Quick Answer: Ontario home care PSWs often manage 8 to 10 client visits on split schedules, driving between homes on some of the lowest wages in healthcare. A medium-firm mattress with targeted pressure relief helps community care workers recover from the combined strain of patient handling, vehicle travel, and working in isolation.
In This Guide
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Why Home Care PSW Sleep Is Different from Facility Work
If you work in community home care in Ontario, your job looks nothing like your colleagues in long-term care homes or hospitals. You are not in one building with a team around you. You are in your car at 6:30 a.m., driving to your first client's home, and you will visit 8 to 10 more people before your shift ends. Some days it is more. During pandemic staffing shortages, some Ontario home care PSWs managed up to 16 clients in a single day.
Research from Norway found that home care workers spend up to 30% of their total working time on transportation between client visits. In Ontario, where distances between homes can stretch across entire municipalities, that percentage can be even higher in rural areas like Brant County, Haldimand, and Norfolk.
This means your body takes a beating from two directions at once. You handle the same patient care tasks as facility PSWs, lifting, transferring, bathing, repositioning. But you also spend hours in a vehicle between those tasks, subjecting your spine to vibration and static seated posture. Your back never gets a proper break.
The Compounding Fatigue Effect
Home care work creates what researchers call a compounding fatigue pattern. Unlike facility workers who remain in one location, community PSWs alternate between patient handling (high spinal load) and vehicle travel (sustained vibration and compression). Studies on occupational driving show that low back pain is the most frequently reported musculoskeletal disorder among workers who drive as part of their job, with prolonged sitting, vehicle ergonomics, and whole-body vibration as primary risk factors. When you add manual patient handling between those driving periods, the cumulative spinal load is significant.
And here is something most people outside the profession do not understand: Ontario home care PSWs earn the lowest wages in the entire healthcare sector. Data from Canadian census analysis shows home care PSWs earn approximately 21% less than hospital PSWs and 17% less than those in long-term care. Only 35% of home care PSWs have union coverage, compared to 93.4% in hospitals. Only 28.8% have pension access.
This is not just about fairness. Low wages force 27.7% of home care PSWs to hold secondary jobs, which directly reduces sleep opportunity. When you are working two jobs to pay rent, sleep becomes the first thing sacrificed.
The Driving Fatigue and Physical Toll of Client-to-Client Travel
Every home care PSW in Ontario knows the feeling. You finish a 45-minute personal care visit, help your client into their chair, pack up your supplies, document the visit in the car, and then drive 20 minutes to the next home. Your back never fully settles before you are lifting again.
NIOSH (the U.S. National Institute for Occupational Safety and Health) specifically identifies motor vehicle travel as a primary occupational hazard for home healthcare workers. The risk is not just accidents. It is the cumulative musculoskeletal damage from spending 2 to 3 hours per shift in a vehicle seat that was never designed for someone who also lifts people for a living.
| Physical Demand | Facility PSW | Home Care PSW |
|---|---|---|
| Patient handling | Shared with team, mechanical lifts available | Often alone, client homes may lack equipment |
| Driving per shift | Commute only (to/from work) | 2-3+ hours between clients |
| Spinal recovery between tasks | Can stand or walk between patient rooms | Sits in vehicle between patient handling |
| Ergonomic equipment | Facility-provided ceiling lifts, adjustable beds | Client homes often have basic furniture only |
| Work environment control | Climate controlled, clean, standardized | Varies by client home, may be cluttered or hazardous |
| Peer support | Team always present | Works alone in client homes |
The transition between sitting and lifting is the key problem. When you drive for 20 to 30 minutes, your intervertebral discs absorb fluid and stiffen in the seated position. Then you walk into a client's home and immediately bend, lift, or twist to assist with bathing or transfers. Your spine has not had time to readjust. This sitting-to-lifting cycle repeated 8 to 10 times per shift creates cumulative micro-trauma that shows up at bedtime as deep aching in the lumbar region, sacroiliac stiffness, and hip tightness.
Brad, Owner (since 1987): "We see a lot of home care workers in our showroom, and their complaints are different from hospital nurses. It is not just back pain from lifting. It is back pain plus hip stiffness plus shoulder tension from gripping a steering wheel all day. Their bodies need a mattress that addresses sitting damage and lifting damage at the same time."
Vehicle Ergonomics and After-Hours Pain
Most home care PSWs drive their personal vehicles. Unlike commercial fleet vehicles, personal cars rarely have adjustable lumbar support or seats designed for occupational driving. A systematic review spanning 2006 to 2021 found that musculoskeletal disorders associated with occupational driving affect the low back, neck, shoulders, upper back, and knees, with vehicle ergonomics identified as a significant contributing factor.
