Sleep disturbances and related factors among nurses

Abstract

The aim of this study was to describe patterns and potential risk factors for sleep disturbances, including that of sleep apnea, among Thai registered nurses. A descriptive, cross-sectional design was implemented. A sample of 233 registered nurses was recruited from 10 nursing departments from a tertiary hospital. Participants completed a one-time, self-report questionnaire and a 1 week-long sleep diary. Descriptive and logistic regression statistics were used for the analysis. Approximately 76% of nurses slept less than 7 h, 12.3% had difficulty initiating sleep, and 5% had difficulty maintaining sleep. Short sleep duration was prevalent, and night shift work schedules that exceeded 10 episodes/month were perceived as contributing to difficulties with initiating sleep. After excluding males from the analysis, the risk for depression related to short sleep duration becomes statistically significant. Organizational policies for registered nurses' shift work should include effective management of night shift assignments, as well as interventional strategies and policy directions, to promote sleep quality and mental health to ensure nurse well-being and patient safety. K E Y W O R D S nurse, shift schedule, short sleep, sleep apnea, sleep disturbances

The Prevalence and Associated Factors of Short Sleep Duration Among Nurses in Tertiary Public Hospitals in China: Findings from a National Survey

“…The mean total sleep time in our study was overall consistent with findings from other studies. 16 , 18 The prevalence of SSD in our study is very close to the survey in Brazil, which demonstrated that 48.6% of nurses had SSD, 17 but is much lower than in Thailand, in which they found about 76% nurses slept less than 7 hours. 15 , 16 This gap may be due to the differences of the healthcare systems and characteristics of participants.…”

“… 16 , 18 The prevalence of SSD in our study is very close to the survey in Brazil, which demonstrated that 48.6% of nurses had SSD, 17 but is much lower than in Thailand, in which they found about 76% nurses slept less than 7 hours. 15 , 16 This gap may be due to the differences of the healthcare systems and characteristics of participants. For example, 57.7% of Thai nurses in the studies were single, 15 , 16 while only 31.25% nurses were not married in our sample.…”

“… 15 , 16 This gap may be due to the differences of the healthcare systems and characteristics of participants. For example, 57.7% of Thai nurses in the studies were single, 15 , 16 while only 31.25% nurses were not married in our sample. While further studies are needed to understand the gap among different countries.…”

“… 14 One study found that the SSD prevalence was 75.9–76% in Thai nurses, and the SSD group experienced more fatigue and occupational errors. 15 , 16 Another study included 2518 female nurses in Brazil and found 48.6% of them reported SSD, with poor self-rated health status. 17 A study in China examined 799 nurses from three hospitals, and they found the total sleep time of nurses was 6.1±1.1 hours per day.…”

Comparing risk of depression between day and night/shift workers using the PHQ-9: a study utilizing the 2014, 2016, and 2018 Korea National Health and Nutrition Examination Survey data

“… 10 A number of cross-sectional studies of workers in specific occupations, such as nurses, have suggested a relationship between night and shift work and depressive symptoms. 11 12 However, a 10-year observational cohort study showed contrary evidence, wherein being engaged in present or previous night work was not associated with sickness absence due to mental health problems. 13 Some observational studies reported that there was no significant association between night/shift work and depression.…”