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Secondary Data Analysis on the Quality of Sleep and Related Factors of Novice and Experienced Shift Work Nurses

교대근무 신규간호사와 경력간호사의 수면의 질과 관련요인: 2차자료분석

  • Yu, Minjeong (College of Nursing, Seoul National University) ;
  • Choi-Kwon, Smi (College of Nursing.Research Institute of Nursing Science, Seoul National University)
  • 유민정 (서울대학교 간호대학) ;
  • 최스미 (서울대학교 간호대학.간호과학연구소)
  • Received : 2019.11.14
  • Accepted : 2020.09.29
  • Published : 2020.10.31

Abstract

Purpose: The purpose of this study was to identify the quality of sleep in novice and experienced shift work nurses and compare the factors associated with their quality of sleep. Methods: We analyzed the data of 192 and 256 novice and experienced nurses, respectively. The quality of sleep, sleep hygiene, job stress, and fatigue were measured using Insomnia Severity Index, Sleep Hygiene Practice Scale, the Korean Occupational Stress Scale, and Fatigue Severity Scale. Data were analyzed using SPSS 25.0 to calculate descriptive statistics and logistic regression. Results: Sleep quality was lower in experienced nurses (12.55 ± 5.71) than in novice nurses (11.18 ± 5.78). Fatigue was more severe in experienced nurses (4.47 ± 1.13) than in novice nurses (4.23 ± 1.12). In the logistic regression, factors related to sleep quality in novice nurses were sleep hygiene (odds ratio; OR = 1.06, p < .001) and fatigue (OR = 2.49, p < .001). Factors related to sleep quality in the experienced nurses were also sleep hygiene (OR = 1.04, p = .001) and fatigue (OR = 1.53, p = .012). Conclusion: Sleep quality of experienced nurses is lower than those of novice nurses. Factors associated with sleep quality in novice and experienced nurses are equally identified as sleep hygiene and fatigue. Therefore, personal efforts to improve sleep hygiene, such as providing comfortable sleep environment, are needed. Furthermore, organized efforts to decrease fatigue, such as constructing a working environment with a bright light at night and providing a fatigue-decreasing program that includes meditation, are required.