Common after-shift pain patterns for Ontario home care PSWs include:
- Lower back: From combined driving compression and patient handling loads
- Hips and sacroiliac joint: From repeated vehicle entry and exit (8-10+ times daily)
- Neck and shoulders: From steering wheel grip, turning to check mirrors, and leaning over clients in beds and bathtubs
- Knees: From car pedal posture combined with kneeling beside low beds in client homes
- Wrists and forearms: From steering combined with wringing towels, supporting limbs, and documentation
When you finally lie down at night, all of these areas need relief simultaneously. A mattress that only addresses back pain is not enough for someone whose occupation creates a full-body pattern of strain.
Split Schedules and Sleep Fragmentation
Home care scheduling is one of the biggest sleep disruptors in the profession. Unlike hospital or LTC shifts that run in clean blocks (7-3, 3-11, 11-7), home care PSW schedules are often built around client needs. Your first visit might be at 7 a.m. for morning care, then you have a 3-hour gap, then afternoon visits from 1 to 5 p.m., and an evening check-in at 8 p.m.
Canadian research confirms this pattern. Approximately 20.1% of Ontario PSWs work irregular schedules including on-call, split shifts, or other non-standard patterns, while 23.3% work rotating shifts. In home care, these numbers are likely higher because the work is inherently client-driven.
Why Split Schedules Wreck Sleep Architecture
A split schedule does not just shorten your sleep. It fragments it. Your body's circadian system responds to consistent sleep-wake timing. When your workday has gaps and late callbacks, your melatonin production cannot establish a reliable rhythm. Research published in the Journal of Biological Rhythms shows that disruption of the circadian system causes not only misalignment with the external light-dark cycle but internal desynchronization between body clocks in different tissues and organs. This means that even on your days off, your body struggles to consolidate deep restorative sleep.
The practical reality for many Ontario home care PSWs looks like this:
| Time | Activity | Impact on Sleep |
|---|---|---|
| 5:30 a.m. | Wake up, prepare for first visit | Early wake cuts sleep short |
| 6:30-10:30 a.m. | Morning care visits (3-4 clients) | Physical exertion begins early |
| 10:30 a.m.-1:00 p.m. | Gap between visits (unpaid) | Too short to go home, too long to rest in car |
| 1:00-5:00 p.m. | Afternoon visits (3-4 clients) | Second physical exertion block |
| 5:00-7:00 p.m. | Drive home, dinner, domestic tasks | Recovery window compressed |
| 7:30 p.m. | Evening check-in visit (occasional) | Pushes wind-down time to 9+ p.m. |
| 9:30-10:00 p.m. | Attempt to fall asleep | Only 7.5 hours until next alarm |
This schedule gives you a theoretical 7.5-hour sleep window, but that assumes you fall asleep immediately, have no trouble winding down from physical and emotional caregiving, and do not wake during the night. Most home care PSWs report actual sleep of 5 to 6 hours on work days.
The Multiple Job Problem
Because home care pays the least in the healthcare sector, 27.7% of community PSWs hold a second job. This is nearly double the rate of hospital PSWs (15.5%). A second job further compresses the sleep window. If you work home care from 7 a.m. to 5 p.m. and then pick up an evening PSW shift at a retirement home from 7 to 11 p.m., your sleep opportunity drops to 6 hours at best, and that is without accounting for commute time or the need to decompress between emotionally demanding shifts.
Home Care PSWs Serving the Brantford Region
Ontario Health atHome coordinates publicly funded home care visits across Brant County, including Brantford, Paris, St. George, Burford, and surrounding rural communities. PSWs serving this region often drive significant distances between clients, especially for rural and agricultural area visits in Haldimand-Norfolk. The combination of longer travel distances and fewer clients per geographic area means Brant County home care PSWs may spend even more of their shift driving than their urban counterparts in Hamilton or the GTA.
8 min read
Working Alone: The Hidden Sleep Cost of Isolation
There is a form of fatigue that does not come from physical exertion. It comes from being the only person in the room responsible for someone's safety. Home care PSWs work alone in client homes every single visit. There is no colleague down the hall. No supervisor on the unit. No emergency button on the wall.
Australian research found that approximately 60% of home care workers have experienced workplace abuse or aggression from clients, and around 70% reported feeling unsafe in a client's home at some point in their career. In Ontario, similar patterns exist, though they are less frequently documented because home care workers often lack formal incident reporting systems.
