Sleep-Scheduling Strategies in Hospital Shiftworkers

Elizabeth M Harrison,1 Alexandra P Easterling,1 Abigail M Yablonsky,2 Gena L Glickman1,3 1Center for Circadian Biology, University of California San Diego, La Jolla, CA, USA; 2Naval Medical Center San Diego, San Diego, CA, USA; 3Uniformed Services University of the Health Sciences, Bethesda, MD, USA...

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Autores principales:	Harrison EM, Easterling AP, Yablonsky AM, Glickman GL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	circadian alertness naps nurses military Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/2fb37c4054004d6fb864b1e7eabbed30
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spelling	oai:doaj.org-article:2fb37c4054004d6fb864b1e7eabbed302021-12-02T15:16:24ZSleep-Scheduling Strategies in Hospital Shiftworkers1179-1608https://doaj.org/article/2fb37c4054004d6fb864b1e7eabbed302021-09-01T00:00:00Zhttps://www.dovepress.com/sleep-scheduling-strategies-in-hospital-shiftworkers-peer-reviewed-fulltext-article-NSShttps://doaj.org/toc/1179-1608Elizabeth M Harrison,1 Alexandra P Easterling,1 Abigail M Yablonsky,2 Gena L Glickman1,3 1Center for Circadian Biology, University of California San Diego, La Jolla, CA, USA; 2Naval Medical Center San Diego, San Diego, CA, USA; 3Uniformed Services University of the Health Sciences, Bethesda, MD, USACorrespondence: Elizabeth M HarrisonCenter for Circadian Biology, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USATel +1 619-736-1532Email emharrison@ucsd.eduIntroduction: Shiftwork causes circadian disruption and results in impaired performance, sleep, and health. Often, individuals on non-standard shifts cannot modify work schedules. At-home sleep schedules are a potentially modifiable point of intervention, yet sleep-scheduling strategies remain relatively understudied. Specifically, the adoption of multiple strategies and the employment of strategies for not only night shifts, but also early starts on days, have yet to be formally examined to our knowledge. We studied how adoption of specific and/or multiple sleep-scheduling strategies for day and night shifts relates to measures of adaptation to shiftwork, self-reported on-shift sleepiness, and individual characteristics (eg, age, chronotype, education in circadian and sleep health). We hypothesized: 1) strategies would differ by shift type, 2) individuals would adopt multiple strategies, 3) strategies better aligned with circadian principles would relate to measures of adaptation, and 4) individual characteristics, such as having dependents, would relate to strategy selection.Methods: A retrospective, online questionnaire (including items from the Survey of Shiftworkers and items related to sleep-scheduling strategies) was administered to both permanent and rotating hospital staff in four wards working 12-h day and/or night shifts (n=89). Additionally, reasons for strategy selection were explored.Results: Level of adaptation varied by sleep-scheduling strategy, with the least adaptation for those utilizing the Incomplete Shifter strategies. For night shifts, Night Stay and Switch Sleeper-N strategies were related to lower mid-shift sleepiness. Many night workers reported using strategies that restricted sleep, and most reported using multiple strategies, both of which also related to lower adaptation. Domestic considerations were the most common rationale for strategy selection. Strategies varied by several individual characteristics, including chronotype, dependents, and level of sleep education.Discussion: Future work should investigate sleep strategies and circadian interventions to help mitigate the effects of circadian and sleep disruption in hospital staff.Keywords: circadian, alertness, naps, nurses, militaryHarrison EMEasterling APYablonsky AMGlickman GLDove Medical PressarticlecircadianalertnessnapsnursesmilitaryPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 1593-1609 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	circadian alertness naps nurses military Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	circadian alertness naps nurses military Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Harrison EM Easterling AP Yablonsky AM Glickman GL Sleep-Scheduling Strategies in Hospital Shiftworkers
description	Elizabeth M Harrison,1 Alexandra P Easterling,1 Abigail M Yablonsky,2 Gena L Glickman1,3 1Center for Circadian Biology, University of California San Diego, La Jolla, CA, USA; 2Naval Medical Center San Diego, San Diego, CA, USA; 3Uniformed Services University of the Health Sciences, Bethesda, MD, USACorrespondence: Elizabeth M HarrisonCenter for Circadian Biology, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USATel +1 619-736-1532Email emharrison@ucsd.eduIntroduction: Shiftwork causes circadian disruption and results in impaired performance, sleep, and health. Often, individuals on non-standard shifts cannot modify work schedules. At-home sleep schedules are a potentially modifiable point of intervention, yet sleep-scheduling strategies remain relatively understudied. Specifically, the adoption of multiple strategies and the employment of strategies for not only night shifts, but also early starts on days, have yet to be formally examined to our knowledge. We studied how adoption of specific and/or multiple sleep-scheduling strategies for day and night shifts relates to measures of adaptation to shiftwork, self-reported on-shift sleepiness, and individual characteristics (eg, age, chronotype, education in circadian and sleep health). We hypothesized: 1) strategies would differ by shift type, 2) individuals would adopt multiple strategies, 3) strategies better aligned with circadian principles would relate to measures of adaptation, and 4) individual characteristics, such as having dependents, would relate to strategy selection.Methods: A retrospective, online questionnaire (including items from the Survey of Shiftworkers and items related to sleep-scheduling strategies) was administered to both permanent and rotating hospital staff in four wards working 12-h day and/or night shifts (n=89). Additionally, reasons for strategy selection were explored.Results: Level of adaptation varied by sleep-scheduling strategy, with the least adaptation for those utilizing the Incomplete Shifter strategies. For night shifts, Night Stay and Switch Sleeper-N strategies were related to lower mid-shift sleepiness. Many night workers reported using strategies that restricted sleep, and most reported using multiple strategies, both of which also related to lower adaptation. Domestic considerations were the most common rationale for strategy selection. Strategies varied by several individual characteristics, including chronotype, dependents, and level of sleep education.Discussion: Future work should investigate sleep strategies and circadian interventions to help mitigate the effects of circadian and sleep disruption in hospital staff.Keywords: circadian, alertness, naps, nurses, military
format	article
author	Harrison EM Easterling AP Yablonsky AM Glickman GL
author_facet	Harrison EM Easterling AP Yablonsky AM Glickman GL
author_sort	Harrison EM
title	Sleep-Scheduling Strategies in Hospital Shiftworkers
title_short	Sleep-Scheduling Strategies in Hospital Shiftworkers
title_full	Sleep-Scheduling Strategies in Hospital Shiftworkers
title_fullStr	Sleep-Scheduling Strategies in Hospital Shiftworkers
title_full_unstemmed	Sleep-Scheduling Strategies in Hospital Shiftworkers
title_sort	sleep-scheduling strategies in hospital shiftworkers
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/2fb37c4054004d6fb864b1e7eabbed30
work_keys_str_mv	AT harrisonem sleepschedulingstrategiesinhospitalshiftworkers AT easterlingap sleepschedulingstrategiesinhospitalshiftworkers AT yablonskyam sleepschedulingstrategiesinhospitalshiftworkers AT glickmangl sleepschedulingstrategiesinhospitalshiftworkers
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Sleep-Scheduling Strategies in Hospital Shiftworkers

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