Journal of Korean Academy of Psychiatric and Mental Health Nursing (정신간호학회지)

The Korean Academy of Psychiatric and Mental Health Nursing (한국정신간호학회)
권호 표지

Factors Influencing Sleep Quality in Clinical Nurses

임상간호사의 수면의 질에 영향을 미치는 요인

  • Published : 2011.06.30
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Abstract

Purpose: The purpose of this study was to identify sleep quality, job stress, symptoms of stress (SOS), and coping and to examine factors influencing sleep quality in clinical nurses. Methods: A cross-sectional study was conducted with 265 clinical nurses at three general hospitals. A self-administrated questionnaire was used for data collection, and data were analyzed using descriptive statistics, Pearson correlation coefficients, t-test, ANOVA, and backward multiple regression with the SAS statistical program. Results: Sleep quality showed significant differences according to the sociodemographic characteristics of age, length of work, education, current workplace, current job position, shift work, and marital status. Sleep quality was negatively associated with SOS and job stress. Significant factors influencing sleep quality of the clinical nurses were cognitivebehavioral SOS, physiological SOS, inappropriate rewards, physical work environment, and shift work. Conclusion: The findings indicate that cognitive-behavioral SOS, physiological SOS, job stress regarding inappropriate rewards and physical work environment, and shift work are useful to predict levels of sleep quality of clinical nurses. These factors should be considered when developing nursing interventions to improve sleep quality of clinical nurses through stress management.

