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CE Activity: Night Shift Work and Weight Gain Among Female Filipino Nurses
Thank you for your participation in Night Shift Work and Weight Gain Among Fem ale Filipino Nurses,” a new 0.5 contact hour continuing education (CE) activity offered by NYSNA. NYSNA members and nonmembers are invited to take part in this activity; you do not need to be a resident of New York State.
INSTRUCTIONS In order to receive contact hours for this educational activity, participants are to read the article presented in this issue of The Journal, complete and return the post-test, evaluation form, and earn 80% or better on the post-test. This activity is free to NYSNA members and $10 for non-members. Participants can pay by check (made out to NYSNA & please include “CE D6F880” on your check) or credit card. The completed answer sheet and evaluation form may be mailed or faxed back to NYSNA; see the evaluation form for more information. The New York State Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. NYSNA wishes to disclose that no commercial support was received for this educational activity. All planners/authors involved with the development of this independent study have declared that they have no vested interest. NYSNA program planners and authors declare that they have no conflict of interest in this program.
INTRODUCTION Nurses transitioning between day and night shift work can experience adverse health events. Recent studies have found that people who work the night shift are likely burning less energy during a 24-hour period than those on a normal schedule, thus increasing their risk for weight gain and obesity. A recent meta-analysis looking at the data of almost 300,000 individuals found that people who work night shifts are 23% more likely to be obese than those who work standard day shifts. Researchers have known that people who work, and therefore eat, at night when their bodies are biologically prepared to sleep are prone to put on excessive pounds. In large part, the human circadian clock is set by exposure to sunlight. Not getting consistent, uninterrupted sleep or enough sleep (7-9 hours per 24- hour period) can increase fatty acids levels, raises cortisol levels (the stress hormone associated with an increase in belly fat), raise blood glucose levels, and promote insulin resistance—significantly increasing the likelihood to develop type 2 diabetes.
OBJECTIVES Upon completion of the article, the reader should be able to: 1. Summarize the research that indicates that night shift work can lead to adverse health events and weight gain. 2. Understand the importance of developing a personal care plan when transitioning from day to night shift work. Please answer either True or False to the questions below. Remember to complete the answer sheet by putting the letter of your corresponding answer next to the question number. Each question has only one correct answer.
The 0.5 contact hours for this program will be offered until July 30, 2022.
1) Night shift workers experience insufficient sleep, tiredness, and an inability to recover between shifts.
a. True b. False
2) It takes at least one week’s worth of insufficient sleep to cause energy expenditure and metabolic imbalance that have been associated with weight gain.
a. True b. False
3) Insufficient sleep can increase food consumption by triggering a need to replace sleep loss and energy by consuming more food.
a. True b. False
4) Insufficient sleep is associated in the literature with the development of conditions associated with weight gain, such as heart diseases, hypertension, diabetes, stroke, and some forms of cancer.
a. True b. False
5) Researchers have found that expected medical costs for overweight people were $1,429 lower annually than the costs of those of normal weight.
a. True b. False
6) Having a body mass index (BMI) of 25 or higher constitutes being overweight, and having a BMI of 30 or higher constitutes obesity.
a. True b. False
7) Poor sleep quality and reduced access to quality food choices are some causative factors of weight gain among night shift nurse workers.
a. True b. False
8) Weight gain at the individual level involves attitudes and behavior in personal lifestyle, healthy food choices, and lack of motivation. Environmental factors include working conditions, how food is processed and marketed, and education about food choices and dietary regimes. Genetic factors include predispositions to dietary illnesses and diseases, as well as familial influences and tendencies.
a. True b. False
9) Prevention and public health education are the keys to solving the unhealthy weight gain epidemic.
a. True b. False
10) Filipino nurses who work night shift have the same risk of becoming overweight and obese as those of other cultures and races.
a. True b. False
The Journal of the New York State Nurses Association, Vol. 46, No.2 Answer Sheet
First Name: MI: Last Name:
Address:
City: State: ZIP Code:
Daytime Phone Number (include area code):
Profession: Currently Licensed in NY state? Y / N (circle one)
NYSNA Member # (if applicable): License #: License State:
ACTIVITY FEE: Free for NYSNA members/$10 non-members PAYMENT METHOD
Check—payable to New York State Nurses Association (please include “Journal CE” and your CE code D6F880 on your check). Credit card: Mastercard Visa Discover American Express
Card Number: Expiration Date: / CVV#
Name: Signature: Date: / /
1._________ 6._________ 2._________ 7._________ 3._________ 8._________ 4._________ 9._________ 5. _________ 10._________
Please complete the answer sheet above and course evaluation form on reverse. Submit both the answer sheet and course evaluation form along with the activity fee for processing. Mail to: NYSNA, Attn. Nursing Education and Practice Dept. 131 West 33rd Street, 4th Floor, NY, NY 10001
Please use the following scale to rate statements 1-7 below:
1. The content fulfills the overall purpose of the CE Activity. 2. The content fulfills each of the CE Activity objectives. 3. The CE Activity subject matter is current and accurate. 4. The material presented is clear and understandable. 5. The teaching/learning method is effective. 6. The test is clear and the answers are appropriately covered in the CE Activity. 7. How would you rate this CE Activity overall? Poor Fair Good Very Good Excellent
8. Time to complete the entire CE Activity and the test? ____ Hours (enter 0-99) _____ Minutes (enter 0-59)
9. Was this course fair, balanced, and free of commercial bias? Yes / No (Circle One)
10. Comments:
11. Do you have any suggestions about how we can improve this CE Activity?
Call for Papers
Authors are invited to submit scholarly papers, research studies, brief reports on clinical or educational innovations, and articles of opinion on subjects important to registered nurses. Of particular interest are papers addressing direct care issues. New authors and student authors are encouraged to submit manuscripts for publication.
Information for Authors
For author’s guidelines and submission deadlines, go to the publications area of www.nysna.org or write to journal@nysna.org.
Call for Editorial Board Members Help Promote Nursing Research
The Journal of the New York State Nurses Association is currently seeking candidates interested in becoming members of the publication’s Editorial Board.
Members of the Editorial Board are appointed by the NYSNA Board of Directors and serve one 6-year term. They are responsible for guiding the overall editorial direction of The Journal and assuring that the published manuscripts meet appropriate standards through blinded peer review.
Prospective Editorial Board members should be previously published and hold an advanced nursing degree; candidates must also be current members of NYSNA. For more information or to request a nomination form, write to journal@nysna.org.
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