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Erschienen in: Sleep and Breathing 4/2021

28.02.2021 | Epidemiology • Original Article

Sleep quality and its predictors among hospital-based nurses: a cross-sectional study

verfasst von: Khader A. Almhdawi, Hassan Alrabbaie, Donia S. Obeidat, Saddam F. Kanaan, Moh’d Rami Alahmar, Zaid Modhi Mansour, Alaa O. Oteir

Erschienen in: Sleep and Breathing | Ausgabe 4/2021

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Abstract

Purpose

Sleep disorders are common among nurses and may have negative effects on their performance and well-being. This study aimed to investigate the level of sleep quality and its possible associated factors among hospital-based nurses in Jordan.

Methods

A cross-sectional design targeting Jordanian hospital-based nurses. In addition to demographics and work habits, the outcome measures included Pittsburgh Sleep Quality Index (PSQI), Nordic Musculoskeletal Questionnaire (NMQ), and Depression Anxiety Stress Scale (DASS). Data were analyzed descriptively and by a multiple variable linear regression analysis to identify predictors of sleep quality.

Results

In total, 597 nurses with a mean age of 32.1 (± 5.7) years participated in this study and 47% were men. PSQI mean score was 7.8 (± 3.7) and 68% of the participants showed sleep quality deficits. Stress (β = 0.15 [95%CI 0.13 to 0.19, P < 0.001), depression (β = 0.05 [95%CI 0.009 to 0.08], P = 0.015), the number of joints with 12 months musculoskeletal pain (β = 0.25 [95%CI 0.15 to 0.36], P < 0.001) positively predicted decreased sleep quality. Manual handling training (β = − 0.48 [95%CI −0.96 to 0.003], P = 0.048) and years of experience (β = − 0.05 [95%CI −0.09 to 0.002], P = 0.039) negatively predicted decreased sleep quality.