Keywords

References

  1. Jeong JY, Gu MO. The influence of stress response, physical activity, and sleep hygiene on sleep quality of shift work nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2016;17(6):546-559. https://doi.org/10.5762/KAIS.2016.17.6.546
  2. Yi YH, Choi SJ. Association of sleep characteristics with medication errors for shift work nurses in intensive care units. Journal of Korean Academy of Fundamentals of Nursing. 2014;21(4):403-412. https://doi.org/10.7739/jkafn.2014.21.4.403
  3. Niu SF, Miao NF, Liao YM, Chi MJ, Chung MH, Chou KR. Sleep quality associated with different work schedules: A longitudinal study of nursing staff. Biological Research for Nursing. 2017;19(4):375-381. https://doi.org/10.1177/1099800417695483
  4. Giorgi F, Mattei A, Notarnicola I, Petrucci C, Lancia L. Can sleep quality and burnout affect the job performance of shiftwork nurses? A hospital cross-sectional study. Journal of Advanced Nursing. 2018;74(3):698-708. https://doi.org/10.1111/jan.13484
  5. Johnson AL, Jung L, Song Y, Brown KC, Weaver MT, Richards KC. Sleep deprivation and error in nurses who work the night shift. The Journal of Nursing Administration. 2014;44(1):17-22. https://doi.org/10.1097/NNA.0000000000000016
  6. Yang EO, Choi IR, Kim SM. The impact of sleep disorder and job stress on turnover intention of shift-working nurses. The Korean Journal of Stress Research. 2017;25(4):255-264. https://doi.org/10.17547/kjsr.2017.25.4.255
  7. Matheson A, O'Brien L, Reid JA. The impact of shiftwork on health: A literature review. Journal of Clinical Nursing. 2014;23(23-24):3309-3320. https://doi.org/10.1111/jocn.12524
  8. Park HS, Ha JH. Adaptation experience of sleep in new nurses. Journal of Korean Academy of Fundamentals of Nursing. 2016;23(1):21-31. https://doi.org/10.7739/jkafn.2016.23.1.21
  9. Dong H, Zhang Q, Sun Z, Sang F, Xu Y. Sleep disturbances among Chinese clinical nurses in general hospitals and its influencing factors. BMC Psychiatry. 2017;17(1):241. https://doi.org/10.1186/s12888-017-1402-3
  10. Dong H, Zhang Q, Sun Z, Sang F, Xu Y. Sleep problems among Chinese clinical nurses working in general hospitals. Occupational Medicine. 2017;67(7):534-539. https://doi.org/10.1093/occmed/kqx124
  11. Kim KW, Chung EK, Park HD, Kim KB, Kang JH, Ro J, et al. Differences in sleep quality and fatigue according to gender of shift workers in electronics manufacturing industries. Journal of Korean Society of Occupational and Environmental Hygiene. 2017;27(2):138-148. https://doi.org/10.15269/JKSOEH.2017.27.2.138
  12. Mong JA, Cusmano DM. Sex differences in sleep: Impact of biological sex and sex steroids. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences. 2016;371(1688):20150110. https://doi.org/10.1098/rstb.2015.0110
  13. Seol MJ, Lee BS, Lee SK. Effects of labor intensity and fatigue on sleep quality of clinical nurses. The Journal of Korean Academy of Nursing Administration. 2018;24(4):276-287. https://doi.org/10.11111/jkana.2018.24.4.276
  14. Ha HJ, Choe JS, Oh MS, Jeon JA, Kim YJ, Chin EY, et al. Hospital nurses’ job stress, sleep disturbance, and fatigue. The Journal of the Korea Institute of Korean Medical Informatics. 2016;22(1):13-25.
  15. Yang CM, Lin SC, Hsu SC, Cheng CP. Maladaptive sleep hygiene practices in good sleepers and patients with insomnia. Journal of Health Psychology. 2010;15(1):147-155. https://doi.org/10.1177/1359105309346342
  16. Chou TL, Chang LI, Chung MH. The mediating and moderating effects of sleep hygiene practice on anxiety and insomnia in hospital nurses. International Journal of Nursing Practice. 2015;21 Suppl 2:9-18. https://doi.org/10.1111/ijn.12164
  17. Chung KF, Lee CT, Yeung WF, Chan MS, Chung EW, Lin WL. Sleep hygiene education as a treatment of insomnia: A systematic review and meta-analysis. Family Practice. 2018;35(4):365-375. https://doi.org/10.1093/fampra/cmx122
  18. Al-Kandari S, Alsalem A, Al-Mutairi S, Al-Lumai D, Dawoud A, Moussa M. Association between sleep hygiene awareness and practice with sleep quality among Kuwait University students. Sleep Health. 2017;3(5):342-347. https://doi.org/10.1016/j.sleh.2017.06.004
  19. Celik S, Tasdemir N, Kurt A, Ilgezdi E, Kubalas O. Fatigue in intensive care nurses and related factors. The International Journal of Occupational and Environmental Medicine. 2017; 8(4):199-206. https://doi.org/10.15171/ijoem.2017.1137
  20. Ki J, Ryu J, Baek J, Huh I, Choi-Kwon S. Association between health problems and turnover intention in shift work nurses: Health problem clustering. International Journal of Environmental Research and Public Health. 2020;17(12):4532. https://doi.org/10.3390/ijerph17124532
  21. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  22. Han Y, Yuan Y, Zhang L, Fu Y. Sleep disorder status of nurses in general hospitals and its influencing factors. Psychiatria Danubina. 2016;28(2):176-183.
  23. An M, Kim J, Heo S, Kim SH, Hwang YY. Factors affecting sleep quality of clinical nurses working in a hospital. Korean Journal of Adult Nursing. 2018;30(2):126-135. https://doi.org/10.7475/kjan.2018.30.2.126
  24. Booker LA, Magee M, Rajaratnam SMW, Sletten TL, Howard ME. Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. A systematic review. Sleep Medicine Reviews. 2018;41:220-233. https://doi.org/10.1016/j.smrv.2018.03.005
