The Relationships Among Sleep Quality and Chronotype, Emotional Disturbance, and Insomnia Vulnerability in Shift Nurses

Lee, Ching-Yi; Chen, Hsi‐Chung; Tseng, Ming-Yuan; Lee, Hsin Chien; Huang, Lian‐Hua

doi:10.1097/jnr.0000000000000095

Cited by 52 publications

(47 citation statements)

References 26 publications

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“…This finding was in agreement with that of Alshahrani et al in which Saudi Arabia shift nurses significantly reported a higher score for these three components [25]. The poor sleep quality of ICU nurses was related to the "Sleep latency" and "Daytime dysfunction" [30]. Daytime dysfunction and sleep disturbances could make contribution to daily disturbances.…”

Section: Discussionsupporting

confidence: 91%

Morningness-Eveningness Chronotypes, Sleep Quality, and Sleepiness Among Nurses

Hajaghazadeh¹,

Ghofrani²,

Orujlu³

2019

TOPHJ

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Background:Poor sleep quality and sleepiness is a common problem in nurses. The morningness-eveningness preference of nurses may affect their sleep quality.Objective:The objectives of this study were (1) to describe the quality of sleep in a group of hospital nurses and (2) to analyze the effect of shift work and morningness-eveningness on the sleep quality of nurses.Methods:In this cross-sectional study, 120 nurses completed the survey in a university hospital in Iran. The study tools were Pittsburgh Sleep Quality Questionnaire (PSQI), Epworth Sleepiness Scale (ESS), and Morningness-Eveningness Questionnaire (MEQ). Nurses with PSQI>5 and ESS≥10 were considered having poor sleep quality and excessive daytime sleepiness. Nurses were subdivided into morning-, intermediate- and evening-types according to MEQ. Data were analyzed by chi-square, Mann–Whitney U-test, logistic regression, and analysis of covariance (ANCOVA) tests.Results:The mean (±SD) of PSQI and ESS was 6.88(2.18) and 9.5(±3.9), respectively. About 74% of nurses reported poor sleep quality, and near 40% of the nurses had excessive daytime sleepiness. Sixty percent of nurses were intermediate-type, and the remaining was morning (24.2%) and evening (15.8%) types. The sleep quality and daytime sleepiness had a significant relation with shift work. The mean PSQI was significantly different between shift work and non-shift work nurses. The mean PSQI of three main chronotypes was statistically different.Conclusion:Poor sleep quality was prevalent in the nurses and was significantly associated with shift work and chronotype. The sleep preference of nurses would be considered as an important factor in the assignment of shift work by hospital managers.

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Section: Discussionsupporting

confidence: 91%

Morningness-Eveningness Chronotypes, Sleep Quality, and Sleepiness Among Nurses

Hajaghazadeh¹,

Ghofrani²,

Orujlu³

2019

TOPHJ

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“…Our findings also revealed that 71.3% of nurses reported poor sleep quality. Several previous studies supported this finding and indicated that more than 70% of nurses had poor sleep quality (Chien et al, ; Lee, Chen, Meg Tseng, Lee, & Huang, ; Lin et al, ; Weaver et al, ). Although many factors are known to lead to poor sleep quality, our findings confirmed that poor sleep quality is a common health problem in hospital nurses.…”

Section: Discussionsupporting

confidence: 53%

Sleep quality mediates the relationship between work-family conflicts and the self-perceived health status among hospital nurses

et al. 2018

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Aims To examine the effects of work–family conflicts and sleep quality on the self‐perceived health status and the mediating effect of sleep quality on the relationship between work–family conflicts and self‐perceived health status among hospital nurses. Background Studies related to hospital nurses’ work–family conflicts, sleep quality and health status are noteworthy but limited. Methods A total of 575 hospital nurses in Taiwan were recruited. Data were collected using the work–family conflicts Scale, Chinese Pittsburgh Sleep Quality Index and Chinese Health Questionnaire. Independent t‐tests, chi‐squared tests, multivariate linear regression analyses and the Sobel test were used for analysis. Results Fifty‐six per cent of all subjects reported having good health. Significantly more nurses with good sleep reported good health than those with poor sleep (84.2% vs. 44.9%, p < 0.0001). The difference in overall work–family conflict scores between the good health group and poor health group was significant (37.3 ± 12.7 vs. 46.3 ± 14.3, p < 0.0001). The correlation between overall work–family conflicts and the self‐perceived health status was indirect, and sleep quality was a mediator (Sobel test: 5.007, p < 0.001). Conclusions and Implications for Nursing Management Work–family conflicts and poor sleep quality of hospital nurses were associated with poor health. Shift work influences the sleep quality, which mediates the correlation between work–family conflicts and self‐perceived health status. Hospital administrators should be aware of these stressful factors and the health of hospital nurses can be better promoted.

