Association between night shift and sleep quality and health among Chinese nurses: A cross-sectional study.
health
nursing management
shift work disorder
sleep quality
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
revised:
20
04
2021
received:
09
01
2021
accepted:
22
04
2021
pubmed:
29
4
2021
medline:
13
10
2021
entrez:
28
4
2021
Statut:
ppublish
Résumé
To explore the sleep quality among Chinese nurses and identify the association between night shift and sleep quality and health. Chinese nurses have many night shifts; the effect of it regarding nurses' sleep quality and health is still not being explored. This was a cross-sectional study. There were 3,206 nurse participants. The participants self-completed a sociodemographic questionnaire, the Pittsburgh Sleep Quality Index (PSQI) and the Cornell Medical Index (CMI). Night shift nurses demonstrated relatively worse sleep quality (55.1%) and more health problems (20.7%). Night shift work was significantly associated with poor sleep quality (β = 0.96, confidence interval [CI] = 0.67-1.26) and poor health (β = 2.01, CI = 0.15-3.88). Except for sleep medication (β = 0.02, CI = -0.01, 0.05) and psychological health (β = 0.38, CI = -0.27, 1.03), night shift work was significantly associated with other PSQI domains and physical health. Night shift work was a risk factor for nurses' sleep quality and health. Night shift nurses have more sleep disorders and physical health problems. Nurse managers should pay attention to the impact of shift work on nurses' sleep quality and health and reform the rotating shift work system to improve nurses' occupational health.
Sections du résumé
AIM
OBJECTIVE
To explore the sleep quality among Chinese nurses and identify the association between night shift and sleep quality and health.
BACKGROUND
BACKGROUND
Chinese nurses have many night shifts; the effect of it regarding nurses' sleep quality and health is still not being explored.
METHODS
METHODS
This was a cross-sectional study. There were 3,206 nurse participants. The participants self-completed a sociodemographic questionnaire, the Pittsburgh Sleep Quality Index (PSQI) and the Cornell Medical Index (CMI).
RESULTS
RESULTS
Night shift nurses demonstrated relatively worse sleep quality (55.1%) and more health problems (20.7%). Night shift work was significantly associated with poor sleep quality (β = 0.96, confidence interval [CI] = 0.67-1.26) and poor health (β = 2.01, CI = 0.15-3.88). Except for sleep medication (β = 0.02, CI = -0.01, 0.05) and psychological health (β = 0.38, CI = -0.27, 1.03), night shift work was significantly associated with other PSQI domains and physical health.
CONCLUSION
CONCLUSIONS
Night shift work was a risk factor for nurses' sleep quality and health. Night shift nurses have more sleep disorders and physical health problems.
IMPLICATIONS FOR NURSING MANAGEMENT
CONCLUSIONS
Nurse managers should pay attention to the impact of shift work on nurses' sleep quality and health and reform the rotating shift work system to improve nurses' occupational health.
Types de publication
Journal Article
Langues
eng
Pagination
2123-2131Subventions
Organisme : Department of Science & Technology of Liaoning Province
ID : 2018225005
Informations de copyright
© 2021 John Wiley & Sons Ltd.
Références
Akerstedt, T. (2003). Shift work and disturbed sleep/wakefulness. Occupational Medicine, 53(2), 89-94. https://doi.org/10.1093/occmed/kqg046
Beebe, D., Chang, J. J., Kress, K., & Mattfeldt-Beman, M. (2017). Diet quality and sleep quality among day and night shift nurses. Journal of Nursing Management, 25(7), 549-557. https://doi.org/10.1111/jonm.12492
Berger, A. M. & Hobbs, B. B. (2006). Impact of shift work on the health and safety of nurses and patients. Clinical Journal of Oncology Nursing, 10(4), 465-471.
Brodman, K., Erdmann, A. J., Jr., Lorge, I., Wolff, H. G., & Broadbent, T. H. (1951). The Cornell medical index-health questionnaire. Ii. As a diagnostic instrument. Journal of the American Medical Association, 145(3), 152-157. https://doi.org/10.1001/jama.1951.02920210024006
Buysse, D. J., Reynolds, C. F., 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213. https://doi.org/10.1016/0165-1781(89)90047-4
Chen, D., Jiang, M., Shi, X., Geng, F., Qi, H., Zhang, Y., & Fan, F. (2020). Predictors of the initiation of shift work disorder among Chinese intern nurses: A prospective study. Sleep Medicine, 68, 199-206. https://doi.org/10.1016/j.sleep.2019.11.126
Costa, G. (2010). Shift work and health: Current problems and preventive actions. Safety and Health at Work, 1(2), 112-123. https://doi.org/10.5491/SHAW.2010.1.2.112
Costa, P. T. Jr, & McCrae, R. R. (1977). Psychiatric symptom dimensions in the Cornell medical index among normal adult males. Journal of Clinical Psychology, 33(4), 941-946.