Isolation and Anticipatory Stress
Working alone creates a specific form of occupational stress called anticipatory hypervigilance. Even when nothing dangerous is happening, your nervous system remains in a heightened state because you know there is no backup. Research on lone workers shows that isolation prevents or slows access to immediate support when incidents occur, and the awareness of this vulnerability keeps the sympathetic nervous system activated throughout the workday. This chronic low-grade activation does not simply switch off when you arrive home. Many home care workers report difficulty "turning off" at bedtime because their bodies remain in alert mode hours after their last visit.
The types of situations that trigger this hypervigilance are unique to home care:
- Clients with cognitive decline: Unpredictable behaviour, resistance to care, verbal or physical aggression
- Unfamiliar home environments: Pets, clutter, stairs, inadequate lighting, second-hand smoke
- Family dynamics: Relatives who are frustrated, grieving, or hostile toward care workers
- Medical emergencies: Being the only person present when a client falls, has a seizure, or shows signs of stroke
- Driving in conditions: Ontario winter weather, rural roads, early morning darkness
Each of these situations activates cortisol release. Repeated cortisol spikes throughout the day create an elevated baseline that persists into the evening. This is why home care PSWs often describe lying in bed replaying the day's visits, checking their phone for schedule changes, or worrying about tomorrow's clients.
Compassion Fatigue Without Institutional Support
In a hospital or LTC home, there are debriefing sessions, employee assistance programs, and colleagues who understand what you are going through. In home care, you drive from one difficult situation directly to another. If a client you have been visiting for two years passes away, you might learn about it from a text message while driving to your next visit. There is no time to process. No bereavement support. You park, collect yourself, and walk into the next home with a professional smile.
This emotional accumulation directly affects sleep. Compassion fatigue and unprocessed grief create intrusive thoughts at bedtime. The quiet of your bedroom becomes the first moment all day when your mind is not occupied with a task, and that is when the emotional weight of the work surfaces.
Dorothy, Sleep Specialist: "Home care workers tell us they can handle the physical part. It is the emotional carrying that keeps them awake. When you work alone with vulnerable people all day and then come home to an empty house, your mind does not have an off switch. The right mattress cannot solve that, but it can give your body one less thing to fight against when you are trying to quiet your thoughts."
Mattress Features That Address Home Care Worker Strain Patterns
A home care PSW needs a mattress that does something specific: address the damage from both driving and patient handling in one surface. This is different from what a strictly desk-based worker needs, and different from what a facility-based PSW needs.
Lumbar Zone Support for Driving Compression
Hours of vehicle travel compresses the lumbar discs. When you lie down, your mattress needs to allow those discs to decompress while maintaining neutral spinal alignment. Too-soft mattresses let the pelvis sink, which keeps the lumbar curve compressed. Too-firm mattresses create pressure points at the sacrum and do not allow the natural lordotic curve to restore.
Medium-firm with zoned support is the right balance. Our Restonic ComfortCare Queen uses 1,222 individually wrapped coils that respond independently to different body regions. The lumbar zone provides slightly firmer support while the shoulder and hip zones allow enough give for side sleepers to maintain alignment.
Hip and Sacroiliac Joint Pressure Relief
Getting in and out of a vehicle 8 to 10+ times per shift, combined with kneeling beside low beds in client homes, creates significant strain on the hip joints and sacroiliac region. Side sleepers (which is the most common position for people with hip pain) need a mattress that cushions the greater trochanter without letting the pelvis drop out of alignment.
What to Look for in a Home Care Worker Mattress
- Medium-firm feel (6-7 out of 10): Firm enough for spinal support after driving, soft enough for hip and shoulder pressure relief after patient handling
- Individually wrapped coils (1,000+): Each coil responds to your body independently, creating zoned support without the sagging of foam-only mattresses
- Comfort layers over coils: Foam or pillow-top surface absorbs pressure at hips and shoulders without sacrificing core support
- Edge support: Reinforced perimeter so you can sit on the bed edge while removing shoes and compression socks without the mattress collapsing
- Breathable construction: Coil systems allow airflow, which helps regulate temperature for workers who come to bed with elevated cortisol and body heat
Full-Body Recovery Needs
Unlike workers who primarily stress one body region, home care PSWs create a full-body strain pattern: lower back from driving, shoulders from patient handling, hips from vehicle entry/exit, neck from steering and leaning over clients, knees from kneeling in client homes. The mattress needs to accommodate all of these simultaneously.
