978-0-8261-0658-2
|
||
|
|
keywords-plus: 'BRIGHT-LIGHT EXPOSURE; NIGHT-SHIFT WORK; CIRCADIAN-RHYTHMS; IMPROVE
|
||
|
|
|
||
|
|
SLEEP; ALERTNESS; PERMANENT; FATIGUE; ADAPTATION; MELATONIN; DISORDER'
|
||
|
|
language: English
|
||
|
|
number-of-cited-references: '64'
|
||
|
|
orcid-numbers: 'McPhaul, Kathleen/0000-0002-7008-142X
|
||
|
|
|
||
|
|
Redeker, Nancy S/0000-0001-7817-2708'
|
||
|
|
pages: 355-369
|
||
|
|
papis_id: 6b084e246a7d4f5a43116a36e8d5edd4
|
||
|
|
ref: Geigerbrown2011sleeppromotion
|
||
|
|
researcherid-numbers: 'McPhaul, Kathleen/AAC-3205-2021
|
||
|
|
|
||
|
|
Redeker, Nancy S/Q-8252-2016'
|
||
|
|
times-cited: '2'
|
||
|
|
title: Sleep Promotion in Occupational Health Settings
|
||
|
|
type: Article; Book Chapter
|
||
|
|
unique-id: WOS:000291326200023
|
||
|
|
usage-count-last-180-days: '1'
|
||
|
|
usage-count-since-2013: '22'
|
||
|
|
web-of-science-categories: Primary Health Care; Clinical Neurology; Nursing
|
||
|
|
year: '2011'
|