References

Aliyu I, Ibrahim Z, Teslim L, Okhiwu H, Peter I, Michael G. Sleep quality among nurses in a tertiary hospital in North-West Nigeria. Niger Postgrad Med J. 2017; 24:(3)168-173 https://doi.org/10.4103/npmj.npmj_79_17

Bani Issa W, Abdul Rahman H, Albluwi N Morning and evening salivary melatonin, sleepiness and chronotype: a comparative study of nurses on fixed day and rotating night shifts. J Adv Nurs. 2020; 76:(12)3372-3384 https://doi.org/10.1111/jan.14530

Becker SP, Jarrett MA, Luebbe AM, Garner AA, Burns GL, Kofler MJ. Sleep in a large, multi-university sample of college students: sleep problem prevalence, sex differences, and mental health correlates. Sleep Health. 2018; 4:(2)174-181 https://doi.org/10.1016/j.sleh.2018.01.001

Brossoit RM, Crain TL, Hammer LB, Lee S, Bodner TE, Buxton OM. Associations among patient care workers' schedule control, sleep, job satisfaction and turnover intentions. Stress Health. 2020; 36:(4)442-456 https://doi.org/10.1002/smi.2941

Chang WP, Chang YP. Relationship between job satisfaction and sleep quality of female shift-working nurses: using shift type as moderator variable. Ind Health. 2019; 57:(6)732-740 https://doi.org/10.2486/indhealth.2018-0258

Chien PL, Su HF, Hsieh PC, Siao RY, Ling PY, Jou HJ. Sleep quality among female hospital staff nurses. Sleep Disord. 2013; 2013:1-6 https://doi.org/10.1155/2013/283490

Cooke JR, Ancoli-Israel S. Normal and abnormal sleep in the elderly. Handb Clin Neurol. 2011; 98:653-665 https://doi.org/10.1016/B978-0-444-52006-7.00041-1

De Martino MMF, Abreu ACB, Barbosa MFS, Teixeira JEM. The relationship between shift work and sleep patterns in nurses. Cien Saude Colet. 2013; 18:(3)763-768 https://doi.org/10.1590/S1413-81232013000300022

Del Rio João KA, de Jesus SN, Carmo C, Pinto P. Sleep quality components and mental health: study with a non-clinical population. Psychiatry Res. 2018; 269:244-250 https://doi.org/10.1016/j.psychres.2018.08.020

Deng X, Liu X, Fang R. Evaluation of the correlation between job stress and sleep quality in community nurses. Medicine (Baltimore). 2020; 99:(4) https://doi.org/10.1097/MD.0000000000018822

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) https://doi.org/10.1186/s12888-017-1402-3

Gander P, O'Keeffe K, Santos-Fernandez E, Huntington A, Walker L, Willis J. Fatigue and nurses' work patterns: an online questionnaire survey. Int J Nurs Stud. 2019; 98:67-74 https://doi.org/10.1016/j.ijnurstu.2019.06.011

Geiger-Brown J, Sagherian K, Zhu S Napping on the night shift: a two-hospital implementation project. Am J Nurs. 2016; 116:(5)26-33 https://doi.org/10.1097/01.NAJ.0000482953.88608.80

Gómez-García T, Ruzafa-Martínez M, Fuentelsaz-Gallego C Nurses' sleep quality, work environment and quality of care in the Spanish National Health System: observational study among different shifts. BMJ Open. 2016; 6:(8) https://doi.org/10.1136/bmjopen-2016-012073

Han K, Trinkoff AM, Geiger-Brown J. Factors associated with work-related fatigue and recovery in hospital nurses working 12-hour shifts. Workplace Health Saf. 2014; 62:(10)409-414 https://doi.org/10.3928/21650799-20140826-01

Hasson D, Gustavsson P. Declining sleep quality among nurses: a population-based four-year longitudinal study on the transition from nursing education to working life. PLoS One. 2010; 5:(12)e14265-e14265 https://doi.org/10.1371/journal.pone.0014265