This is where a flippable option like the Restonic Revive Reflections ET ($2,395 Queen, 1,200 coils) becomes relevant. One side offers a slightly firmer feel for nights when lumbar compression from driving is the dominant complaint. The other side provides more cushioning for nights when the full-body ache from heavy patient handling days takes priority. Having both options in one mattress means you can match the surface to the specific demands of that day's shift.
Post-Shift Recovery Position for Home Care Workers
After a full day of driving and patient care, try lying supine (on your back) with a pillow under your knees for the first 15 to 20 minutes in bed. This position allows the lumbar discs compressed during driving to decompress while taking pressure off the sacroiliac joints strained by vehicle entry and exit. If you normally sleep on your side, this brief decompression period before rolling into your preferred position can reduce the time it takes to fall asleep by allowing the sharpest pains to settle first.
Sleep Recovery Strategies for Community PSWs
Creating a Sleep Boundary After Client Care
One of the biggest challenges for home care PSWs is the lack of transition between work and home. In a facility job, you leave the building, and there is a physical separation. In home care, you drive from your last client's home to your own home in the same car you have been working from all day. The car becomes an extension of the workplace, and your home can feel like just another stop on the route.
Create a deliberate transition ritual. This might be as simple as changing clothes immediately when you arrive home, showering before dinner, or sitting in your driveway for five minutes with the engine off listening to music that has nothing to do with work. The goal is to signal to your nervous system that the caregiving portion of the day is finished.
Managing the Unpaid Gap Fatigue
Those mid-day gaps between visit blocks are exhausting in a way that is hard to explain. You are not working, but you are not resting either. You are sitting in your car, eating lunch, scrolling your phone, maybe doing laundry if you live close enough to get home. This is time your body interprets as neither productive nor restorative.
If your gap is 90 minutes or longer and you can get home, a brief 20-minute nap on a supportive mattress is more restorative than 90 minutes of scrolling in a parking lot. Set an alarm, lie down in a darkened room, and do not try to do chores. Even if you do not fully sleep, the horizontal position allows spinal decompression between patient handling blocks.
Strategic Napping for Split-Schedule Workers
Research on shift workers shows that naps of 10 to 20 minutes can improve alertness, reduce fatigue, and enhance performance for the remainder of the workday. For home care PSWs with mid-day gaps, a short nap during the break can improve afternoon driving safety and reduce error risk during patient care. The key is keeping the nap under 30 minutes to avoid sleep inertia, the groggy feeling that comes from entering deep sleep stages.
Protecting Your Sleep Window on Short-Turnaround Days
On days when your schedule runs from early morning through evening visits, your sleep window may be as narrow as 7 hours. Protecting every minute matters.
- Pre-prepare tomorrow's supplies: Pack your bag and uniform the night before so you do not lose 15 minutes of sleep to morning preparation
- Limit screen time after evening visits: The blue light from documentation apps on your phone suppresses melatonin production. If you must chart after your last visit, use night mode or blue-light filtering
- Keep your bedroom cool: Between 15 and 19 degrees Celsius. After a day of elevated cortisol from working alone, your core temperature may run higher than usual, and a cool room helps initiate the temperature drop needed for sleep onset
- Avoid heavy meals after 8 p.m.: If your last visit ends at 7:30 and you eat a large meal at 8, digestive activity interferes with the transition to sleep. A lighter snack is better
Weekend Recovery: Do Not Oversleep
It is tempting to sleep 10 to 12 hours on weekends to "catch up." But sleeping significantly later than your weekday schedule creates social jetlag, a misalignment between your weekend and weekday circadian rhythms. This makes Monday mornings harder, not easier.
Instead, aim to sleep no more than 1 hour later than your weekday wake time. Use the extra morning time for gentle stretching or a walk, activities that help the musculoskeletal system recover without disrupting your sleep timing.
Ontario Home Care Worker Mattress and Sleep Recommendations
Recommended Mattress Options by Budget
| Budget Level | Mattress | Price (Queen) | Why It Works for Home Care PSWs |
|---|---|---|---|
| Value | Restonic ComfortCare | $1,125 | 1,222 individually wrapped coils provide zoned lumbar support for driving compression and hip relief for vehicle entry/exit strain |
| Mid-range | Restonic Revive Reflections ET | $2,395 | Flippable dual-sided design lets you choose firmer support on driving-heavy days or softer cushioning on heavy lifting days |
| Premium | Restonic Revive Tiffany Rose | $2,995 | Talalay Copper Latex provides antimicrobial pressure relief, 1,188 coils for full-body support across all pain zones |
We understand that home care PSWs are among the lowest-paid healthcare workers. The Restonic ComfortCare at $1,125 for a Queen is our most recommended option for community care workers because it delivers genuine quality at a price point that does not add financial stress. Financial stress is itself a sleep disruptor, and we would rather fit you with a mattress you can afford comfortably than upsell you into anxiety.
