Chloe is an accredited practising Dietitian and Health Coach at NSW Ambulance. She is deeply passionate about supporting first responders to prioritise their own health, especially in a career where they are often focused on the health of others.
The Shift Workers Wellbeing Guide
Ms Chloe Larcombe1, Ms Emma Ugarte1
1NSW Ambulance, Sydney, Australia
Abstract
Situation
Shift workers face unique health challenges; disrupted sleep, unpredictable mealtimes, increased stress, and difficulty maintaining regular exercise—placing them at higher risk of health conditions. Staff feedback highlighted common areas of concern and were requesting access to information and strategies to support their wellbeing. With limited resources available to assist a growing workforce, the Health and Fitness Team needed an efficient way to empower staff.
Task
Develop a first-of-its-kind, comprehensive, scalable, and educational resource to equip NSW Ambulance staff with evidence-based strategies to manage shift work health risks effectively. The resource needed to transparently address the health risks associated with shift work and provide evidence-based, practical strategies to mitigate these risks.
Action
Guided by staff insights, a multidisciplinary team—including a Dietitian, Exercise Physiologists, Health Coaches, Sleep Scientist and a Psychologist—developed the Shift Worker Wellbeing Guide. This 100-page resource explores key areas such as circadian rhythm management, mental wellbeing, sleep, nutrition, and physical activity. It offers practical, actionable strategies tailored to the unique needs of first responder shift workers.
Result
The guide has been widely praised for its accessibility and effectiveness. A staff survey revealed 80% of respondents felt more supported in their wellbeing after using it, while 85% reported making or intending to make positive lifestyle changes based on its recommendations. The survey also captured specific changes implemented by staff, demonstrating real-world application. Its success has extended beyond our organisation, with emergency service agencies and health organisations nationally and internationally requesting to share the resource.