Hershner S, O'Brien LM. The impact of a randomized sleep education intervention for college students. J Clin Sleep Med. 2018; 14:(03)337-347 https://doi.org/10.5664/jcsm.6974

Jehan S, Zizi F, Pandi-Perumal SR Shift work and sleep: medical implications and management. Sleep Med Disord. 2017; 1:(2) https://doi.org/10.15406/smdij.2017.01.00008

Kang J, Noh W, Lee Y. Sleep quality among shift-work nurses: a systematic review and meta-analysis. Appl Nurs Res. 2020; 52 https://doi.org/10.1016/j.apnr.2019.151227

Khalil M, Power N, Graham E, Deschênes SS, Schmitz N. The association between sleep and diabetes outcomes—a systematic review. Diabetes Res Clin Pract. 2020; 161 https://doi.org/10.1016/j.diabres.2020.108035

Khatony A, Zakiei A, Khazaie H, Rezaei M, Janatolmakan M. International nursing: a study of sleep quality among nurses and its correlation with cognitive factors. Nurs Adm Q. 2020; 44:(1)E1-E10 https://doi.org/0.1097/NAQ.0000000000000397

Liu RQ, Qian Z, Trevathan E Poor sleep quality associated with high risk of hypertension and elevated blood pressure in China: results from a large population-based study. Hypertens Res. 2016; 39:(1)54-59 https://doi.org/10.1038/hr.2015.98

Medic G, Wille M, Hemels M. Short- and long-term health consequences of sleep disruption. Nat Sci Sleep. 2017; 9:151-161 https://doi.org/10.2147/NSS.S134864

Naing L, Winn T, Rusli BN. Practical issues in calculating the sample size for prevalence studies. Archives of Orofacial Sciences. 2006; 1:9-14

Nea FM, Kearney J, Livingstone MBE, Pourshahidi LK, Corish CA. Dietary and lifestyle habits and the associated health risks in shift workers. Nutr Res Rev. 2015; 28:(2)143-166 https://doi.org/10.1017/S095442241500013X

Niu SF, Chu H, Chen CH A comparison of the effects of fixed- and rotating-shift schedules on nursing staff attention levels: a randomized trial. Biol Res Nurs. 2013; 15:(4)443-450 https://doi.org/10.1177/1099800412445907

Niu J, Han H, Wang Y, Wang L, Gao X, Liao S. Sleep quality and cognitive decline in a community of older adults in Daqing City, China. Sleep Med. 2016; 17:69-74 https://doi.org/10.1016/j.sleep.2015.07.033

Palhares VC, Corrente JE, Matsubara BB. Association between sleep quality and quality of life in nursing professionals working rotating shifts. Rev Saude Publica. 2014; 48:(4)594-601 https://doi.org/10.1590/S0034-8910.2014048004939

Pilcher JJ, Morris DM. Sleep and organizational behavior: implications for workplace productivity and safety. Front Psychol. 2020; 11 https://doi.org/10.3389/fpsyg.2020.00045

Qiu D, Yu Y, Li RQ, Li YL, Xiao SY. Prevalence of sleep disturbances in Chinese healthcare professionals: a systematic review and meta-analysis. Sleep Med. 2020; 67:258-266 https://doi.org/10.1016/j.sleep.2019.01.047

Quan SF, Ziporyn PS, Czeisler CA. Sleep education for college students: the time is now. J Clin Sleep Med. 2018; 14:(07) https://doi.org/10.5664/jcsm.7246

Roodbandi ASJ, Feyzi V, Khanjani N Sleep quality and sleepiness: a comparison between nurses with and without shift work, and university employees. Int J Occup Hyg. 2016; 8:(4)230-236

Sepehrmanesh Z, Mousavi G, Saberi H, Saei R. Sleep quality and related factors among the nurses of the Hospital of Kashan University of Medical Sciences, Iran. International Archives of Health Sciences. 2017; 4:(1)17-21 https://doi.org/10.4103/iahs.iahs_8_17