Keywords

References

  1. Akerstedt, T. (2003). Shift work and disturbed sleep/wakefulness. Occupational Medicine, 53, 89-94. https://doi.org/10.1093/occmed/kqg046
  2. Akerstedt, T., Knutsson, A., Westerholm, P., Theorell, T., Alfredsson, L., & Kecklund, G. (2002). Sleep disturbances, work stress and work hours: A cross-sectional study. Journal of Psychosomatic Research, 53, 741-748. https://doi.org/10.1016/S0022-3999(02)00333-1
  3. Doi, Y., Minowa, M., & Tango, T. (2003). Impact and correlates of poor sleep quality in Japanese white-collar employees. Sleep, 26, 467-471. https://doi.org/10.1093/sleep/26.4.467
  4. Edéll-Gustafasson, U. M., Kritz, E. I., & Bogren, I. K. (2002). Self-reported sleep quality, strain and health in relation to perceived working conditions in females. Scandinavian Journal of Caring Science, 16, 179-187. https://doi.org/10.1046/j.1471-6712.2002.00078.x
  5. Eller, T., Aluoja, A., Vasar, V., & Veldi, M. (2006). Symptoms of anxiety and depression in Estonian medical students with sleep problems. Depression and Anxiety, 23, 250-256. https://doi.org/10.1002/da.20166
  6. Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  7. Ḧurma, M., Sallinen, M., Ranta, R., Mutanen, P., & Muller, K. (2002). The effect of an irregular shift system on sleepiness at work in train drivers and railway traffic controllers. Journal of Sleep Research, 11(2), 141-151. https://doi.org/10.1046/j.1365-2869.2002.00294.x
  8. Im, S. B., & Kim, K. E. (2005). Clinical nurses' job stress and coping strategies according to personality type. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 14, 390-399.
  9. Im, S. B., Yu, S. Y., Seo, E. B., Lee, S. J., Yun, B. R., Seo, E. J., et al. (2006). The effects of shift work on the nurses' negative affectivity and sleep disorder. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 15, 40-47.
  10. Kilpatrick, K., & Lavoie-Tremblay, M. (2006). Shiftwork: What health care managers need to know. The Health Care Manager, 25(2), 160-166. https://doi.org/10.1097/00126450-200604000-00009
  11. Kim, M. G., Lee, W. C., Lee, Y. M., Ryoo, J. H., Kim, H. C., Yoo, S. W., et al. (2008). Factors associated with quality on sleep of subway workers by shift-work. Korean Journal of Occupational and Environmental Medicine, 20(4), 326-334.
  12. Knudsen, H. K., Ducharme, L. J., & Roman, P. M. (2007). Job stress and poor sleep quality: Data from an American sample of full-time workers. Social Science & Medicine, 64, 1997-2007. https://doi.org/10.1016/j.socscimed.2007.02.020
  13. Korea Occupational Safety and Health Agency. (2006, December). Guideline for measuring job stressors (KOSHA CODE H-42-2006). Seoul: Author.
  14. Kwon, G. J. (2005). A study on shift work nurses' sleeping pattern according to their fatigue level and working type. Unpublished master's thesis, Ewha Womans University, Seoul.
  15. Kwon, K. H., & Suh, S. R. (2009). Quality of sleep and its influencing factors in the institutionalized elderly. Korean Journal of Adult Nursing, 21(1), 34-42.
  16. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, & coping. New York, NY: Springer.
  17. Lee, S. O., Ahn, S. H., & Kim, M. O. (2005). A study on women's fatigue and sleeping disturbance. Korean Journal of Women Health Nursing, 11(2), 163-168.
  18. Lee, S. W. (1992). A study on stress responses of Korean- American. Journal of Korean Academy of Nursing, 22, 238-247.
  19. Lee, W. H., & Kim, C. J. (2006). The relationship between depression, perceived stress, fatigue and anger in clinical nurses. Journal of Korean Academy Nursing, 36, 925-932. https://doi.org/10.4040/jkan.2006.36.6.925
  20. Linton, S. J. (2004). Does work stress predict insomnia? A prospective study. British Journal of Health Psychology, 9, 127-136. https://doi.org/10.1348/135910704773891005
  21. Mun, M. S. (1999). Active coping strategy model for chronic arthritis: Applying internal model of world and coping resource. Unpublished doctoral dissertation, Hanyang University, Seoul.
  22. Nasermoaddeli, A., Sekine, M., Hamanishi, S., & Kagamiori, S. (2002). Job strain and sleep quality in Japanese civil servants with special reference to sense of coherence. Journal of Occupational Health, 44, 337-342. https://doi.org/10.1539/joh.44.337
  23. Ohayon, M. M., Lemoine, P., Arnaud-Briant, V., & Dreyfus, M. (2002). Prevalence and consequences of sleep disorders in a shift worker population. Journal of Psychological Research, 53, 577-583.
  24. Pelfrene, E., Vlerick, P., Kittle, F., Mak, R. P., Kornitzer, M., & De Backer, G. (2002). Psychosocial work environment and psychological well-being: Assessment of the buffering effects in the job demand-control(-support) model in BELSTRESS. Stress and Health, 18, 43-56. https://doi.org/10.1002/smi.920
  25. Shirey, M. R. (2006). Stress and coping in nurse managers: Two decades and research. Nursing Economics, 24(4), 193-211.
  26. Spiegel, K., Leproult, R., & Van Cauter, E. (1999). Impact of sleep debt on metabolic and endocrine function. Lancet, 354, 1435-1439. https://doi.org/10.1016/S0140-6736(99)01376-8
  27. Strine, T. W., & Chapman, D. P. (2005). Associations of frequent sleep insufficiency with health-related quality of life and health behaviors. Sleep Medicine, 6, 23-27. https://doi.org/10.1016/j.sleep.2004.06.003
  28. Vaz Fragoso, C. A., & Gill, T. M. (2007). Sleep complaints in community-living older persons: A multifactorial geriatric syndrome. Journal of American Geriatrics Society, 55, 1853-1866. https://doi.org/10.1111/j.1532-5415.2007.01399.x
  29. Yi, H. R. (2005). Development of the sleep quality scale. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  30. Yoon, J. S., Kook, S. H., Lee, H. Y., Shin, I. S., & Kim, A. J. (1999). Sleep pattern, job satisfaction and quality of life in nurses on rotating shift and daytime fixed work schedules. Journal of the Korean Neuropsychiatric Association, 38, 713-722.