wow-inequalities/02-data/intermediate/wos_sample/7363baf12d586da7bdbcc80e69c6fbde-geiger-brown-jeanne/info.yaml

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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
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
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'