“Mars Bar and a Tin of Red Bull Kept Me and My Patients Alive”: Exploring Barriers to Healthy Eating through Facebook Comments of Shiftworkers

Abstract

The negative impact of an unhealthy diet on the shiftworker population has been well-documented. However, little evidence exists on the underlying reasons for unhealthy eating behaviours and the existing barriers to healthy eating withinshiftwork environments. This qualitative study investigated the dietary behaviours reported by shiftworkers through Facebook comments. Comments were collected if they were on public shiftworker-relevant posts pertaining to dietary news or dietary information on Facebook and were posted by self-identified shiftworkers, relatives of shiftworkers, or partners of shiftworkers. A thematic analysis of the 144 comments collected generated four categories that can be used to understand the motivations for eating behaviour on-shift: what shiftworkers eat, where food is sourced from, when food is eaten, and why certain foods are chosen. Results reveal motivations, attitudes, and both internal and external barriers to healthy eating behaviours, as well as similarities and differences across shiftwork industries. Recommendations for future research include further explorations on the link between scheduled eating (e.g., time-restricted eating) and shiftwork, the impact of a rotating shift arrangements on dietary health behaviours, and the impact of interpersonal relationships on shiftworker dietary choices. Understanding these motivations will inform strategies to promote healthy eating and help understand barriers for shiftworkers.

Changing the organizational work schedule of shift workers leads to improved sleep—an editorial

“…Other workers reported that the continuity of care for patients was more complicated with fewer quick returns. These align with another study on shift work showing that healtcare night shift workers tend to skip meals at work for the benefit of the patients’s care [ 12 ] and may thus reflect the healthcare workers’ representations of their work. It may also be a reflection that getting good sleep is not a priority for some of these individuals and is sacrificed to perform better at work.…”