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Perceived sleep quality: a comparison between hospital nurses and student nurses

09 June 2022
17 min read
Volume 31 · Issue 11



The prevalence of poor sleep quality is high among nurses, and affects them physically and psychologically as well as organisational functioning. However, evidence on equipping student nurses with good sleep practices that could mitigate poor sleep as they transition into the nursing workforce is lacking.


This study compared the prevalence and quality of good sleep among hospital nurses and student nurses.


A descriptive cross-sectional study of 130 hospital nurses and 130 student nurses in Brunei was carried out. Sleep quality was assessed using the Pittsburgh Sleep Quality index. Multiple logistic regression was applied.


Hospital nurses were 4.29 times more likely to experience poor sleep than student nurses. Those who were overweight were 2.35 times more likely to have poor sleep quality than those with a healthy weight. Although students had significantly good sleep latency, needing less time to fall asleep, they experienced significantly more sleep disturbances, shorter sleep duration and less sleep efficiency.


The prevalence of poor sleep quality among nurses in Brunei is higher than global estimates. Stakeholders such as nursing leaders, nursing educators and healthcare policymakers should prepare student nurses and help existing nurses by formulating strategies to promote working schedules and rosters that minimise circadian disruption.

Poor sleep quality could affect as many as 95% of the nursing workforce (Sepehrmanesh et al, 2017). A systematic review and meta-analysis of 53 studies of 57 210 nursing staff from Australia, China, Germany, India, Italy, Iran, Korea, Malaysia, Norway, Saudi Arabia, Turkey, the UK and the USA reported that the pooled prevalence of poor sleep quality was 61.0% (95% CI (55.8–66.1)) (Zeng et al, 2020).

Another systematic review and meta-analysis of 52 studies with 31 749 Chinese health professionals revealed that the pooled prevalence of poor sleep quality was 39.2% (95% CI (36.0–42.7%)) (Qiu et al, 2020). In Iran, the estimated prevalence of poor sleep quality among nurses was 95.5% (191/200 cases) (Sepehrmanesh et al, 2017). In another study, 145 out of 159 (91.2%) Iranian hospital nurses at a teaching hospital had poor sleep quality (Roodbandi et al, 2016). Within the Middle East, a recent study showed that 64.0% of hospital nurses in United Arab Emirates (UAE) experienced sleep disturbance (Bani Issa et al, 2020).

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