Shiffer D, Minonzio M, Dipaola F Effects of clockwise and counterclockwise job shift work rotation on sleep and work-life balance on hospital nurses. Int J Environ Res Public Health. 2018; 15:(9) https://doi.org/10.3390/ijerph15092038

Stimpfel AW, Sloane DM, Aiken LH. The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Aff. 2012; 31:(11)2501-2509 https://doi.org/10.1377/hlthaff.2011.1377

Suleiman K, Al-Khaleeb T, Al-Kaladeh M, Sharour LA. The effect of shift fluctuations on sleep quality among nurses working in the emergency room in Amman, Jordan. International Journal of Occupational Safety and Health. 2020a; 10:(1)11-17 https://doi.org/10.3126/ijosh.v10i1.29877

Suleiman K, Hijazi Z, Kalaldeh MA, Sharour LA. Factors associated with sleep quality among emergency nurses in Jordan. Sleep Vigil. 2020b; 4:(1)11-16 https://doi.org/10.1007/s41782-019-00082-4

Tarhan M, Aydın A, Ersoy E, Dalar L. The sleep quality of nurses and its influencing factors. Eurasian Journal of Pulmonology. 2018; 20:(2)78-84 https://doi.org/10.4103/ejop.ejop_35_18

Trinkoff AM, Johantgen M, Storr CL, Gurses AP, Liang Y, Han K. Nurses' work schedule characteristics, nurse staffing, and patient mortality. Nurs Res. 2011; 60:(1)1-8 https://doi.org/10.1097/NNR.0b013e3181fff15d

Uekata S, Kato C, Nagaura Y, Eto H, Kondo H. The impact of rotating work schedules, chronotype, and restless legs syndrome/Willis-Ekbom disease on sleep quality among female hospital nurses and midwives: a cross-sectional survey. Int J Nurs Stud. 2019; 95:103-112 https://doi.org/10.1016/j.ijnurstu.2019.04.013

Vitale SA, Varrone-Ganesh J, Vu M. Nurses working the night shift: impact on home, family and social life. J Nurs Educ Pract. 2015; 5:(10) https://doi.org/10.5430/jnep.v5n10p70

Vyazovskiy VV. Sleep, recovery, and metaregulation: explaining the benefits of sleep. Nat Sci Sleep. 2015; 7:171-184 https://doi.org/10.2147/NSS.S54036

Watson NF, Badr MS, Belenky G Joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society on the recommended amount of sleep for a healthy adult: methodology and discussion. J Clin Sleep Med. 2015; 11:(8)931-952 https://doi.org/10.5664/jcsm.4950

Worley SL. The extraordinary importance of sleep: the detrimental effects of inadequate sleep on health and public safety drive an explosion of sleep research. P T. 2018; 43:(12)758-763

Zamanian Z, Nikeghbal K, Khajehnasiri F. Influence of sleep on quality of life among hospital nurses. Electron Physician. 2016; 8:(1)1811-1816 https://doi.org/10.19082/1811

Zeng LN, Yang Y, Wang C Prevalence of poor sleep quality in nursing staff: a meta-analysis of observational studies. Behav Sleep Med. 2020; 18:(6)746-759 https://doi.org/10.1080/15402002.2019.1677233

Zhang L, Sun D, Li C, Tao M. Influencing factors for sleep quality among shift-working nurses: a cross-sectional study in China using 3-factor Pittsburgh Sleep Quality Index. Asian Nurs Res (Korean Soc Nurs Sci). 2016; 10:(4)277-282 https://doi.org/10.1016/j.anr.2016.09.002

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

09 June 2022
Professional
02 June 2022
Volume 31 · Issue 11

Abstract

Background:

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.

Aim:

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

Methods:

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.

Results:

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.

Conclusion:

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).

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content

Register
Or continue by

Signing in with your registered email address

Sleep quality
Hospital nurses
Student nurses
Patient safety
Cross-sectional study