The Relationship between Quality of Sleep, Job Commitment and Wellness of Night Shift Nurses in Medium and Small-sized Hospitals

Abstract

The purpose of this study was to identify the relationship between quality of sleep, job commitment, wellness, and identify contributing factors affecting on the wellness of night shift nurses in medium and small-sized hospitals. Methods: One hundred twenty four nurses who had working experiences with night shifts for 6 months or more completed a pack of questionnaires. Collected data were analyzed using t-test, ANOVA with Scheffe test, and stepwise multiple regression. Results: Factors including quality of sleep, job commitment, and wellness were identified. The quality of sleep score of the subject was 7.55 (0-21), the job commitment was 20.17 (7-35), and the wellness was 2.93 (1-5). There was no significant in wellness according to general characteristics of subjects. The subjects' wellness had a significant negative correlation with quality of sleep (r =-0.31, p < 0.001), and a significant positive correlation with job commitment (r = 0.45, p < 0.001). Regression analysis to identify factors affecting the wellness of night shift nurses showed that job commitment was the most significant factor (p < 0.001), followed by quality of sleep (p = 0.049). In the regression analysis, quality of sleep and job commitment were significant predictors and explained 21.9% (p < 0.001) of wellness. Conclusions: Results of this study have suggested that job commitment and quality of sleep were significantly related to nurses' wellness in medium and small-sized hospitals. Therefore, there is a needed to develop a program with an enhancement of job commitment and a strategy of improving quality of sleep.

The Moderating Effect of Nursing Practice Environment on the Relationship between Clinical Nurses’ Sleep Quality and Wellness

“…Moreover, wellness also has a positive effect on the quality of care services provided to patients [ 16 ]. Because sleep quality is an important factor that affects the wellness of nurses [ 17 ], these two concepts should be considered together.…”

Influence of Job Stress, Sleep Quality and Fatigue on Work Engagement in Shift Nurses

“…직무몰입은 업무의 성과를 결정하 는 중요한 변수로서 환자 안전과 효율적인 간호업무 수행 에 긍정적인 영향을 주며, 간호직에 대한 애착과 긍지를 높이게 된다. 반면에 교대근무 간호사의 불규칙한 수면으 로 인한 수면의 질 저하와 피로감 증가, 직무스트레스는 직무몰입을 방해하는 요소로 작용하며, 간호서비스의 질 을 저하시키게 된다 (Hwang EH et al, 2011;Chae YJ et al, 2017).…”

“…교대근무간호사들은 불규칙한 근무시간으로 고정근무 간호사보다 피로를 더 느끼는 것으로 나타나 있으며 (Yuan et al, 2011), 피로가 누적됨으로 인해 적절한 수 면을 이루지 못하는 악순환이 지속된다 (Kho HJ, 2004). 피로는 간호사 자신의 신체적 및 정신적 문제뿐만 아니라 업무의 효율성 및 정확성에 영향을 미치고 수준 높은 간호 행위를 저해하며, 의료사고의 위험을 증가시킬 수 있다 (Hwang EH et al, 2011) (Chae YJ et al, 2017).…”

“…교대근무 간호사의 직무몰입에 대한 선행연구를 살펴보면, 직무스트레스와 수면의 질은 상관관계가 있으며 (Jeong MS, 2013), 직무스트레스는 직무만족에 유의한 정적 관 계가 있는 것으로 나타난 반면, 직무스트레스와 직무몰입 간에는 유의한 관계가 없는 것으로 나타났다 (Hwang HJ et al, 2009). 또한 불규칙적인 수면은 수면의 질을 저하 시키고 투약오류와도 관련되며 (Saleh, 2014), 수면의 질 저하는 피로감을 증가시키고 직무몰입에 부정적인 영향을 미친다 (Jeong HS, 2015;Chae YJ et al, 2017)…”