Talia, Showroom Specialist: "When home care PSWs visit our showroom, I always ask them to try mattresses in both their driving position (semi-reclined) and their sleeping position. You would be surprised how differently a mattress feels when you sit on the edge versus lying flat. For someone who gets in and out of bed with already-stiff hips, that edge support matters a lot."
Pillow Considerations for Home Care Workers
Neck and shoulder tension from driving and leaning over clients requires a pillow that maintains cervical alignment without adding strain. If you sleep on your side (the most common position for people with combined hip and back pain), your pillow should fill the space between your ear and the mattress surface completely. Too thin and your neck bends downward. Too thick and it pushes your head into lateral flexion.
Research published in the Journal of Pain Research found that a cervical support pillow with appropriate height can significantly reduce neck pain and improve sleep quality. For home care PSWs with combined neck and shoulder complaints, this is a relatively affordable intervention that compounds the benefit of a proper mattress.
Mattress Protector for Practical Reasons
Home care PSWs sometimes come to bed with topical analgesic creams on their hands, residual hand sanitizer, or liniment on their shoulders and back. A waterproof mattress protector prevents these substances from degrading the mattress foam and fabric over time. It also provides a hygienic barrier, which matters when you work in multiple client homes daily and want to minimize cross-contamination risk in your own sleeping environment.
Why an Adjustable Base Helps Community Care Workers
An adjustable bed base is particularly useful for home care PSWs because it addresses the two main physical complaints simultaneously. Elevating the head 15 to 20 degrees reduces neck and shoulder tension from steering and patient handling. Elevating the knees 10 to 15 degrees takes pressure off the lower back and hips strained by driving and vehicle entry/exit.
This zero-gravity-inspired position, where both the head and knees are slightly elevated, distributes body weight more evenly and reduces pressure on the lumbar spine. For a worker whose back has been compressed by a car seat and loaded by patient transfers all day, this position provides relief that a flat mattress surface alone cannot replicate.
Local Delivery for Home Care Workers With Unpredictable Schedules
We know your schedule changes constantly. Mattress Miracle offers white glove delivery throughout the Brantford area, including Paris, St. George, Cainsville, and Mount Pleasant, with flexible scheduling. We also deliver to Hamilton, Burlington, Kitchener, Waterloo, Cambridge, and surrounding communities. Call Brad directly at (519) 770-0001 to arrange a delivery time that works around your visit schedule. We bring the mattress in, set it up, remove the old one, and put shoe covers on so your floors stay clean.
Sleep Quality as a Retention Factor
Ontario's home care sector faces staggering turnover. Approximately 40% of new PSW graduates leave their job within the first year, and 25% of experienced PSWs with two or more years leave annually. While wages and working conditions are the primary drivers, physical and emotional exhaustion play a significant role in the decision to leave.
Sleep quality is not a luxury for home care workers. It is a professional sustainability issue. A PSW who consistently sleeps poorly is more likely to experience burnout, make medication errors during visits, have a driving accident between clients, or develop chronic musculoskeletal conditions that force early retirement from the profession.
Investing in proper sleep support, a quality mattress, good sleep hygiene habits, and deliberate recovery strategies, is one of the few things within your individual control in a system that often feels beyond your influence. You cannot fix Ontario's home care funding crisis from your bedroom. But you can make sure the 6 to 7 hours you spend in bed are as restorative as possible.
For Home Care Agencies and Supervisors
If you manage a team of community PSWs, consider scheduling patterns that minimize split shifts and maximize continuous sleep opportunities. Research shows that workdays with mixed high-demand and low-demand clients, rather than clustering all heavy-care visits together, reduce end-of-day pain reporting and fatigue. Building travel time into paid hours rather than treating it as personal commute time also reduces the financial pressure that forces PSWs into second jobs.
Setting Up Your Sleep Environment After Community Visits
After spending your workday in other people's homes, your own bedroom should feel distinctly yours. This psychological separation matters for sleep quality.
