A Blog by Jonathan Low

 

Jan 26, 2013

A Majority of Americans Dont Get Enough Sleep To Function Properly: The Business Case for Bedtime

You can sleep when you're dead.

If you are an American worker, you can apparently also sleep on the job, in your car, during meetings, while eating meals and a whole host of otherwise inappropriate places. And the reason is because you're not getting adequate sleep when you are supposed to.

The causes are, to some degree, self-imposed: stress about job-related issues, the 24/7 availability of technology - reflexively checking texts, emails, scores, news, weather and the rest of the data tidal wave components we used to be able to live without for a few hours, and, as if we were not punishing ourselves enough, over-caffeination: super-size me is not confined to soda. Americans typically consume three large caffeinated beverages a day, which contributes to the lack of sleep of night, which then instigates the need for more caffeine, which...you get the picture.

As the following article explains, the impact of all this sleeplessness may be costing businesses upwards of $64 billion a year. Yes, real money any way you count it. Companies are recognizing the threat and attempting to address it through workplace health programs. The problem, as is typical for such initiatives, is that they too often address sleep as a silo, not part of a systemic condition. Stress comes from insecurity about issues related to job status: security, compensation, commuting times, inadequate family time, relations with supervisors, feelings of inadequacy due to lack of influence, performance evaluations.

All of these can be addressed, if not fixed, by a company aware of and willing to act upon their inter-relatedness. But if there were a lot of businesses like that, there probably wouldnt be a sleep problem. JL

Lauren Weber reports in the Wall Street Journal:
Turns out a good night's rest is good for business.

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. 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.

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."

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.

Sleep Working
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

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.

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 JNJ +1.12%Wellness & Prevention unit, requires participants to keep a sleep diary, and then makes recommendations based on individual sleep patterns.

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.

.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.

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.

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