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Tuesday, March 5, 2013

Power Napping – Alternative States of Brain Consciousness and Relaxation

A.  Sleep Epidemic Hits Corporate America

1.  Costs of Sleep Deprivation
2.  Not Sleeping, Not Working:  Vital Statistics
3.  Is Sleep for Sissies?
4.  Healthcare Risks and Sleep Training Rewards


B.  Grappling with the Sleep Epidemic:  Value of “Power Napping”

1.  Napping Research and Rewards
2.  Length of Nap and Type of Sleep
3.  How to Nap, Even at Work


A.  Sleep Epidemic Hits Corporate America.  I will paste below Lauren Weber’s recent article, “Go Ahead, Hit the Snooze Button,” The Wall Street Journal, January 23, 2013, in which she states, “one-third of American workers aren't sleeping enough to function at peak levels, and that chronic exhaustion is costing billions of dollars in lost productivity, according to researchers from Harvard Medical School.”

Companies have been slow to grasp the effects of sleep deprivation on productivity, but it is now a hot topic even in hard-driving industries, such as finance, where pulling all-nighters is often viewed as crucial to getting ahead.

1.  Costs of Sleep Deprivation.  Sleep-deprived American workers ultimately cost their employers $63 billion in lost productivity, according to a 2011 Harvard Medical School study.  Managers at a growing number of companies, among them Procter & Gamble Co., and Goldman Sachs Group Inc., are waking up to the problem, investing in programs from sleep-hygiene courses to melatonin-regulating lighting to help employees improve their slumber.

Ø  The Centers for Disease Control and Prevention estimates 40.6 million American workers, or 30% of the civilian workforce, don't get enough rest.  And the Harvard scientists estimated in 2011 that sleep deprivation costs U.S. companies $63.2 billion in lost productivity per year, mainly because of "presenteeism," people showing up for work but operating at subpar levels.  One example, from a separate team at Singapore Management University: Workers waste an extra 8.4 minutes online—checking email, refreshing the TMZ.com home page, and so on—for every hour of interrupted sleep the previous night.

Managers struggle to motivate exhausted workers.  During busy holiday periods at the Park Hyatt Beaver Creek resort in Avon, Colo., long hours sometimes lead to short fuses among staff.  "You have to try to figure out who's feeling frustrated and help them cut loose to get some rest," said Scott Gubrud, director of sales and marketing at the hotel, which last week began a series of better-sleep initiatives for both employees and guests.

"If we treated machinery like we treat the human body, there would be breakdowns all the time," said James Maas, a former Cornell University psychologist and author of "Sleep for Success."

2.  Not Sleeping, Not Working:  Vital Statistics.

  • 43% of Americans between 13 and 64 say they rarely or never get a good night's sleep on weeknights
  • 60% of Americans say they experience a sleep problem every night or almost every night, such as waking in the night, waking up too early, or feeling un-refreshed when they get up in the morning
  • 61% of Americans say they use a computer at least a few nights a week within an hour of going to bed
  • Americans drink, on average, three 12-ounce caffeinated beverages on a weekday
  • 74% of workers over 30 who report not getting adequate sleep say that sleepiness affects their work
  • 9% of Americans say they are likely to fall asleep at an inappropriate moment, such as during a meeting or while driving
  • 71% of Americans say they have a television in their bedrooms
  • 11% of those with televisions in the bedroom say they keep the TV on all night
  • 39% of Americans say they have a computer in their bedrooms
  • 40.6 million American workers – 30% of the civilian workforce – sleep less than 6 hours per night ("short sleep duration")
  • The problem is particularly acute for night-shift workers: 44% of them sleep less than 6 hours per night, compared with 28.8% of people who work typical daytime hours
  • Workers between the ages of 30 and 64 were more likely to report short sleep duration; workers over 65 were least likely to report short sleep duration
  • Workers with college degrees or more education were least likely to report short sleep duration
  • Segmenting the data industry by industry, workers reported anywhere from 24.1% (other services, except public administration) to 41.6% (mining) incidence of short sleep duration. Some industries relevant to our readership: finance and insurance industry (27.4%); professional, scientific, and technical services (28.2%); and information (28.3%)
  • 23.2% of American workers suffer from insomnia
  • People with insomnia did not report higher levels of absenteeism compared to non-sufferers, but reported significantly higher levels of presenteeism (lower productivity while at work)
  • Workers with insomnia lost an average of 7.8 days of work performance per year due to presenteeism related directly to sleep problems
  • Generalizing to the total U.S. workforce, insomnia costs American companies $63.2 billion
Sources: National Sleep Foundation, Centers for Disease Control and Prevention, and "Insomnia and the Performance of U.S. Workers," Sleep, 2011
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3.  Is Sleep for Sissies?  Mr. Maas, who says he coined the phrase "power nap" 36 years ago, gave a talk about sleep hygiene at Goldman Sachs in 2011 that was so oversubscribed it had to be broadcast via conference call to accommodate the 1,000 or so people who wanted to attend.  He spoke last year at hedge-fund firm D.E. Shaw & Co., which has nap pods sprinkled around its offices.

