![]() Minimal research studies have been performed to identify reasons why night-shift-only workers have increased BMI. LITERATURE REVIEW The literature on this topic that was accessed from Cumulative Index of Nursing and Allied Health, Ovid, and Medline/PubMed. Limited studies have demonstrated a correlation between night shift work and the influencing elements. The full spectrum of issues related to obesity among nurses is an important topic of research. However, Miller et al7 acknowledged that this is just an assumption, and no research was found that had studied this issue. Average nurses who are overweight or obese are less likely to discuss this topic and offer interventions for their patients. They further found that, although 93% of the nurses reported that being overweight or obese were diagnoses requiring intervention, 76% of them reported that they never addressed this topic with their patients.7 Nurses are on the frontlines of patient care and teaching and should model good health practices for their patients. 2 THE HEALTH CARE MANAGER/MONTH–MONTH 2017 they studied were all in the overweight range, with one state bordering on obese. Over the past two decades, obesity rates in the United States have increased by 69% for children and adolescents and 58% for adults.6 Miller et al7 found that the mean body mass index (BMI) of nurses in the six states that 1 Copyright © 2017 Wolters Kluwer Health, Inc. Obesity in the United States is a serious public health problem. A concerning issue that has been shown by limited studies to be correlated with night shift work by nurses is weight gain and obesity. ![]() Nurses working the night shift have an increased risk for breast cancer,2 colorectal cancer,3 diabetes,4 compromised immune function,5 and obesity4 and disruptions in relationships with spouses and children.1 Because of a large number of nursing professionals working the night shift, the issues involved with negative effects of working that shift, and possible means to minimize those effects is an important topic of research. DOI: 10.1097/HCM.0000000000000177 BACKGROUND Hospitals employ more night shift workers than any other industry.1 Working the night shift can have significant negative impact on many aspects of a worker’s physical, psychological, and psychosocial health and on that worker’s job performance. Correspondence: Sam Abraham, DHA, MS, RN, School of Nursing, Bethel College, 1001 Bethel Cir, Mishawaka, IN 46545 ( ). The authors have no funding or conflicts of interest to disclose. P Author Affiliations: Intermediate Care Center (Ms Books) and Palliative Care (Mr Coody), Elkhart General Hospital, IN Department of Anesthesia, Wentworth Douglas Hospital (Mr Kauffman), Dover, NH and School of Nursing, Bethel College (Dr Abraham), Mishakawa, IN. The purpose of this study was to determine how working the night shift affects the health of nurses. Issues that may lead to serious negative health consequences are sleep deprivation, increased levels of stress, family and social disturbances, unhealthy coping mechanisms, limited exercise, and perceived personal health. Negative health effects and poor health practices seem to be more prevalent with those who regularly work the night shift, compared with their day shift counterparts. The personal health of the nurse, however, is often an oversight in this demanding career. Key words: health effects and night shift, hospital night shift, night shift nurses, night shift work ROFESSIONAL NURSES FOCUS on providing care and teaching to promote optimal health of their clients. There was also a general perception among nurses working the night shift that sleep deprivation leads to negative health consequences including obesity however, they were not as high a concern as rotating shifts or fatigue. Respondents agreed that complaints about fatigue and fatiguerelated illnesses in night shift workers were ignored. Rotating shifts were mentioned as a major concern for night shift nurses. ![]() Results indicated that there is an increased risk of sleep deprivation, family stressors, and mood changes because of working the night shift. E-mail addresses and Facebook were used to recruit participants. The population of relevance to this study was nurses employed in hospital settings in the United States. The data were collected using Survey Monkey, with an Internetbased confidential data collection tool. This was a quantitative study using descriptive design it also incorporated three qualitative open-ended questions to complement the study. Coody, MSN, FNP Ryan Kauffman, MSNA, CRNA Sam Abraham, DHA, MS, RN The purpose of this research was to study night shift work and its health effects on nurses. Night Shift Work and Its Health Effects on Nurses Candie Books, RN, BSN Leon C. 1–7 Copyright # 2017 Wolters Kluwer Health, Inc. The Health Care Manager Volume 00, Number 0, pp.
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