Shift workers are vital to many industries, but working unconventional hours can be challenging, as Meghan Bonnar, RN, who works night shifts in the intensive care unit, can attest.
“Nursing in and of itself has unconventional hours because we work 12-hour shifts,” Bonnar said. “[Working night shifts] is really hard. Some people can find a balance in it, and other people cannot.”
Kelsi Burke, RN, BSN, also works as a night nurse and has found some benefits to her work schedule. “I see my kids and family more because I’m there when they leave [in the morning] and when they come home.” Burke said. “If I worked day shifts, [my children] would be asleep when I left for a shift and when I got home from work.”
Despite the challenge of adjusting one’s sleep schedule and working late while others rest, shift workers can find solutions that help them maintain sleep habits that benefit their health and their work.
“You have to find a routine that is good for you,” Burke said. “It takes time but you will find your rhythm.”
When not managed properly, the strain of shift work can affect an individual’s health in a number of ways.
“Effective sleep hygiene is vital to many aspects of physical and mental health,” said Dr. Tamara Goldsby, Ph.D., clinical research psychologist.
25% of people in the United States work evenings, nights, early mornings or rotating shifts.
“Sleep deprivation may affect cognition, psychomotor processes, memory and various aspects of health. … [Lack of sleep] has also been linked to changes in cortisol—the ‘stress hormone’—and may increase risk for impaired mood, impaired emotion regulation and depression.”
Fluctuation sleep schedules due to shift work can also lead to shift work sleep disorder, in which the disruption of circadian rhythms leads to problems with insomnia and less restful sleep. Experiencing regular sleep disruptions can then lead to a variety of issues.
Changing your natural sleep schedule to accommodate shift work can upset the balance of circadian rhythms, the body’s internal clock that cues hunger, sleepiness and other behaviors, according to a study on circadian rhythm sleep disorders. However, there are a number of things shift workers can do to sleep more effectively and maintain their health.
How Shift Workers Can Create an Ideal Sleep Environment
In addition to adjusting your bedroom to minimize disruptions, there are many sleep habits that can help people wind down before bedtime and feel more alert during waking hours.
Get into a routine. Having a standard bedtime, a workout schedule and established times for meals can help regulate the body so it knows when it’s time to sleep and when it’s time to wake up.
Find the right time to exercise. Timing for exercise can vary from person to person. Some people struggle to sleep when they exercise after their shift and closer to bedtime; others may not enjoy working out when they first wake up if it makes them feel tired before their shift starts.
Make smart food and snack choices. Eating close to bedtime can affect the quality of sleep.
A few tips include:
Eliminate caffeine intake four to six hours before bedtime.
Avoid alcohol close to when you plan on going to sleep. While having a drink may help you feel relaxed, the metabolization process can cause disruptions in sleep.
Finish eating (including snacks) about two hours before going to bed.
Avoid dairy near bedtime to avoid nasal cavity congestion and breathing issues while sleeping.
Skip spicy food, which can cause sleep disturbances due to digestion issues.
Frequently Asked Questions About Sleep Hygiene for Shift Workers
What is shift workers syndrome?
Shift workers syndrome, also referred to as shift work sleep disorder, is a circadian rhythm sleep disorder related to working long or irregular hours. Symptoms can include insomnia and excessive sleepiness.
Can night shift cause health problems?
Shift work is associated with a number of health conditions, including type 2 diabetes, heart disease, stroke, metabolic disorders, cancer and sleep disorders. Night shift work may also cause digestive problems and mental health issues. Fatigue associated with night shift can also lead to higher risk for injuries and vehicle crashes. However, practicing good sleep hygiene can help mitigate some health risks associated with shift work.
Can night shift cause weight gain?
Some night shift workers may experience weight gain due to working nontraditional hours. Adjusting your sleep schedule to contradict your natural body clock can be difficult. Sleep interruptions, in turn, can affect levels of fatty acids, cortisol (a stress hormone) and blood glucose. The shift in schedule may also affect your appetite. This can be addressed by developing healthy sleep habits and incorporating exercise into your schedule.
Can night shift cause depression?
Research has shown that shift workers may be more likely to have depression than those working a traditional schedule. While the connection is unknown, it may in part be due to disrupted sleep in cases where shift workers have trouble adjusting to a new schedule. Individuals who are experiencing feelings of depression or difficulty sleeping should consult with a health care professional.
Can night shift cause anxiety?
Shift workers can be at risk for anxiety, which can be triggered due to high stress and sleep deprivation. Because of this, it’s important for shift workers to develop healthy sleep habits and to contact their health care provider if they are experiencing issues with sleep or feelings of anxiety.
When should night shift workers exercise?
This can depend on the individual and how they are affected by exercise. Some may get a boost of energy after exercising, making it ideal to fit in a workout before a shift. Others may feel tired after exercise, and choose to work out after a shift. Some shift workers may also prefer to work out on their days off.
When should night shift workers eat?
This can depend on the individual, but generally, it is helpful to eat a meal before your shift, allow for snacks when possible, and have a small meal during your “lunch” break. When eating after a shift, food consumption should stop about two hours before bedtime.
Can melatonin help you sleep?
Melatonin supplements can be helpful as a sleep aid for some people. It is recommended that individuals only use melatonin regularly for one to two months, after which different approaches may need to be explored. It is also important to make sure the supplement is safe for use based on your existing health conditions. For example, it is not recommended for people who have an autoimmune disorder, seizure disorder or depression. Additionally, the potential effects of melatonin on those who are pregnant are unknown. Check with your health care provider before trying supplements.
Are magnesium tablets good for sleep?
While low magnesium levels are associated with poor sleep, magnesium supplements may or may not help as a sleep aid. Taking too much magnesium can have negative health effects, such as diarrhea or cramping. Consult with a health care provider before adding magnesium supplements to your diet.
Is doxylamine succinate a good sleep aid?
Doxylamine succinate is a sedating antihistamine that can be used as a short-term sleep aid. However, it is not recommended for long-term use, and can be potentially harmful for people with certain health conditions, including asthma, sleep apnea, and severe liver disease. Consult with a health care professional before using this sleep aid.
Is doxylamine succinate safe during pregnancy?
Doxylamine succinate can be safe to use during pregnancy when taken as advised by a health care professional. Check with your provider before using doxylamine succinate as a sleep aid.