Nurses' sleep quality, work environment and quality of care in the Spanish National Health System: observational study among different shifts

Abstract

ObjectiveThe main objective of this study was to determine the relationship between the characteristics of nurses' work environments in hospitals in the Spanish National Health System (SNHS) with nurse reported quality of care, and how care was provided by using different shifts schemes. The study also examined the relationship between job satisfaction, burnout, sleep quality and daytime drowsiness of nurses and shift work.MethodsThis was a multicentre, observational, descriptive, cross-sectional study, centred on a self-administered questionnaire. The study was conducted in seven SNHS hospitals of different sizes. We recruited 635 registered nurses who worked on day, night and rotational shifts on surgical, medical and critical care units. Their average age was 41.1 years, their average work experience was 16.4 years and 90% worked full time. A descriptive and bivariate analysis was carried out to study the relationship between work environment, quality and safety care, and sleep quality of nurses working different shift patterns.Results65.4% (410) of nurses worked on a rotating shift. The Practice Environment Scale of the Nursing Work Index classification ranked 20% (95) as favourable, showing differences in nurse manager ability, leadership and support between shifts (p=0.003). 46.6% (286) were sure that patients could manage their self-care after discharge, but there were differences between shifts (p=0.035). 33.1% (201) agreed with information being lost in the shift change, showing differences between shifts (p=0.002). The Pittsburgh Sleep Quality Index reflected an average of 6.8 (SD 3.39), with differences between shifts (p=0.017).ConclusionsNursing requires shift work, and the results showed that the rotating shift was the most common. Rotating shift nurses reported worse perception in organisational and work environmental factors. Rotating and night shift nurses were less confident about patients' competence of self-care after discharge. The most common nursing care omissions reported were related to nursing care plans. For the Global Sleep Quality score, difference were found between day and night shift workers.

Estresse Ocupacional E Fatores Associados Entre Enfermeiros De Hospitais Públicos

“…Embora a maioria desenvolva suas atividades laborais no turno diurno, deve-se ponderar que 23,8%(n=44) trabalhavam no período noturno, inevitável na área hospitalar, pois o cuidado ao paciente deve ser contínuo. Esse tipo de trabalho provoca alterações fisiológicas e afeta o bem-estar físico e psicológico dos profissionais, predispondo o trabalhador à fadiga, diminuição do desempenho e insatisfação laboral, levando-os ao desgaste e à doença (10,(19)(20) . Neste estudo o trabalho noturno não compôs o modelo múltiplo, por não apresentar associação significativa com o estresse ocupacional, o que também foi observado por estudo com enfermeiros taiwaneses.…”

Sleep problems in shift nurses: A brief review and recommendations at both individual and institutional levels

“…Sleep deprivation and sleep disturbances have been associated with fatigue (Hughes & Rogers, ), chronic diseases, and reduction in health‐related quality of life (Asaoka et al, ) in shift nurses. They can also substantially affect shift nurses’ job performance (Asaoka et al, ), quality of care (Gómezgarcía et al, ), and patient safety (Rogers, ). Despite the high prevalence and negative consequences of sleep problems in shift nurses, insufficient attention has been given to this area of study.…”

Sleep quality and health in healthcare professionals fighting against COVID-19: a comparative study between high risk area (Hubei Province) and low risk area (Jiangsu Province) in China

“…They were also higher than the average level of sleep quality of healthcare professionals in Hunan Province and Guangzhou Province, China [17,18]. Previous studies had demonstrated that healthcare professionals working on night shift had higher global PSQI score than those working on day shift or rotating shift [19,20]. The score of PSQI among Jiangsu sample was similar to that of healthcare professionals working on night shift in Guangzhou Province, China and Spain [18,19].…”

“…Previous studies had demonstrated that healthcare professionals working on night shift had higher global PSQI score than those working on day shift or rotating shift [19,20]. The score of PSQI among Jiangsu sample was similar to that of healthcare professionals working on night shift in Guangzhou Province, China and Spain [18,19]. However, the score of PSQI among Hubei sample was higher than that of healthcare professionals working on night shift [19,20], which indicated that healthcare professionals fighting against COVID-19 in Hubei Province had poorer sleep quality than other healthcare professionals.…”