Dai, C., Qiu, H., Huang, Q., Hu, P., Hong, X., Tu, J., & Chen, F. (2019). The effect of night shift on sleep quality and depressive symptoms among Chinese nurses. Neuropsychiatric Disease and Treatment, 15, 435-440. https://doi.org/10.2147/ndt.S190689
D'Ettorre, G., Pellicani, V., Greco, M., Mazzotta, M., & Vullo, A. (2018). Assessing and managing the shift work disorder in healthcare workers. Medicina Del Lavoro, 109(2), 144-150. https://doi.org/10.23749/mdl.v109i2.6960
D'Ettorre, G., & Pellicani, V. (2020). Preventing Shift Work Disorder in Shift Health-care Workers. Saf Health Work, 11(2), 244-247. https://doi.org/10.1016/j.shaw.2020.03.007
Eldevik, M. F., Flo, E., Moen, B. E., Pallesen, S., & Bjorvatn, B. (2013). Insomnia, excessive sleepiness, excessive fatigue, anxiety, depression and shift work disorder in nurses having less than 11 hours in-between shifts. PLoS One, 8(8), e70882. https://doi.org/10.1371/journal.pone.0070882
Flo, E., Pallesen, S., Magerøy, N., Moen, B. E., Grønli, J., Hilde Nordhus, I., & Bjorvatn, B. (2012). Shift work disorder in nurses-assessment, prevalence and related health problems. PLoS One, 7(4), e33981. https://doi.org/10.1371/journal.pone.0033981
Ford, D. E. (1988). Principles of screening applied to psychiatric disorders. General Hospital Psychiatry, 10(3), 177-188. https://doi.org/10.1016/0163-8343(88)90017-5
Fukahara, A., Kodama, N., Nagahiro, C., Nanakorn, S., & Osaka, R. (1997). Cornell medical index score observed among Japanese nursing students. Kurume Medical Journal, 44(4), 281-287. https://doi.org/10.2739/kurumemedj.44.281
Garde, A. H., Hansen, A. M., & Hansen, J. (2009). Sleep length and quality, sleepiness and urinary melatonin among healthy Danish nurses with shift work during work and leisure time. International Archives of Occupational and Environmental Health, 82(10), 1219-1228. https://doi.org/10.1007/s00420-009-0419-4
Grandner, M. A., Kripke, D. F., Yoon, I. Y., & Youngstedt, S. D. (2006). Criterion validity of the Pittsburgh sleep quality index: Investigation in a non-clinical sample. Sleep Biol Rhythms, 4(2), 129-139. https://doi.org/10.1111/j.1479-8425.2006.00207.x
Hattar-Pollara, M., & Dawani, H. (2006). Cognitive appraisal of stress and health status of wage working and non-wage working women in Jordan. Journal of Transcultural Nursing, 17(4), 349-356. https://doi.org/10.1177/1043659606291543
Huang, L. B., Tsai, M. C., Chen, C. Y., & Hsu, S. C. (2013). 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, 9(7), 641-646. https://doi.org/10.5664/jcsm.2824
Huth, J. J., Eliades, A., Handwork, C., Englehart, J. L., & Messenger, J. (2013). Shift worked, quality of sleep, and elevated body mass index in pediatric nurses. Journal of Pediatric Nursing, 28(6), e64-73. https://doi.org/10.1016/j.pedn.2013.02.032
Kang, J., Noh, W., & Lee, Y. (2020). Sleep quality among shift-work nurses: A systematic review and meta-analysis. Applied Nursing Research, 52, 151227. https://doi.org/10.1016/j.apnr.2019.151227
Khan, W. A. A., Jackson, M. L., Kennedy, G. A., & Conduit, R. (2021). A field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics. Scientific Reports, 11(1), 866. https://doi.org/10.1038/s41598-020-79093-5
Leung, M., Tranmer, J., Hung, E., Korsiak, J., Day, A. G., & Aronson, K. J. (2016). Shift work, chronotype, and melatonin patterns among female hospital employees on day and night shifts. Cancer Epidemiology, Biomarkers & Prevention, 25(5), 830-838. https://doi.org/10.1158/1055-9965.EPI-15-1178
Luca, G., & Van Den Broecke, S. (2020). circadian rhythm sleep disorders: Clinical picture, diagnosis and treatment. Rev Med Suisse, 16(698), 1237-1242.