Yet perceptions linger that sleep is for sissies and loafers, and neither Goldman nor Shaw would comment directly about why they're addressing employees' sleep habits.  A 2012 University of Southern California study of young investment bankers suggests that punishing hours, and resulting sleep deprivation, contributed to physical and emotional ailments within four years on the job.

"People in investment banking have been my main clients for the last few years because they're so exhausted and under so much pressure," said Mr. Maas, adding that bankers usually don't want to hear about how to get more sleep.  Instead, they want tips for performing well on five or six hours' rest.

4.  Healthcare Risks and Sleep Training Rewards.  The risks of fatigue are especially acute in professions like health care and manufacturing, which involve overnight shifts and where a single careless error can put lives in danger.  At Aurora Health Care, the largest hospital system in Wisconsin, more than 2,600 employees in 2012 took a six-week online course for insomnia sufferers after managers surmised that sleep deprivation was likely a problem among its workforce.  The course, one of several health-coaching sessions offered at Aurora and developed by Johnson & Johnson's Wellness & Prevention unit, requires participants to keep a sleep diary, and then makes recommendations based on individual sleep patterns.

Ø  Barb Stollenwork, age 53 and a wellness program coordinator at Aurora, kicked her nightly Tylenol PM habit after finishing the program at the end of 2011.  For years, she said, she woke at 4 a.m., then lay in bed worrying about how she'd function that day.  By changing her behavior—for instance, going to bed later—she began sleeping until her alarm rang at 5:30 a.m.

Based on follow-up surveys that asked about both sleep and work habits, Aurora sees an average of $672 in productivity savings per participant in the insomnia module, said Dr. David Smith, an Aurora vice president.

Ø  Procter & Gamble is talking with sleep expert Nancy Rothstein about creating a multiweek pilot program for two of its plants, one in Belleville, Ontario, that makes Always feminine-hygiene products, and the other in Lima, Ohio, that makes liquid laundry detergents.  Paul DeLuca, North American learning and development manager, said he hopes to have both courses running by June, starting with a group of 15 to 20 workers in Lima and up to 300 in Belleville.

The plants operate day and night, so many employees work unconventional hours, a known risk for poor sleep and overall bad health.  If the program helps workers get better rest, with resulting gains in productivity and concentration, Mr. DeLuca will argue for a broader rollout of the initiative.

P&G brought Ms. Rothstein to its headquarters in Cincinnati last year to give a 50-minute presentation emphasizing, among other things, the importance of shutting off screen devices an hour before bed because the blue light emitted by the screens interferes with production of the sleep hormone melatonin.  That's no easy order in the age of smartphones, laptops and late-night conference calls with the Beijing or London office. "The line between work and what's outside of work is graying," Mr. DeLuca said. 

Ø  At the more extreme end of the intervention scale, some are calling upon Litebook Company Ltd., a Canadian maker of lights that help regulate the body's melatonin levels.  The company, which supplies devices to the Philadelphia Flyers and Ottawa Senators to help athletes cope with jet lag and game schedules, said it is getting calls from corporations interested in making the lights available at workstations and desks.
 

B.  Grappling with the Sleep Epidemic:  Value of “Power Napping”

1.  Napping Research and Rewards.  We’ve all felt that urge to rest our eyes—just for a minute!—at, oh, 3:30 p.m. on a workday.  And now new research shows that you absolutely should indulge that urge, in the name of productivity, no less.  Actually, I’ve been power napping – 10-20 minutes – since my doctoral studies in the ‘70s, to keep up with all the reading.  But napping is more than just for survival.  Read on. 

Andrei Medvedev, PhD, an assistant professor in the Center for Functional and Molecular Imaging at Georgetown University outfitted 15 participants with caps full of optical fibers (sort of like wearing a high-tech shower cap) and told them to relax and clear their minds for up to eight minutes. 

Medvedev noticed something strange happening:  The right brain exhibited much higher levels of activity.  Why is that weird?  Most of us are right-handed, a trait that corresponds with left-brain dominance.  But during rest, regardless of hand dominance, right brains were by far the most active.  That’s pretty much a complete reversal from how most brains behave during waking life.  The right brain is typically associated with processing imagery as well as with emotional states and holistic or integrative thinking.  (Mandy Oaklander, “How Your Brain Benefits from a Power Nap,” Prevention/Prevention News, Oct 2012; Read more: http://www.prevention.com/health/sleep-energy/how-your-brain-benefits-power-nap#ixzz2HmcMweCQ.) 

