Neurobehavioral, health, and safety consequences associated with shift work in safety-sensitive professions

@article{Barger2009NeurobehavioralHA,
  title={Neurobehavioral, health, and safety consequences associated with shift work in safety-sensitive professions},
  author={Laura K. Barger and Steven W. Lockley and Shantha M. W. Rajaratnam and Christopher P. Landrigan},
  journal={Current Neurology and Neuroscience Reports},
  year={2009},
  volume={9},
  pages={155-164}
}
Almost 15% of the full-time workers in the United States are shift workers. We review the physiologic challenges inherent not only in traditional night or rotating shifts but also in extended-duration shifts and other nonstandard hours. The challenging schedules of those in particularly safety-sensitive professions such as police officers, firefighters, and health care providers are highlighted. Recent findings describing the neurobehavioral, health, and safety outcomes associated with shift… Expand
Rotating Shifts Negatively Impacts Health and Wellness Among Intensive Care Nurses
TLDR
Sleep-related impairment was highly correlated with greater emotional distress, greater fatigue, and worse memory and concentration during both time points of assessment. Expand
Shift work and the assessment and management of shift work disorder (SWD).
TLDR
This review focuses on shift work and the assessment and management of sleepiness and sleep disruption associated with shift work schedules and SWD, and management strategies include approaches to promote sleep, wakefulness, and adaptation of the circadian clock to the imposed work schedule. Expand
Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers.
TLDR
Research on diminished physician cognitive performance due to sleep deprivation and the increase in the number of medical errors that is seen under these conditions are highlighted. Expand
Adverse Health effects Associated with Shift Work
TLDR
Frequent breaks and 8-10 hour shifts instead of 12 hour shifts can also minimize fatigue and help to mitigate the negative health effects of shift work. Expand
Shift Work Sleep Disorder
TLDR
All shift workers should be educated about the possible negative effects of circadian misalignment, including the development of SWD, and should benefit from prescribed sleep scheduling, circadian phase shifting interventions, hypnotic (sleep-promoted) medications, and/or stimulant (wake-promoting) medications. Expand
Investigation of Shift Work Disorders among Security Personnel
TLDR
Investigation of shift work disorders among security personnel of the hospitals Affiliated to Shiraz University of Medical Sciences, Central revealed a significant difference regarding the increase in blood pressure, sleep disorders, dissatisfaction in individual, family, and social lives, as well as increase in psychological, cardiovascular, gastrointestinal, and musculoskeletal disorders. Expand
Police stressors and health: a state-of-the-art review.
TLDR
Research findings presented in this paper are based on sound psychological and medical evidence among police officers and provide empirical evidence of both mental and physical outcomes associated with police stress and the processes involved in both. Expand
Excessive Daytime Sleepiness in Firefighters in the Central United States
TLDR
Given firefighters' important role in public safety, concerns have been raised about whether firefighters' work schedules result in high rates of excessive sleepiness, Nevertheless, firefighters in this study did not have high levels of EDS despite their extended work schedule. Expand
Scheduling and shift work characteristics associated with risk for occupational injury in newly licensed registered nurses: An observational study.
TLDR
Overtime and night shift work were significantly associated with increased injury risk in newly licensed nurses independent of other work factors and demographic characteristics. Expand
Sleep loss and circadian disruption in shift work: health burden and management
TLDR
A range of approaches can be used to enhance alertness in shift workers, including screening and treating sleep disorders, melatonin treatment to promote sleep during the daytime, and avoidance of inappropriate use of sedatives and wakefulness‐promoters such as modafinil and caffeine. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 62 REFERENCES
Impact of long work hours on police officers and the communities they serve.
  • B. Vila
  • Medicine
  • American journal of industrial medicine
  • 2006
TLDR
Ongoing research suggests that the police may be a useful model occupational group for basic and applied research on sleep, fatigue, and human performance. Expand
Critical Incident Exposure and Sleep Quality in Police Officers
TLDR
Although the life-threatening aspects of police work are related to nightmares, the routine stressors of police service seem to most affect global sleep quality in these subjects, which may have implications for health and occupational performance. Expand
Sleep Disorders and Daytime Sleepiness in State Police Shiftworkers
TLDR
Investigation of sleep habits, prevalence of sleep disorders, sleepiness on the job, and hypnotic drug intake in a population of Italian state police officers found that shiftworkers required more sleep, and seemed to compensate for the poor quality of their sleep by sleeping for a greater number of hours during 24-hr periods. Expand
Effects of critical care nurses' work hours on vigilance and patients' safety.
TLDR
The findings support the Institute of Medicine recommendations to minimize the use of 12-hour shifts and to limit nurses' work hours to no more than 12 consecutive hours during a 24-hour period. Expand
Effect of reducing interns' work hours on serious medical errors in intensive care units.
TLDR
Eliminating extended work shifts and reducing the number of hours interns work per week can reduce serious medical errors in the intensive care unit. Expand
Extended work shifts and the risk of motor vehicle crashes among interns.
TLDR
Extended-duration work shifts, which are currently sanctioned by the Accreditation Council for Graduate Medical Education, pose safety hazards for interns and have implications for medical residency programs, which routinely schedule physicians to work more than 24 consecutive hours. Expand
Extended work duration and the risk of self-reported percutaneous injuries in interns.
TLDR
Extended work duration and night work were associated with an increased risk of percutaneous injuries in this study population of physicians during their first year of clinical training. Expand
Impact of Extended-Duration Shifts on Medical Errors, Adverse Events, and Attentional Failures
TLDR
In a Web-based survey, extended-duration work shifts were associated with an increased risk of significant medical errors, adverse events, and attentional failures in interns across the United States. Expand
Health disorders of shift workers.
TLDR
The strongest evidence exists for an association with peptic ulcer disease, coronary heart disease and compromised pregnancy outcome and working at night or on shift systems. Expand
Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion.
TLDR
Post-call performance impairment during a heavy call rotation is comparable with impairment associated with a 0.04 to 0.05 g% blood alcohol concentration during a light call rotation, as measured by sustained attention, vigilance, and simulated driving tasks. Expand
...
1
2
3
4
5
...