Conclusions

Nurses reported poor levels of sleep quality, high levels of mental health symptoms, and musculoskeletal pain complaints. Sleep quality among nurses and its predictors should be carefully considered by administrations of healthcare services.
Literatur
1.
Zurück zum Zitat Mahowald MW, Mahowald ML (1996) Sleep disorders. Head Injury and Postconcussive Syndrome New York, NY: Churchill Livingstone:285-304 Mahowald MW, Mahowald ML (1996) Sleep disorders. Head Injury and Postconcussive Syndrome New York, NY: Churchill Livingstone:285-304
2.
Zurück zum Zitat Zamanian Z, Nikeghbal K, Khajehnasiri F (2016) Influence of sleep on quality of life among hospital nurses. Electron Physician 8(1):1811–1816CrossRef Zamanian Z, Nikeghbal K, Khajehnasiri F (2016) Influence of sleep on quality of life among hospital nurses. Electron Physician 8(1):1811–1816CrossRef
3.
Zurück zum Zitat Hanvey JK (2012) Strategies for improving sleep health in nurses. Hanvey JK (2012) Strategies for improving sleep health in nurses.
4.
Zurück zum Zitat Nadaoka T, Kanda H, Oiji A, Morioka Y, Kashiwakura M, Totsuka S (1997) Headache and stress in a group of nurses and government administrators in Japan. Headache 37(6):386–391CrossRef Nadaoka T, Kanda H, Oiji A, Morioka Y, Kashiwakura M, Totsuka S (1997) Headache and stress in a group of nurses and government administrators in Japan. Headache 37(6):386–391CrossRef
5.
Zurück zum Zitat Dong H, Zhang Q, Sun Z, Sang F, Xu Y (2017) Sleep disturbances among Chinese clinical nurses in general hospitals and its influencing factors. BMC psychiatry 17(1):241CrossRef Dong H, Zhang Q, Sun Z, Sang F, Xu Y (2017) Sleep disturbances among Chinese clinical nurses in general hospitals and its influencing factors. BMC psychiatry 17(1):241CrossRef
6.
Zurück zum Zitat Feleke SA, Mulatu MA, Yesmaw YS (2015) Medication administration error: magnitude and associated factors among nurses in Ethiopia. BMC Nurs 14(1):53CrossRef Feleke SA, Mulatu MA, Yesmaw YS (2015) Medication administration error: magnitude and associated factors among nurses in Ethiopia. BMC Nurs 14(1):53CrossRef
7.
Zurück zum Zitat Vogel M, Braungardt T, Meyer W, Schneider W (2012) The effects of shift work on physical and mental health. J Neural Transm 119(10):1121–1132CrossRef Vogel M, Braungardt T, Meyer W, Schneider W (2012) The effects of shift work on physical and mental health. J Neural Transm 119(10):1121–1132CrossRef
8.
Zurück zum Zitat Costa G (2003) Shift work and occupational medicine: an overview. Occup Med 53(2):83–88CrossRef Costa G (2003) Shift work and occupational medicine: an overview. Occup Med 53(2):83–88CrossRef
10.
Zurück zum Zitat Kubota K, Shimazu A, Kawakami N, Takahashi M, Nakata A, Schaufeli WB (2010) Association between workaholism and sleep problems among hospital nurses. Ind Health:1006240015–1006240015 Kubota K, Shimazu A, Kawakami N, Takahashi M, Nakata A, Schaufeli WB (2010) Association between workaholism and sleep problems among hospital nurses. Ind Health:1006240015–1006240015
11.
Zurück zum Zitat Kubota K, Shimazu A, Kawakami N, Takahashi M, Nakata A, Schaufeli WB (2010) Association between workaholism and sleep problems among hospital nurses. Ind Health 48(6):864–871CrossRef Kubota K, Shimazu A, Kawakami N, Takahashi M, Nakata A, Schaufeli WB (2010) Association between workaholism and sleep problems among hospital nurses. Ind Health 48(6):864–871CrossRef
12.
Zurück zum Zitat Schwartz S, Anderson WM, Cole SR, Cornoni-Huntley J, Hays JC, Blazer D (1999) Insomnia and heart disease: a review of epidemiologic studies. J Psychosom Res 47(4):313–333CrossRef Schwartz S, Anderson WM, Cole SR, Cornoni-Huntley J, Hays JC, Blazer D (1999) Insomnia and heart disease: a review of epidemiologic studies. J Psychosom Res 47(4):313–333CrossRef
13.
Zurück zum Zitat Ohayon MM (2002) Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 6(2):97–111CrossRef Ohayon MM (2002) Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 6(2):97–111CrossRef
