Sleep quality and associated factors among nurses working at comprehensive specialized hospitals in Northwest, Ethiopia

Abstract

BackgroundPoor sleep quality is common among nurses. This problem possibly results in negative emotional and psychological consequences in nurses which secondary affect their work performances. However, in Ethiopia, there is a paucity of information about poor sleep quality and associated factors among nurses. This study aimed to assess the prevalence of poor sleep quality and associated factors among nurses working at comprehensive specialized hospitals in Northwest Ethiopia.MethodsAn institutional-based cross-sectional study was conducted among 542 nurses who worked at University of Gondar (UOG), Tibebe Ghion, Felege Hiwot Comprehensive Specialized Hospitals, Ethiopia, who were incorporated into the study through a simple random sampling technique from 1 May to 2 June 2021. The Pittsburgh sleep quality index (PSQI) with a cut score of above 5 was used to assess sleep quality using a structured self-administered questionnaire. Other tools used are Depression Anxiety Stress Scales (DASS-21), Shift Work sleep disorders (SWSD), and Oslo-3 social support scales. Epi-Data version 3.1 was used for data entry and SPSS version 25 was used for data analysis. A multivariable logistic regression analysis was performed to identify variables that have a significant association with poor sleep quality among nurse professionals. The degree of association was assessed using an odds ratio (OR) with a 95% confidence interval (CI) at a two-tailed p-value of <0.05.ResultsA total of 510 nurses were included in the study with a response rate of 94%. The study showed that the overall prevalence of poor sleep quality among nurses was 75.5% (95% CI (71.8, 79.1). Being female (AOR = 1.72:95% CI = 1.19, 2.28), depressive symptoms (AOR = 2.24:95% CI = 1.24, 3.85), anxiety symptoms (AOR = 2.12: 95% CI = 1.23, 3.62), stress (AOR = 2.85: 95% CI = 1.67, 4.82) and current alcohol drinking (AOR = 1.84 :95% CI = 1.27, 3.13) were significantly associated with poor sleep quality.ConclusionThe overall prevalence of poor sleep quality among nurses was high. Being female, depressive symptoms, anxiety symptoms, stress, and current alcohol drinking had been significantly associated with poor sleep quality. Therefore, it is essential to institute effective intervention strategies emphasizing contributing factors to poor sleep quality.

Psychosocial Risk Factors at Work and Sleep Quality in Healthcare Workers – A Cross-Sectional Study

“…Most participants were classified as poor sleepers (74.4%), which is similar to findings described in previous studies, 33 34 35 36 with small differences regarding the prevalence of poor sleep quality in comparison to some surveys. This difference may be explained by the professional categories in the sample analyzed.…”

“…Multiple jobs are one of the main factors that cause stress, and this problem is even more evident in female professionals, who have an additional workload consisting of domestic chores and children. 32 Most participants were classified as poor sleepers (74.4%), which is similar to findings described in previous studies, [33][34][35][36] with small differences regarding the prevalence of poor sleep quality in comparison to some surveys. This difference may be explained by the professional categories in the sample analyzed.…”

“…36 Another study conducted with nurses in Ethiopia found that 75% had poor sleep quality. 35 In the present investigation, poor sleep quality was also found among nursing staff, with the worse rate among nursing technicians/assistants (86%). A study conducted with healthcare workers in the Middle East during the COVID-19 pandemic found that 75% reported poor sleep quality; physicians had the lowest mean total PSQI score (6.6 points), followed by nursing staff (7.0 points) and other healthcare professionals (7.8 points).…”

“…36 Another study conducted with nurses in Ethiopia found that 75% had poor sleep quality. 35 In the present investigation, poor sleep quality was also found among nursing staff, with the worse rate among nursing technicians/assistants (86%).…”

Factors associated with poor sleep quality among construction workers in Arba Minch town, Ethiopia: A cross‐sectional study

“…24 On the contrary, this study finding is lower than studies conducted among prisoners in Mettu town, Ethiopia (77.1%), 25 and among nurses in Northwest Ethiopia (75.5%). 26 The found disparities between studies might be due to differences in living conditions and exposure to occupation hazards of the study population. Literature indicates that crowded living conditions could result in poor sleep quality than less crowded housing.…”