Yawning for Help: Facts About Drowsy Driving

Drowsy driving is a common experience among night shift nurses impacting roughly 79% of all night shift nurses. Due to the frequency of drowsing driving that shift workers experience, there is a six times greater risk of being involved in a crash compared to other professionals. After a shift, many nurses experience a “post-work dip” in energy, which generally consists of feelings of physical and mental exhaustion or a loss of adrenaline. It is also common to feel an emergent drowsiness during nurses’ commute after a shift. This emergent drowsiness is often attributed to the comfortable environments of nurses’ vehicles or minimal roadway demands on the commute. It is also common for nurses’ drowsiness to peak while stopped at traffic signals or with prolonged periods of driving.

Micro sleeps, which are a brief lapse into sleep, can also occur during drowsy driving. Micro sleeps typically last four to five seconds and if traveling at a speed of 55 mph, a driver can travel approximately 100 yards before waking up. Studies have also shown that the effects of drowsy driving are similar to those of drunk driving, and that driving after 24 hours without sleep can have similar effects to having a blood alcohol content of 0.10%, which exceeds the legal limit.

Effects of drowsy driving include impaired attention and coordination, slower reaction time, and poor judgement. Some warning signs to look for possible experiences of drowsy driving include: frequent yawning or blinking, feelings of nodding off, difficulty keeping your head upright, trouble remembering the last few miles you’ve driven, missing an exit or road sign, following other cars too closely, and drifting into the other lane or hitting rumble strips.

Work Factors Contributing to Drowsiness:

  • Heavy workload/being busy
  • Idle time
  • Physicality
  • Shift schedules
    • Consecutive shifts/shift length
  • Emotional/mental factors
  • Lack of breaks
  • Training after work
  • Poor coworkers
  • Delayed feelings of drowsiness
  • Specific units
  • Bad lighting
  • Temperature

Non-Work Factors Contributing to Drowsiness:

  • Quality and quantity of sleep
  • Other duties outside of work
  • Commute type/length

Tips to Stay Awake While Driving:

  • Drink a caffeinated beverage
  • Call a friend
  • Listen to music or a podcast
  • Eat a crunchy snack
  • Physically engage at stop lights
  • Pull over and take a 20-minute nap

Recommendations to Prevent Drowsy Driving:

  • Prevent scheduling more than two shifts in a row
  • Stay hydrated throughout the shift
  • Take naps during breaks or after shifts
  • Refrain from working overtime/staying late
  • Take mandatory breaks/refrain from skipping breaks during a shift
  • Advocate for appropriate workload
  • Have a consistent quality of lighting
  • Improve sleep hygiene
    • Have consistent bedtimes
    • Optimize your sleep space
    • Keep portable electronics out of the bedroom
    • Avoid caffeine and alcohol before bed
    • Don’t stew in bed for 20 minutes or longer
    • Practice healthy habits
      • i.e. regular exercise and a healthy diet
    • Talk to a doctor if experiencing recurring patterns of poor or insufficient sleep

Need Guidance on Staying Awake?

Connect with our music playlist or visit the National Sleep Foundation for comprehensive resources on preventing drowsy driving.