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The National Institute for Occupational Safety and Health (NIOSH)
NIOSH Training for Nurses on Shift Work and Long Work Hours
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Last Reviewed:
March 31, 2020
Source:
National Institute for Occupational Safety and Health
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NIOSH Training for Nurses on Shift Work and Long Work Hours
Learning Objectives
About the Training Program
Foreword
Accreditation Statement
Part 1. The Risks and Why These Occur
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Module 1. Introduction
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Introduction (Continued)
Benefits
Benefits (Continued)
Benefits (Continued)
References
Module 2. How shift work and long work hours increase health and safety risks
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Objectives (Continued)
Sleep is a Basic Need
Your Body is Busy During Sleep
Sleep and the Immune System
Sleep and the Immune System (Continued)
Impacts on Metabolism and Endocrine Function
How Much Sleep Do You Need?
Epworth Sleepiness Scale
Regulation of Sleep: A Simple, Two-Process Model
Sleep Pressure: Homeostatic Sleep Drive
Sleep Pressure: Homeostatic Sleep Drive (Continued)
Circadian Rhythms
Circadian Rhythms (Continued)
Circadian Rhythms That Promote Wakefulness
Synchronization of Homeostatic and Circadian Processes
Desynchronization of Homeostatic and Circadian Processes
Circadian Rhythms
Effects of Light on Circadian Rhythms
The Color of the Light Affects Circadian Rhythms
Afternoon Dip in Wakefulness
Be Alert for Key Factors that Promote Fatigue!
Be Aware of the Dangers of Sleepiness and Fatigue
Quiz
References
Module 3. Risks associated with shift work and long work hours
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Negative Impacts on Sleep
Microsleeps
Functioning
Functioning (Continued)
Functioning (Continued)
Common and Critical Misconceptions and Individual Differences
Impairments due to sleep deprivation are similar to impairments due to alcohol intoxication!
Injuries/Errors
Injuries/Errors (Continued)
Injuries/Errors (Continued)
Injuries/Errors (Continued)
Injuries/Errors (Continued)
Health Behaviors
Diseases and Shift Work
Cardiovascular Disease
Gastrointestinal Disorders
Psychological Complaints
Cancer
Diabetes Mellitus
Reproductive Outcomes
Some people cannot seem to be able to adjust to shift work
Diseases and Long Hours
Musculoskeletal Disorders
Impacts on Families
Impacts on Employers
Quiz
References
Module 4. Individual differences
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Sleep Differences
Larks/Owls
Age
Chronic Disorders
Chronic Disorders (Continued)
Work/Home Demands
Quiz
References
Part 1 Course Completion and Evaluation
Part 2. Strategies to Reduce Risks
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Module 5. Work Organization Strategies to Promote Alertness and Health in Nurses
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Objectives (Continued)
Key Points
Improving Work Schedules
Researchers have proposed these guidelines for designing work schedules
Researchers have proposed these guidelines for designing work schedules: (Continued)
Extended Shifts
Extended Shifts (Continued)
Extended Shifts (Continued)
Rest Breaks
Planned Naps
Periodic Assessments
Organizational Improvements
Workload Level Analysis
Supervisor Support
Create a Positive Atmosphere
Fatigue Risk Management Systems
Liabilities and Responsibility
Quiz
References
Module 6. Improving Your Sleep and Alertness
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Create a Good Sleep Environment
Create a Good Sleep Environment (Continued)
Prepare for Sleep
Timing Sleep to Fit Your Work Schedule
Using light
Improve Sleep by Avoiding Light
Exercise
Sleep Aids and Stimulants
Sleep Aids and Stimulants (Continued)
Sleep Aids and Stimulants (Continued)
Sleep Aids and Stimulants (Continued)
Sleep Aids and Stimulants (Continued)
A Test Dose Might Be Helpful
Do You Have Symptoms of a Sleep Disorder?
Do You Have Symptoms of a Sleep Disorder? (Continued)
Do You Have Symptoms of a Sleep Disorder? (Continued)
Improve Other Sources of Sleepiness
Quiz
References
Module 7. Napping, an Important Fatigue Countermeasure
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Introduction
Sleep Inertia
Nap Times
Nap Duration
Before Nights
Naps at Work
Naps at Work (Continued)
Work Setting
Work Setting (Continued)
Work Setting (Continued)
Quiz
References
Module 8. Day Shift
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Day Shift Challenges
Using Light to Promote a Better Morning Wake-Up Time and Sleepiness in the Evening
Using Light to Promote a Better Morning Wake-Up Time and Sleepiness in the Evening (Continued)
To Increase Alertness
Planning Bedtime
Relaxation Techniques
Relaxation Techniques (Continued)
Relaxation Techniques (Continued)
Quiz
References
Module 9. Coping with the Night and Evening Shifts
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Nights Difficult
Light
Light (Continued)
Sleep
Sleep (Continued)
Evening Shift
Diet Suggestions for Night-Shift Nurses
Diet Suggestions for Night-Shift Nurses (Continued)
Diet Suggestions for Night-Shift Nurses (Continued)
Quiz
References
Module 10: Coping Strategies for Your Personal Life
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Family and Social Life
Educate Family and Friends
Tell your family and friends what they can do to help
Planning Suggestions
Maintain contact with family and friends
Communicate Schedule Information
Communicate times you need to sleep
Childcare
Suggestions for holidays and special occasions
Choose carefully where to live and work
Strategies to Cope with High Demands from Work and Home
Strategies to Cope with High Demands from Work and Home (Continued)
Strategies to Cope with High Demands from Work and Home (Continued)
Strategies to Cope with High Demands from Work and Home (Continued)
Strategies to Cope with High Demands from Work and Home (Continued)
Strategies to Cope with High Demands from Work and Home (Continued)
Quiz
References
Module 11. Driving
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Drowsy Driving
Warning Signs
Preventing Crashes
Preventing Crashes (Continued)
Quiz
References
Module 12. Action Steps and Final Comments
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Action Steps for Nurses on Shiftwork
Education
Plan for Work and Family Responsibilities
Get Regular Checkups and Take Care of Yourself
Action Steps for Nurse Managers
Action Steps for Nurse Managers (Continued)
Action Steps for Nurse Managers (Continued)
Final Comments
References, Authors & Acknowledgments
Congratulations! You have completed Part 2 of NIOSH Training for Nurses on Shift Work and Long Work Hours.
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