Ø  Naps may protect brain circuits from overuse and help you organize and consolidate newly learned information, according to Robert Stickgold, PhD and director of Harvard’s Center for Sleep and Cognition.  “A brief nap may provide greater alertness for several hours, and can improve attention, concentration, memory, accuracy, and productivity.”  According to some research, longer naps may also help boost memory and enhance creativity.  (Jennifer Soong, “The Secret (and Surprising) Power of Naps,” WebMD Magazine/Health and Balance – Feature, Nov 2011.) 

2.  Length of Nap and Type of Sleep.  The length of your nap and the type of sleep you get help determine the brain-boosting benefits.

a) The 20-minute power nap – sometimes called the “stage 2 nap” (body temperature and heart rate decrease) – is good for alertness and motor learning skills like typing and playing the piano.

b) Slow-wave sleep – napping for approximately 30 to 60 minutes – is good for decision-making skills, such as memorizing vocabulary or recalling directions.

c) Rapid eye movement or REM sleep – usually 60 to 90 minutes of napping, plays a key role in making new connections in the brain and solving creative problems. 

3.  How to Nap, Even at Work.  Need to recharge?  Don't lean on caffeine – a power nap will boost your memory, cognitive skills, creativity, and energy level.  To get the most out of a power snooze, follow these quick tips: 

a. Be consistent and timely.  Keep a regular nap schedule.  Prime napping time falls in the middle of the day; our inner body clocks start to make us feel drowsy between 1 and 4 pm.  Time it right.  The trick to getting the most from your nap involves timing.  “Power naps should be relatively early so it doesn’t interfere with your ability to fall asleep at bedtime,” says Dr. David Neubauer, MD, associate director of the Johns Hopkins Hospital Sleep Disorders Center.  (Holly C. Corbett, “How to Nap at Work,” Prevention, April 2012) 

b. Location, location.  Find a quiet spot or somewhere that feels private so you can relax.  If you’re lucky enough to have your own office, close the door and stick a note on it that says “back in 15 minutes.”  Or you can find a conference room that doesn’t have any meetings scheduled, stretch out in your car, or even put some earplugs in and lay your head on your desk.  (One of those neck pillows that are often used on airplanes makes a nice desk rest.) 

c. Set the scene.  To make dozing off easier and quicker, bring something you associate with sleep to work with you, such as your favorite pillow, fuzzy socks, or a relaxing soundtrack on your iPod.  Also, go dark.  Nap in a dark room or wear an eye mask.  Blocking out light helps you fall asleep faster. 

d. Stay warm.  Stash a blanket nearby to put over you because your body temperature drops while you snooze.

e. Keep it short.  The last thing you want is feeling groggy when you wake up from a long, deep sleep.  Your ideal catnap should be 10 to 20 minutes long; set your cell phone alarm so you don’t OD on zzz’s. 


4.  Naps versus Coffee.  Is taking a catnap better than reaching for a cup of joe? Yes, because caffeine can decrease memory performance.  While feel more wired, you are also prone to making more mistakes. 

5.  Compensatory and Protective Napping.  They make up for insomnia.  Research has found that people who nap for 15 minutes feel more alert and less sleepy, even if they didn’t catch much sleep the previous night.  Research shows that the stress hormone dramatically drops after naptime, especially if you tossed and turned the night before.  Actually, napping regularly may reduce stress and even decrease your risk of heart disease. 

Mark Gorkin, MSW, LICSW, "The Stress Doc" ™, a Licensed Clinical Social Worker, is an acclaimed keynote, kickoff and webinar speaker as well as "Motivational Humorist & Team Communication Catalyst" known for his interactive, inspiring, and FUN programs for both government agencies and major corporations.  In addition, the "Doc" is a Team Building and Organizational Development Consultant as well as a Critical Incident/Grief Intervention Expert for Business Health Services, a National EAP/Wellness/OD Company.  He is providing "Stress and Communication,” as well as “Managing Change, Leadership and Team Building" programs for a variety of units at Ft. Hood, Texas and for Army Community Services and Family Advocacy Programs at Ft. Meade, MD and Ft. Belvoir, VA as well as Andrews Air Force Base/Behavioral Medicine Services.

A former Stress and Violence Prevention Consultant for the US Postal Service, the Doc is the author of Practice Safe Stress and of The Four Faces of Anger.  The Stress Doc blog appears in such platforms as HR.com, WorkforceWeek.com, and MentalHelpNet.  His award-winning, USA Today Online "HotSite"www.stressdoc.com – was called a "workplace resource" by National Public Radio (NPR).  For more info on the Doc's "Practice Safe Stress" programs or to receive his free e-newsletter, email stressdoc@aol.com or call 301-875-2567.

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