Sleep problems among Chinese clinical nurses working in general hospitals

Dong, Hongyun; Zhang, Q; Sun, Zih‐Jie; Sang, Fengxin; Xu, Yong-Hua

doi:10.1093/occmed/kqx124

Cited by 33 publications

(45 citation statements)

References 23 publications

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“…Nurses working >10 night shifts/month had almost four times greater difficulty in initiating sleep as those working fewer night shifts. Our findings concur with previous studies that high frequency of night shifts per month is related to poor sleep quality (Dong, Zhang, Sun, Sang, & Xu, ; Han, Yuan, Zhang, & Fu, ). Nurses with current or previous night shift work schedules have been reported to complain of insomnia symptoms more than nurses with no night shift work experience (Oyane, Pallesen, Moen, Akerstedt, & Bjorvatn, ).…”

Section: Discussionsupporting

confidence: 93%

Sleep disturbances and related factors among nurses

Chaiard

Deeluea

Suksatit

et al. 2019

Nursing & Health Sciences

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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

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Section: Discussionsupporting

confidence: 93%

Sleep disturbances and related factors among nurses

Chaiard

Deeluea

Suksatit

et al. 2019

Nursing & Health Sciences

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“…Nurses have been reported to suffer from poor sleep, especially in large-scale hospitals [21][22][23][24]. In the United States [25], of 540 nurses working in six hospitals, 418 (77.4%) had a poor quality of sleep.…”

Section: Introductionmentioning

confidence: 99%

Sleep quality of nurses in the emergency department of public hospitals in China and its influencing factors: a cross-sectional study

Dong

Zhang

Zhu

et al. 2020

Health Qual Life Outcomes

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Background: Studies have shown that poor sleep could result in many unpleasant consequences and is prevalent in nurses. Considering the fact of high stress, overwhelming workload and many night shifts in the emergency department in China, this study aimed to evaluate the current status of emergency nurses' sleep quality in public hospitals in Shandong, China and explored its influencing factors. Methods: A self-administered questionnaire incorporating the Job Content Questionnaire and Pittsburgh Sleep Quality Index (PSQI) was conducted among 4856 emergency nurses in five randomly selected city emergency command systems in Shandong, China. The association of potential influencing factors, including occupational, psychosocial and individual factors, with poor sleep (PSQI> 5) was quantified by multivariate logistic regression analysis. Results: The average PSQI score of 4730 emergency nurses in public hospitals was 8.2 ± 3.9, including 3114 (65.8%) subjects with PSQI > 5 and 2905 (61.4%) > 8; these figures were found highest for 337 emergency nurses in 14 tertiary hospitals with 11.8 ± 4.3, 257 (76.3%) and 232 (68.8%), followed by 1044 emergency nurses in 43 secondary hospitals with 9.5 ± 3.9, 725 (69.4%) and 675 (64.7%) and 3349 emergency nurses in 167 primary hospitals with 7.4 ± 3.5, 2132 (63.7%) and 1998 (59.7%). The following factors were associated with poor sleep: hospital level (tertiary vs. primary, secondary vs. primary), female sex, less of exercise, long work hours per week, many patients in the charge of at night, high monthly night shift frequency (4-6 vs. never, ≥7 vs. never) and high occupational stress. Conclusions: The sleep quality of emergency nurses in public hospitals in China was poor, especially in tertiary hospitals. Many factors as listed above, especially occupational stress, night shift taking and workload at night, should be considered when improving emergency nurses' sleep quality.

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“…Moreover, other stress parameters not measured in the current study such as effort, reward, overcommitment and support were found to influence the level of depression among workers exposed to high levels of occupational stress whereas the workload (demand) was less important than the other variables [37]. Occupational stress has been reported to facilitate the development of sleep problems [7]. Elger and Sekera [38] indicated that stressful events predicted insomnia, the most prevalent sleep disorder [39].…”

Section: Discussionmentioning

confidence: 52%

“…Occupational strain resulting from exposure to stressors at the workplace can affect an employee's mental and physical health. Depression, the leading cause of disability and the main indication of psychiatric conditions, as well as insomnia, are major psychological disorders reported to be significantly associated with occupational stress [5][6][7]. High levels of occupational stress do not only predict insomnia but also its recurrence [8].…”

Section: Introductionmentioning

confidence: 99%

The effect of occupational stress on depression and insomnia: a cross-sectional study among employees in a Ghanaian telecommunication company

2020

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Background: Depression and insomnia are major psychiatric conditions predicted by occupational stress. However, the influence of occupational stress on these two conditions is under-explored in telecommunication companies, especially in Africa. This research was conducted to assess occupational stress in a Ghanaian telecommunication company and its effect on depression and insomnia. Methods: An analytical cross-sectional study was conducted among employees at a telecommunication company in Accra. Structured self-administered questionnaires were used in collecting data from 235 respondents using simple random sampling. The Chi-square test of independence and Wilcoxon Rank-Sum test were employed to assess the significance of associations with subsequent sensitivity analysis using Multiple logistic, Poisson and Probit regression models. Occupational stress was matched on four variables: age of the workers, marital status, responsibility for dependents and work experience, to improve on the estimation of its impact on symptomatic depression and insomnia using the coarsened exact matching procedure. Results: More males (52.8%) than females participated in this study. The age range for study participants was 20-49 years with a mean of 30.8 ± 6.9 years. The prevalence of excessive occupational stress reported by the employees was 32.8% (95% CI = 26.7-38.8). More than half of respondents (51%) reported depressive symptoms in the past week and only a few (6%) reported being diagnosed with insomnia in the past year. Age, responsibility for dependents and work experience were the only background characteristics that were significantly associated with excessive occupational stress. After controlling for background characteristics, the estimated risk of reporting symptoms of depression among employees who reported excessive stress from work was only 5% higher [ARR; 95% CI = 1.05 (0.94-1.17)] whereas it was 2.58 times the risk of reporting insomnia [ARR; 95% CI = 2.58(0.83-8.00)] compared to those who did not report excessive stress from their jobs. The relative risk reduced to 2.46[ARR; 95% CI = 2.46(0.77-7.87)] and 1.03[ARR; 95% CI = 1.03(0.91-1.17)] for insomnia and depression respectively after employing Poisson regression with CEM.

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Sleep problems among Chinese clinical nurses working in general hospitals

Cited by 33 publications

References 23 publications

Sleep disturbances and related factors among nurses

Sleep disturbances and related factors among nurses

Sleep quality of nurses in the emergency department of public hospitals in China and its influencing factors: a cross-sectional study

The effect of occupational stress on depression and insomnia: a cross-sectional study among employees in a Ghanaian telecommunication company

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