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Nurse Who Writes
Field Notes


Effective Ways to Tackle Shift Work Fatigue
The fatigue from shift work is not just physical; it is mental and emotional. It can cloud judgment, reduce empathy, and increase stress. Recognizing this is the first step toward managing it effectively.

R.E. Hengsterman


Inspiring Stories from Nurse Writers
Writing is more than a hobby for these nurses. It is a lifeline, a way to process the emotional weight of their work and to connect with others who share their passion. Through words, they give voice to the unseen struggles and victories of healthcare. Their stories invite us to see nursing not just as a job, but as a deeply human endeavor.

R.E. Hengsterman


Night Work and Type 2 Diabetes: The Hidden Clockwork of Risk
Night shifts pull these clocks out of sync. Add bright light at night (melatonin goes down), short sleep (cortisol & inflammation go up), and late eating (worst insulin sensitivity window), and you’ve got a recipe for higher post-meal glucose, insulin resistance, and—over time—higher T2DM risk.

R.E. Hengsterman


Ashwagandha (Withania somnifera) for Stress, Sleep, and Cognitive Health: What the 2025 Evidence Really Says
For insomnia-like complaints and nonrestorative sleep—especially in high-stress schedules (hello, night shift)—ashwagandha shows consistent, if modest, benefits.

R.E. Hengsterman


Melatonin Supplementation for Night Shift Workers: Oxidative DNA Damage Repair, Explained
The hospital hums at 03:17. Lights too bright for this hour, monitors whispering numbers you don’t want to see. You can feel the algorithm even here—charting, pinging, selling the promise of “peak performance” in the dead of night. But the body keeps its own books. And lately, the ledger has a new line: melatonin supplementation for night shift workers and what it might mean for oxidative DNA damage repair.

R.E. Hengsterman


Why Reading Feels Radical in a World Built to Sell You Everything
A book asks for almost nothing—just your hands, your time.
It doesn’t cost much to find your way back to something that feels true.
Because out there—beyond the filters, the dashboards, the endless noise—someone’s always tugging at the strings.

R.E. Hengsterman


Why The Public Health Message Has Failed: Rebuilding Trust in Public Health and Medicine Amid Declining Confidence in Science
Public trust in health and medical professionals has declined since the COVID-19 pandemic, fueled by inconsistent messaging and the rapid spread of misinformation on social media. Initiatives like Michigan’s Health Communications Initiative (MHCI) offer a model for restoring confidence by leveraging trusted messengers, community partnerships, and evidence-based communication strategies to deliver timely and accurate public health information.

R.E. Hengsterman


The Effectiveness of Blue Light-Emitting Glasses for ICU Healthcare Workers During Night Shifts Amid the COVID-19 Pandemic: A Study Review
The findings suggest that BLEG could be a useful tool to combat shift work-related fatigue, but further research with larger sample sizes, objective measures, and real-world applications is necessary to definitively confirm their efficacy.

R.E. Hengsterman


Lighting the Night: Evidence-Based Strategies to Combat Sleepiness in Shift Workers
Nurses—responsible for critical decisions under fatigue—are among the most affected.

R.E. Hengsterman


Effective Interventions for Reducing the Negative Effects of Night Shifts on Doctors’ and Nurses’ Health: A Systematic Review
Healthcare organizations should provide flexibility in scheduling, offer opportunities for napping, encourage light exposure, and incorporate healthy lifestyle practices like exercise and nutrition. Additionally, pharmacological interventions like melatonin or modafinil should be used cautiously and under professional guidance.

R.E. Hengsterman


The Future of Shift Work: Merging Circadian Biology, Personalized Medicine, and Behavioral Science for Better Health
Employers can integrate mindfulness-based techniques, cognitive-behavioral strategies, and group support programs into the workplace to help shift workers cope with stress, improve self-regulation, and make healthier lifestyle choices.

R.E. Hengsterman


Recovery From Shift Work: Evidence-Based Strategies for Health and Performance
Shift work sustains our 24/7 society — from hospitals and emergency services to logistics, aviation, and manufacturing. Yet, working outside the natural 9-to-5 disrupts the body’s circadian rhythm, increasing the risk for sleep disorders, metabolic syndrome, cardiovascular disease, and mental health decline.

R.E. Hengsterman


Detailed Assessment of Night Shift Work Aspects and Potential Mediators of Its Health Effects: The Contribution of Field Studies
Night shift work is an essential part of various industries, especially healthcare, where continuous patient care is required. However, exposure to night shifts and irregular working hours has been linked to numerous adverse health outcomes, including metabolic syndrome, cancer, cardiovascular diseases, and sleep disturbances.

R.E. Hengsterman


The Role of Dietary Supplements in Improving Sleep and Daytime Function for Shift Workers
Shift workers often face challenges like poor sleep quality and fatigue, which dietary supplements (DSs) may help alleviate. This systematic review and meta-analysis explore the efficacy of DSs in improving sleep quality and daytime function among shift workers, offering insights into their potential benefits and safety profile.

R.E. Hengsterman


Shift Work and Gut Health: How Night Shifts Disrupt the Microbiome
Shift work—especially night shifts—is essential in healthcare and emergency services. Yet it also represents a serious occupational hazard. Beyond fatigue, shift work disrupts circadian rhythms, leading to gut dysbiosis, inflammation, and increased risk for gastrointestinal (GI) diseases such as GERD, IBS, and ulcers.

R.E. Hengsterman


Personalized Sleep and Nutrition: A New Frontier in Night Shift Health
As someone who’s lived nights and written about them in The Shift Worker’s Paradox, I believe this is the future of occupational wellness — real data meeting real lives.

R.E. Hengsterman


The Nutritional Toll of 24-Hour Shifts: What New Research Reveals About Healthcare Workers’ Diets
Without targeted nutritional strategies, healthcare workers remain vulnerable to cumulative health decline. Addressing these deficits isn’t a luxury—it’s a professional obligation for institutions committed to sustainable care.

R.E. Hengsterman


Embracing the Duality of Creation: A Nurse's Journey in Writing
Writing is not just about the words; it’s about the rhythm. Varying sentence length creates a flow that draws readers in. I often find myself weaving introspection with urgency, inviting readers to share in my journey.

R.E. Hengsterman


Shift Work and Health: What a 41,061-Person Study From China Reveals (and What To Do About It)
Shift workers were more likely to be male, do manual work, smoke, drink alcohol, and report less healthy diets and more COVID-19 infection/quarantine history.

R.E. Hengsterman


Understanding Shift Work Sleep Disorder (SWSD): Causes, Diagnosis, and Prevention
As a clinician and shift worker, I’ve witnessed how biological misalignment manifests not only in fatigue but also in mood changes, immune dysfunction, and decision fatigue. Sleep optimization isn’t just a personal habit — it’s an occupational safety strategy.

R.E. Hengsterman
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