14.
Zurück zum Zitat Han Y, Yuan Y, Zhang L, Fu Y (2016) Sleep disorder status of nurses in general hospitals and its influencing factors. Psychiatr Danub 28(2):176–183PubMed Han Y, Yuan Y, Zhang L, Fu Y (2016) Sleep disorder status of nurses in general hospitals and its influencing factors. Psychiatr Danub 28(2):176–183PubMed
17.
21.
Zurück zum Zitat Katsifaraki M, Nilsen KB, Wærsted M, Knardahl S, Lie J-AS, Bjorvatn B, Härmä M, Matre D (2018) The association of sleepiness, insomnia, sleep disturbance and pain: a study amongst shiftworking nurses. Sleep Biol Rhythms 16(1):133–140CrossRef Katsifaraki M, Nilsen KB, Wærsted M, Knardahl S, Lie J-AS, Bjorvatn B, Härmä M, Matre D (2018) The association of sleepiness, insomnia, sleep disturbance and pain: a study amongst shiftworking nurses. Sleep Biol Rhythms 16(1):133–140CrossRef
22.
Zurück zum Zitat Flo E, Pallesen S, Magerøy N, Moen BE, Grønli J, Nordhus IH, Bjorvatn B (2012) Shift work disorder in nurses–assessment, prevalence and related health problems. PLoS One 7(4):e33981CrossRef Flo E, Pallesen S, Magerøy N, Moen BE, Grønli J, Nordhus IH, Bjorvatn B (2012) Shift work disorder in nurses–assessment, prevalence and related health problems. PLoS One 7(4):e33981CrossRef
23.
Zurück zum Zitat Lin P-C, Chen C-H, Pan S-M, Pan C-H, Chen C-J, Chen Y-M, Hung H-C, Wu M-T (2012) Atypical work schedules are associated with poor sleep quality and mental health in Taiwan female nurses. Int Arch Occup Environ Health 85(8):877–884CrossRef Lin P-C, Chen C-H, Pan S-M, Pan C-H, Chen C-J, Chen Y-M, Hung H-C, Wu M-T (2012) Atypical work schedules are associated with poor sleep quality and mental health in Taiwan female nurses. Int Arch Occup Environ Health 85(8):877–884CrossRef
24.
Zurück zum Zitat Cheung T, Yip PS (2015) Depression, anxiety and symptoms of stress among Hong Kong nurses: a cross-sectional study. Int J Environ Res Public Health 12(9):11072–11100CrossRef Cheung T, Yip PS (2015) Depression, anxiety and symptoms of stress among Hong Kong nurses: a cross-sectional study. Int J Environ Res Public Health 12(9):11072–11100CrossRef
25.
Zurück zum Zitat Yoon SL, Kim JH (2013) Job-related stress, emotional labor, and depressive symptoms among Korean nurses. J Nurs Scholarsh 45(2):169–176CrossRef Yoon SL, Kim JH (2013) Job-related stress, emotional labor, and depressive symptoms among Korean nurses. J Nurs Scholarsh 45(2):169–176CrossRef
26.
Zurück zum Zitat Smith DR, Leggat PA (2004) Musculoskeletal disorders among rural Australian nursing students. Aust J Rural Health 12(6):241–245CrossRef Smith DR, Leggat PA (2004) Musculoskeletal disorders among rural Australian nursing students. Aust J Rural Health 12(6):241–245CrossRef
27.
Zurück zum Zitat Amin NA, Quek KF, Oxley JA, Noah R, Nordin R (2018) Emotional distress as a predictor of work-related musculoskeletal disorders in Malaysian nursing professionals. Int J Occup Environ Med 9(2):1169–1178CrossRef Amin NA, Quek KF, Oxley JA, Noah R, Nordin R (2018) Emotional distress as a predictor of work-related musculoskeletal disorders in Malaysian nursing professionals. Int J Occup Environ Med 9(2):1169–1178CrossRef
28.
Zurück zum Zitat Faul F, Erdfelder E, Buchner A, Lang A-G (2009) Statistical power analyses using G* Power 3.1: tests for correlation and regression analyses. Behav Res Methods 41(4):1149–1160CrossRef Faul F, Erdfelder E, Buchner A, Lang A-G (2009) Statistical power analyses using G* Power 3.1: tests for correlation and regression analyses. Behav Res Methods 41(4):1149–1160CrossRef
29.
Zurück zum Zitat Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28(2):193–213CrossRef Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28(2):193–213CrossRef
30.
Zurück zum Zitat Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sørensen F, Andersson G, Jørgensen K (1987) Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 18(3):233–237CrossRef Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sørensen F, Andersson G, Jørgensen K (1987) Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 18(3):233–237CrossRef