  25. Her S, Kim KH, Oh HS. A study on work condition, stress, role conflict and job satisfaction of infection control nurses working in general hospitals. Korean Journal of Adult Nursing. 2012;24(4):327-338. https://doi.org/10.7475/kjan.2012.24.4.327
  26. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157-163. https://doi.org/10.1016/S0140-6736(03)15268-3
  27. Chen PH, Kuo HY, Chueh KH. Sleep hygiene education: Efficacy on sleep quality in working women. The Journal of Nursing Research. 2010;18(4):283-289. https://doi.org/10.1097/JNR.0b013e3181fbe3fd
  28. Huang LB, Tsai MC, Chen CY, Hsu SC. The effectiveness of light/dark exposure to treat insomnia in female nurses undertaking shift work during the evening/night shift. Journal of Clinical Sleep Medicine. 2013;9(7):641-646. https://doi.org/10.5664/jcsm.2824
  29. Exelmans L, Van den Bulck J. Bedtime mobile phone use and sleep in adults. Social Science & Medicine. 2016;148:93-101. https://doi.org/10.1016/j.socscimed.2015.11.037
  30. Na N, Choi H, Jeong KA, Choi K, Choi K, Choi C, et al. Smartphone use at night affects melatonin secretion, body temperature, and heart rate. Science of Emotion and Sensibility. 2017;20(4):135-142. https://doi.org/10.14695/KJSOS.2017.20.4.135
  31. Morin CM, Stone J, Trinkle D, Mercer J, Remsberg S. Dysfunctional beliefs and attitudes about sleep among older adults with and without insomnia complaints. Psychology and Aging. 1993;8(3):463-467. https://doi.org/10.1037/0882-7974.8.3.463
  32. Insomnia self test [Internet]. Daegu: Korean Sleep Research Society; c2002 [cited 2018 Jan 15]. Available from: http://www.sleepnet.or.kr/.
  33. Morin CM, Belleville G, Bélanger L, Ivers H. The Insomnia Severity Index: Psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011;34(5):601-608. https://doi.org/10.1093/sleep/34.5.601
  34. Jeong JY. Structural equation model for sleep quality of shift work nurses [dissertation]. Jinju: Gyeongsang National University; 2017. p. 1-123.
  35. Jang SJ. Measurement and evaluation of occupational stress. The Occupational Health. 2007;229:17-21.
  36. Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, et al. Developing an occupational stress scale for Korean employees. Korean Journal of Occupational and Environmental Medicine. 2005;17(4):297-317. https://doi.org/10.35371/kjoem.2005.17.4.297
  37. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale: Application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology. 1989;46(10):1121-1123. https://doi.org/10.1001/archneur.1989.00520460115022
  38. Valko PO, Bassetti CL, Bloch KE, Held U, Baumann CR. Validation of the fatigue severity scale in a Swiss cohort. Sleep. 2008;31(11):1601-1607. https://doi.org/10.1093/sleep/31.11.1601
  39. Baek J, Choi-Kwon S. Secondary data analysis on the factors influencing premenstrual symptoms of shift work nurses: Focused on the sleep and occupational stress. Journal of Korean Academy of Nursing. 2020;50(4):631-640. https://doi.org/10.4040/jkan.19230
  40. Ryu JG, Choi-Kwon S. Association of sleep disturbance, fatigue, job stress and exposure to blood and body fluid in shiftwork nurses. Journal of Korean Biological Nursing Science. 2018;20(3):187-195. https://doi.org/10.7586/jkbns.2018.20.3.187
  41. Ryu JG, Choi-Kwon S. Predictors of blood and body fluid exposure in shift-working nurses: Application of analysis method for zero-inflated count data. Journal of Korean Academy of Nursing. Forthcoming 2020.
  42. Hong KS, Park E. A study on daytime sleepiness, insomnia, and the quality of sleep in clinical nurses. Korean Journal of Occupational Health Nursing. 2019;28(1):36-43. https://doi.org/10.5807/kjohn.2019.28.1.36
  43. Camerino D, Sandri M, Sartori S, Conway PM, Campanini P, Costa G. Shiftwork, work-family conflict among Italian nurses, and prevention efficacy. Chronobiology International. 2010;27(5):1105-1123. https://doi.org/10.3109/07420528.2010.490072
  44. So HY, Yoon HS, Cho YC. Effects of quality of sleep and related factors for fatigue symptoms of nurses in an university hospital. Korean Journal of Adult Nursing. 2008;20(4):513-525.
  45. Moon IO, Lee Y. Factors influencing fatigue, physical health status and negative affectivity in shift-working nurses. PNU Journals of Women's Studies. 2015;25(3):45-66. https://doi.org/10.22772/pnujws.25.3.201510.45
  46. Barger LK, Runyon MS, Renn ML, Moore CG, Weiss PM, Condle JP, et al. Effect of fatigue training on safety, fatigue, and sleep in emergency medical services personnel and other shift workers: A systematic review and meta-analysis. Prehospital Emergency Care. 2018;22 Suppl 1:58-68. https://doi.org/10.1080/10903127.2017.1362087
  47. Li H, Shao Y, Xing Z, Li Y, Wang S, Zhang M, et al. Napping on night-shifts among nursing staff: A mixed-methods systematic review. Journal of Advanced Nursing. 2019;75(2):291-312. https://doi.org/10.1111/jan.13859
  48. Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH. The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Medicine Reviews. 2015;22:23-36. https://doi.org/10.1016/j.smrv.2014.10.001
  49. Richter K, Acker J, Adam S, Niklewski G. Prevention of fatigue and insomnia in shift workers-a review of non-pharmacological measures. EPMA Journal. 2016;7(1):16. https://doi.org/10.1186/s13167-016-0064-4
  50. Sun Q, Ji X, Zhou W, Liu J. Sleep problems in shift nurses: A brief review and recommendations at both individual and institutional levels. Journal of Nursing Management. 2019;27(1):10-18. https://doi.org/10.1111/jonm.12656

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