- Leave work clothing outside the bedroom: Change in the bathroom or laundry room. This prevents your bedroom from smelling like client homes, hand sanitizer, or personal care products
- Keep your phone outside the bedroom if possible: Schedule changes and on-call notifications are the enemy of sleep onset. If you must keep your phone nearby, enable Do Not Disturb with exceptions only for genuine emergencies
- Use blackout curtains: If you occasionally work evening visits and get to bed late, or start at 6:30 a.m. and need to fall asleep by 9:30 p.m. while it is still light in Ontario summers, blackout curtains help signal to your brain that it is time for sleep
- White noise or fan: After a day of constant stimulation (different homes, different sounds, traffic, conversation), a consistent neutral sound helps your auditory system disengage from environmental scanning mode
Your sleep environment is the one space in your day where you have complete control. Every client home is different, your car is a compromise, your breaks are spent in parking lots. Make your bedroom the one place that is optimized entirely for your recovery.
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We are a family-owned mattress store in Brantford, helping our community sleep better since 1987. Come try mattresses in person and get honest, no-pressure advice.
441 1/2 West Street, Brantford, Ontario
Call 519-770-0001Frequently Asked Questions
What firmness is best for a home care worker who drives all day and lifts patients?
Medium-firm (6-7 out of 10) is the best balance for the combined strain of driving and patient handling. Too-soft mattresses do not provide enough lumbar support for spines compressed by vehicle seats. Too-firm mattresses create pressure points at hips strained by repeated vehicle entry and exit. Individually wrapped coil systems like our Restonic ComfortCare (1,222 coils, $1,125 Queen) provide zoned support that addresses both issues simultaneously.
I work split shifts with a 3-hour gap. Should I nap during the gap?
If you can get home and lie down, a 20-minute nap on a supportive mattress is more restorative than spending the gap in your car. Keep the nap under 30 minutes to avoid deep sleep that causes grogginess. Set an alarm, darken the room, and use the horizontal position to decompress your spine between patient handling blocks. Even if you do not fully sleep, the physical rest helps.
How is the sleep advice for home care PSWs different from hospital PSWs?
Hospital PSWs have fixed-location shifts and team support, so their sleep challenges are primarily shift-work related. Home care PSWs face the additional burden of 2 to 3 hours of daily driving, working alone in unpredictable environments, split schedules with unpaid gaps, and the lowest wages in healthcare (which forces many into second jobs). The mattress and sleep advice needs to address driving-related spinal compression alongside patient handling strain.
Can I try mattresses at Mattress Miracle if I only have a short break between visits?
Yes. Our Brantford showroom at 441 1/2 West Street is set up for efficient visits. Tell us you are a home care worker with limited time, and we will have 2 to 3 mattresses ready for you to try based on your specific complaints. Many PSWs visiting from the Brant County home care routes stop in during their mid-day gap. Call Brad at (519) 770-0001 to let us know when you are coming.
My back is fine driving but hurts when I lie down at night. Why?
This is common for home care workers. Driving keeps your lumbar spine in a flexed, compressed position that masks the damage occurring in the discs and facet joints. When you lie down and the compression releases, the inflammation and micro-swelling become noticeable. It is similar to how a bruise hurts more when you press on it. A mattress with proper lumbar support allows controlled decompression rather than an abrupt release, which reduces that "lying down pain" over time.
Sources
- Andersen, L.L., et al. (2024). On the move: understanding home care workers' experiences of using various modes of transportation at work in an occupational health perspective. BMC Health Services Research, 24, 1482. doi.org/10.1186/s12913-024-12071-z
- Hartmann, H.I., et al. (2023). The disadvantaged home care personal support worker: differences in job characteristics, unionization, pensions, participation, and wages by care sector in Canada. International Journal of Environmental Research and Public Health, 20(5), 4291. PMC9996786
- Boivin, D.B., Boudreau, P., & Kosmadopoulos, A. (2022). Disturbance of the circadian system in shift work and its health impact. Journal of Biological Rhythms, 37(1), 3-28. doi.org/10.1177/07487304211064218
- Jacobson, B.H., et al. (2008). Effect of prescribed sleep surfaces on back pain and sleep quality in patients with low back pain. Journal of Chiropractic Medicine, 7(1), 1-8. doi.org/10.1016/j.jcme.2007.11.003
- Gordon, S.J., et al. (2009). Pillow use: the behaviour of cervical pain, sleep quality, and pillow comfort in side sleepers. Journal of Pain Research, 2, 137-141. doi.org/10.2147/JPR.S7575
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