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“…Nurses with the best sleep quality worked a two-shift rotation and on the other two types of shift rotation (three-shift fast rotation and night-shift rotation), nurses were diagnosed with insomnia (AIS scores > 6). Prior research has reported that insufficient sleep and poor sleep quality impact metabolism, the immune system, and the digestive system resulting in psychophysiological health problems such as emotional disturbances [19,20]. Other studies have shown that the better the sleep at night, the greater the daytime alertness [21], meaning that in this study daytime alertness was higher when nurses were on the two-shift fast rotation pattern as opposed to the other two.…”

Section: Discussionmentioning

confidence: 64%

Effect of Fast Shift Rotation and Slow Shift Rotation on the Nurses' Fatigue and Sleep Quality

Deng¹

2019

AJHR

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Objective: The objective of this study was to investigate whether the three-shift fast rotation, two-shift fast rotation and night-shift slow rotation led to any differences in fatigue and sleep quality. Method: The study was conducted as a beforeafter study and 17 nurses participated in the study. Nurses on three-shift fast rotation were allocated to the pre-group, and two-shift fast rotation and night-shift slow rotation were allocated to the post-group. In the study period, all of the subjects experienced the three patterns of rotation. Occupational Fatigue Exhaustion/Recovery Scale (OFER15) and Athens Insomnia Scale were used to measure the participants' work-related fatigue and sleep quality three times. Results: Athens Insomnia Scale scores showed significant differences between the three types of shift rotation; two-shift fast rotation was 3.88±2.35, three-shift fast rotation was 8.63 ± 3.50, and night-shift slow rotation was 13.75 ± 4.23 (P < 0.05). Therefore, the nurses' sleep quality through working on the two-shift rotation was better than the other two types of rotation. However, there were no significant differences in chronic fatigue, acute fatigue, and inter-shift [recovery] between the three types of rotations. Conclusion: Nurses who worked on the two-shift fast rotation had a better sleep quality than those who worked on the three-shift fast rotation and night-shift rotations. As sleep quality relates to the performance and alertness of nurses, greater attention should be paid to the use of different shift combinations to increase sleep quality and alertness. Considering sleep quality, a three-shift system arranged by two-shift fast rotation and combined with night-shift slow rotation is superior to the three-shift fast rotation.

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The Relationships Among Sleep Quality and Chronotype, Emotional Disturbance, and Insomnia Vulnerability in Shift Nurses

Cited by 52 publications

References 26 publications

Morningness-Eveningness Chronotypes, Sleep Quality, and Sleepiness Among Nurses

Morningness-Eveningness Chronotypes, Sleep Quality, and Sleepiness Among Nurses

Sleep quality mediates the relationship between work-family conflicts and the self-perceived health status among hospital nurses

Effect of Fast Shift Rotation and Slow Shift Rotation on the Nurses' Fatigue and Sleep Quality

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The Relationships Among Sleep Quality and Chronotype, Emotional Disturbance, and Insomnia Vulnerability in Shift Nurses

Cited by 52 publications

References 26 publications

Morningness-Eveningness Chronotypes, Sleep Quality, and Sleepiness Among Nurses

Morningness-Eveningness Chronotypes, Sleep Quality, and Sleepiness Among Nurses

Sleep quality mediates the relationship between work-family conflicts and the self-perceived health status among hospital nurses

Effect of Fast Shift Rotation and Slow Shift Rotation on the Nurses&apos; Fatigue and Sleep Quality

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Effect of Fast Shift Rotation and Slow Shift Rotation on the Nurses' Fatigue and Sleep Quality