31.
Zurück zum Zitat Palmer K, Smith G, Kellingray S, Cooper C (1999) Repeatability and validity of an upper limb and neck discomfort questionnaire: the utility of the standardized Nordic questionnaire. Occup Med 49(3):171–175CrossRef Palmer K, Smith G, Kellingray S, Cooper C (1999) Repeatability and validity of an upper limb and neck discomfort questionnaire: the utility of the standardized Nordic questionnaire. Occup Med 49(3):171–175CrossRef
32.
Zurück zum Zitat Almhdawi KA, Kanaan SF, Khader Y, Al-Hourani Z, Almomani F, Nazzal M (2018) Study-related mental health symptoms and their correlates among allied health professions students. Work:1–11 Almhdawi KA, Kanaan SF, Khader Y, Al-Hourani Z, Almomani F, Nazzal M (2018) Study-related mental health symptoms and their correlates among allied health professions students. Work:1–11
33.
Zurück zum Zitat Le MTH, Tran TD, Holton S, Nguyen HT, Wolfe R, Fisher J (2017) Reliability, convergent validity and factor structure of the DASS-21 in a sample of Vietnamese adolescents. PLoS One 12(7):e0180557CrossRef Le MTH, Tran TD, Holton S, Nguyen HT, Wolfe R, Fisher J (2017) Reliability, convergent validity and factor structure of the DASS-21 in a sample of Vietnamese adolescents. PLoS One 12(7):e0180557CrossRef
34.
Zurück zum Zitat Crawford JR, Henry JD (2003) The Depression Anxiety Stress Scales (DASS): normative data and latent structure in a large non-clinical sample. Br J Clin Psychol 42(2):111–131CrossRef Crawford JR, Henry JD (2003) The Depression Anxiety Stress Scales (DASS): normative data and latent structure in a large non-clinical sample. Br J Clin Psychol 42(2):111–131CrossRef
35.
Zurück zum Zitat Green SB, Salkind NJ (2016) Using SPSS for Windows and Macintosh. Books a la Carte, Pearson Green SB, Salkind NJ (2016) Using SPSS for Windows and Macintosh. Books a la Carte, Pearson
39.
Zurück zum Zitat Garbarino S, Lanteri P, Durando P, Magnavita N, Sannita WG (2016) Co-morbidity, mortality, quality of life and the healthcare/welfare/social costs of disordered sleep: a rapid review. Int J Environ Res Public Health 13(8):831CrossRef Garbarino S, Lanteri P, Durando P, Magnavita N, Sannita WG (2016) Co-morbidity, mortality, quality of life and the healthcare/welfare/social costs of disordered sleep: a rapid review. Int J Environ Res Public Health 13(8):831CrossRef
40.
Zurück zum Zitat Arafa MA, Nazel MWA, Ibrahim NK, Attia A (2003) Predictors of psychological well-being of nurses in Alexandria, Egypt. Int J Nurs Pract 9(5):313–320CrossRef Arafa MA, Nazel MWA, Ibrahim NK, Attia A (2003) Predictors of psychological well-being of nurses in Alexandria, Egypt. Int J Nurs Pract 9(5):313–320CrossRef
41.
Zurück zum Zitat Almhdawi KA, Alrabbaie H, Kanaan SF, Oteir AO, Jaber AF, Ismael NT, Obaidat DS (2020) Predictors and prevalence of lower quadrant work-related musculoskeletal disorders among hospital-based nurses: a cross-sectional study. J Back Musculoskelet Rehabil 33:885–896. https://doi.org/10.3233/bmr-191815CrossRefPubMed Almhdawi KA, Alrabbaie H, Kanaan SF, Oteir AO, Jaber AF, Ismael NT, Obaidat DS (2020) Predictors and prevalence of lower quadrant work-related musculoskeletal disorders among hospital-based nurses: a cross-sectional study. J Back Musculoskelet Rehabil 33:885–896. https://​doi.​org/​10.​3233/​bmr-191815CrossRefPubMed
Metadaten
Titel
Sleep quality and its predictors among hospital-based nurses: a cross-sectional study
verfasst von
Khader A. Almhdawi
Hassan Alrabbaie
Donia S. Obeidat
Saddam F. Kanaan
Moh’d Rami Alahmar
Zaid Modhi Mansour
Alaa O. Oteir
Publikationsdatum
28.02.2021
Verlag
Springer International Publishing
Erschienen in
Sleep and Breathing / Ausgabe 4/2021
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-021-02333-z

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