Ma, Y., Wei, F. U., Nie, G., Zhang, Li’e, Qin, J., Peng, S., Xiong, F., Zhang, Z., Yang, X., Peng, X., Wang, M., & Zou, Y. (2018). Relationship between shift work schedule and self-reported sleep quality in Chinese employees. Chronobiology International, 35(2), 261-269. https://doi.org/10.1080/07420528.2017.1399902
Mollayeva, T., Thurairajah, P., Burton, K., Mollayeva, S., Shapiro, C. M., & Colantonio, A. (2016). The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: A systematic review and meta-analysis. Sleep Medicine Reviews, 25, 52-73. https://doi.org/10.1016/j.smrv.2015.01.009
Osaka, R., Nanakorn, S., & Chusilp, K. (1998). Cornell medical index: A comparative study on health problems among Thai and Japanese nursing students. Southeast Asian Journal of Tropical Medicine and Public Health, 29(2), 293-298.
Pendleton, N., Clague, J. E., Horan, M. A., Rabbitt, P. M. A., Jones, M., Coward, R., Lowe, C., & McInnes, L. (2004). Concordance of Cornell medical index self-reports to structured clinical assessment for the identification of physical health status. Archives of Gerontology and Geriatrics, 38(3), 261-269. https://doi.org/10.1016/j.archger.2003.10.005
Resuehr, D., Wu, G., Johnson, R. L., Jr., Young, M. E., Hogenesch, J. B., & Gamble, K. L. (2019). Shift work disrupts circadian regulation of the transcriptome in hospital nurses. Journal of Biological Rhythms, 34(2), 167-177. https://doi.org/10.1177/0748730419826694
Riemann, D., Baglioni, C., Bassetti, C., Bjorvatn, B., Dolenc Groselj, L., Ellis, J. G., Espie, C. A., Garcia-Borreguero, D., Gjerstad, M., Gonçalves, M., Hertenstein, E., Jansson-Fröjmark, M., Jennum, P. J., Leger, D., Nissen, C., Parrino, L., Paunio, T., Pevernagie, D., Verbraecken, J., … Spiegelhalder, K. (2017). European guideline for the diagnosis and treatment of insomnia. Journal of Sleep Research, 26(6), 675-700. https://doi.org/10.1111/jsr.12594
Rosa, D., Terzoni, S., Dellafiore, F., & Destrebecq, A. (2019). Systematic review of shift work and nurses' health. Occupational Medicine, 69(4), 237-243. https://doi.org/10.1093/occmed/kqz063
Stefánsson, J. G., & Kristjánsson, I. (1985). Comparison of the general health questionnaire and the Cornell medical index health questionnaire. Acta Psychiatrica Scand., 72(5), 482-487. https://doi.org/10.1111/j.1600-0447.1985.tb02643.x
Stimpfel, A. W., Brewer, C. S., & Kovner, C. T. (2015). Scheduling and shift work characteristics associated with risk for occupational injury in newly licensed registered nurses: An observational study. International Journal of Nursing Studies, 52(11), 1686-1693. https://doi.org/10.1016/j.ijnurstu.2015.06.011
Sweet dreams: Understanding circadian rhythms, (2004). Nursing, Suppl, 10.
Vidotti, V., Ribeiro, R. P., Galdino, M. J. Q., & Martins, J. T. (2018). Burnout syndrome and shift work among the nursing staff. Revista Latino-Americana De Enfermagem, 26, e3022. https://doi.org/10.1590/1518-8345.2550.3022
Xu, L., Li, T., Li, S., & Chen, C. (1993). Analysis of the reliability and validity of the Chinese version of Cornell Medical Index. Journal of Peking University, 03, 202.
Zheng, B., Li, M., Wang, K., & Liu, J. (2016). Analysis of the reliability and validity of the Chinese version of Pittsburgh sleep quality index among medical college students. Journal of Peking University, 48(3), 424-428.