Is night shift healthier for some people?

Nurses General Nursing

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So I work days, which as a new RN can be difficult to get. I've worked a bit over a year.

We're a busy floor. I am typically out late, between 4:30 - 5pm (supposed to be 7 - 330 shift). I usually am unable to get a lunch, so either don't eat, or eat worse than I'd like to when I get home. I usually get VERY hungry before bed, but try to avoid eating right before bed. I usually scarf down some breakfast. I never used to eat breakfast because it made me sick (nausea) but I would just be so hungry from not eating all day, so I made myself.

Any who I've read through many topics here that state how unhealthy night shift can be on the body. I'm very health conscious. I feel like days isn't that healthy because of my eating habits. But will nights really increase my risk of hypertension/cancer/diabetes/weight gain/ etc??

I'm only asking because I feel like I may be more nocturnal. For one I can eventually fall asleep whenever. But even on my days off when I wake at about 9am I want to take a nap by noon. I have a VERY hard time going to sleep before 2 am or so.

I start to become really energized late in the evening like 8pm or so. I have an *extremely* hard time waking up in the morning. Even if I had 8 to 9 hours of sleep. I have to drag myself out of bed and am often sleepy until noon. Also the most stressful things for me on days - dealing with doctors, families, and lack of teamwork - is minimal on nights.

I did a night shift once before and it was fine for me. But it was only one shift.

Thoughts/experience?

Specializes in NICU, ICU, PICU, Academia.

The reason people 'flip' is almost exclusively family. If you have young kids / husband / boyfriend and THEY are on a daytime schedule, you tend to miss a lot. I understand that- but having done the extreme day/night flipping for many years, and my more recent 'stay up 'til 0300' modification, I can tell you that anchor sleep is a wonderful thing! It's just that MY anchor sleep occurs from 0800-1200!

I'm trying to get the moderators to start a specific forum for night workers. PLEASE contribute to some of the other threads I've started.

OH- and I got an email last night accepting my abstract about my research for the 2013 Nursing Management Congress in Chicago this fall. Exciting, but I have to register for the conference, and it's PRICY :( Not sure if I'll be able to swing it (the danged hotel rooms are nearly $400/ night with taxes!)

Specializes in Pediatrics, Emergency, Trauma.
This topic is my passion in life- in case you could not tell! :)

As far as melatonin goes, it is produced whenever you sleep basically. Production is suppressed by sunlight hitting the retina. So if you are sleeping in a DARK room, you ARE producing melatonin during daytime sleep. Wearing sunglasses on the drive home- putting them on before you even walk outside the building, really helps with revving up melatonin production and sleep induction. Cortisol is secreted in exactly the opposite circadian pattern.

A person working days gets 'anchor sleep'. Anchor sleep is the 4-6 hour period of time each and every 24 hour period where a day worker is ALWAYS asleep. Midnight to 5 am for example. Anchor sleep is an important part of overall health.

The BEST approach to night work is staying on a night schedule 7 nights a week. Not practical for most of us, BUT it provides consistent anchor sleep. The NEXT best approach is to sleep 3-4am until noon-1pm on nights off. This allows you to have 'anchor sleep' as well.

I'm actually doing a pilot project educating newly hired night shifters on HOW to work nights, and a second project on how institutional practices impact the sleep of night shift workers.

I "anchor sleep" like you suggest, love sunglasses and dark rooms. :) Hoping you looking for subjects! ;)

I have been a night owl as long as I can remember....and I can recall I was sleepy throughout elementary school, lol.

I do well with rotating shifts, most likely because I do the practices like MMJ states.

I say try it out. The most important thing is to get that consistent sleep to get the melatonin that the body needs and keep the body balanced. :yes:

Specializes in Prior military RN/current ICU RN..

What evidence do you have? Am I just supposed to take your word? Anchor sleep? Where do I find reviewed evidence of this? You are giving advice on proper sleep patterns based on WHAT?

I wonder if all those health risks associated with night shift also has to do with differing hydration needs that may not be met, lack of natural vitamin D, and a diet high in refined foods. I know only a few people who are truly night shifters; whereas, most others seem to suffer through, and those suffering through seem least likely to care for their health--not all, just most.

Specializes in NICU, ICU, PICU, Academia.
What evidence do you have? Am I just supposed to take your word? Anchor sleep? Where do I find reviewed evidence of this? You are giving advice on proper sleep patterns based on WHAT?

Based on over a hundred peer-reviewed articles/ studies I researched while doing my thesis. I'd be happy to send you a copy of my thesis if you are interested.

A simple google search of 'anchor sleep' returns a large number of scientific studies. Did you try this before criticizing my post?

Specializes in NICU, ICU, PICU, Academia.
I wonder if all those health risks associated with night shift also has to do with differing hydration needs that may not be met, lack of natural vitamin D, and a diet high in refined foods. I know only a few people who are truly night shifters; whereas, most others seem to suffer through, and those suffering through seem least likely to care for their health--not all, just most.

I'm not sure the bottom-line 'causes' are as yet set in stone, but consider this: two hormones (melatonin and cortisol) regulate our circadian rhythms. What happens when some of the body's other hormones are disrupted? Diabetes, hyper/hypothyroidism, Addisons......

Specializes in Psych.

I work straight 3-11 shifts by choice ( shocking I know). But it is the shift that works the best with my bodies natural sleep cycle. I also do very well on midnights.

Specializes in NICU, ICU, PICU, Academia.

I would love to work 3-11, did it years ago and LOVED it. I wish there were more placed that even offered 8-hour shifts.

Meanmaryjean,

I wish hosptials will go back to 8 hour shifts. I loved working 3-11 as well. It was perfect for my lifestyle. I feel that shift is the best of both worlds. You can stay up late and sleep in or you can get things done during the day before your shift.

Specializes in Psych.
I would love to work 3-11, did it years ago and LOVED it. I wish there were more placed that even offered 8-hour shifts.

I wish I could work 3 12 hour shifts. Only because it would save me 200 dollars per month.

meanmaryjean,

I am a long time night shift worker. I have always been an "owl". I have noticed, working with women who have been on graves for a long time, that maybe it becomes more difficult the older you get (55 and up?) even for those who maintain healthy sleep habits- I don't know if you have encountered this in research?

I love working nights, but I am a sleeper. I can sleep whenever, wherever, and forever! I do flip my schedule for my kids and hubby. Following my last night on, I go home and sleep until 5:00 pm (ish) then am up with the household until around 1:00 am, then back to bed until the next morning. Usually, my hubby has to drag me out of bed since it is my turn to take the kiddies to school. I loathe mornings, even if I have slept 14(+) hours! Works for us!

I worked night shift for several years at 911 and loved it. The hardest part was that 0400 lull when things got slow and didn't pick up again until 0600. Basically it was SILENT in our comm center with the dull purr of televisions going. On the rare night we had shootings/domestics/holidays with deceased members it was smooth the entire shift. I think there are natural night workers. Is there someone who would be willing to switch a week or two with you so you can try it out more?

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