Sleep disturbance among frontline nurses during the COVID-19 pandemic

Abstract

The main objective of this study is to assess the prevalence of sleep disturbance and related psychological factors (stress, anxiety and depression) among frontline nurses in Oman during the COVID-19 pandemic. A cross-sectional and descriptive correlational design using Qualtrics® software was used in this research. Data were collected using the Pittsburgh Sleep Quality Index (PSQI), the Hospital Anxiety and Depression Scale (HADS) and the Perceived Stress Scale (PSS). Logistic regression was performed to identify factors associated with poor sleep quality. Of the 987 frontline nurses who participated, 58.8% (n = 580) reported poor sleep quality. In an examination of PSQI components the mean sleep duration was 7.04 (SD = 1.59) hours per night, and the sleep latency mean was 38.18 min (SD = 31.81). Poor sleep (p < .05) was significantly associated with age, marital status, years of experience, comorbidity, and whether family members or relatives were suspected or confirmed with having COVID-19. Logistic regression showed that poor quality of sleep was significantly associated with stress, anxiety and depression symptoms. Sleep disturbance is a significant problem for frontline nurses working in Oman during the COVID-19 pandemic. Appropriate interventions to maintain the health conditions and reduce sleep disturbance among frontline nurses are needed in order to help support nurses’ work during contagious disease outbreaks. These can be implemented through online workshops and training to enhance nurses’ responses to the pandemic or to any further disease outbreaks.

Subjective sleep alterations in healthy subjects worldwide during COVID-19 pandemic: A systematic review, meta-analysis and meta-regression

“…The median number of participants was 338. Excluding manuscripts that reported age as range or median (i.e., 28%) [ 41 , [44] , [45] , [46] , 48 , 59 , [61] , [62] , [63] , 69 , 73 , 75 ], [ 84 , 87 , 96 , [98] , [101] , 104 , 111 , 112 , 121 ], [ 126 , 134 , 137 , 141 , 144 , 145 , 147 ], [ 158 , 161 , [163] , [164] , [165] , 167 , 169 , 175 ], the mean age of the participants was 32.22 ± 9.35 years. Regarding the administered sleep measures, 103 studies reported PSQI scores.…”

“… Author Country Sample (n) Female Age Type of pop. Measure NOS Abbas et al, 2021 [ 37 ] Kuwait 217 0.44 x̄ = 35.8y health w. PSQI gen-sub 5 Abid et al, 2021 (a) [ 38 ] Tunisia 48 1 x̄ = 8.66y children PSQI gen 5 Abid et al, 2021 (b) [ 38 ] Tunisia 52 0 x̄ = 8.66y children PSQI gen 5 Akıncı and Başar, 2021 [ 39 ] Turkey 152 0.63 x̄ = 35.8y health w. PSQI gen-sub 5 Akkuş et al, 2021 [ 40 ] Turkey 595 0.66 x̄ = 27.9y general PSQI gen 6 Al Maqbali, 2021 [ 41 ] Oman 987 0.91 >18y health w. PSQI sub 5 Al-Musharaf et al, 2021 [ 42 ] Saudi Arabia 297 1 x̄ = 20.7y general PSQI gen 5 Alfonsi et al, 2021 (a) [ 43 ] Italy 72 1 x̄ = 35.68y general PSQI gen-sub 6 Alfonsi et al, 2021 (b) [ 43 ] Italy <...…”

“…The total scores ranged from 3 to 6. Most of the studies (114) [ [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] ], [ [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] ], [ [63] , [64] , [65] , [66] , [67] , [68] ], [ [70] , [71] , [72] , [73] , [75] , [76] , [77] ], [ [79] , [80] , [81] , [82] , [83] , [84] , [85] , [86] , [87] , [88] , [89] , 91 , [93] , [94] , [95] , [96] , [97] , [98] , [99] ], [ [101] , [102] , [103] , [104] , [105] , [106] , [107] , [108] , [109] , [110] , [113] , …”

Correlates of turnover intention among nursing staff in the COVID-19 pandemic: a systematic review

“…Additionally, they have to deal with severe disease progression among patients and are at risk to get infected themselves [8,9]. These continuous strains are associated with the deterioration of the nurses' mental health: symptoms of depression, anxiety, and inadequate sleeping hours were reported [10] as well as post-traumatic stress disorder (PTSD) among frontline nurses, who have direct contact with COVID-19 patients [11,12].…”

The experience of working as a nurse during the COVID-19 era

“…Regular sleep could be an usual issue during practice. Some of nurses may well be working long days and have some difficult in several situations (Al Maqbali, 2021). Therefore, it is important to get quality sleep when having a time during the day.…”