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Publication
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| Title of Article |
The effects of shift work and other factors on insomnia symptoms among registered nurses |
| Date of Acceptance |
11 May 2019 |
| Journal |
| Title of Journal |
Journal of Public Health and Development |
| Standard |
TCI |
| Institute of Journal |
ASEAN Institute for Health Development, Mahidol University |
| ISBN/ISSN |
ISSN: 1905-1387 (Print) |
| Volume |
17 |
| Issue |
2 |
| Month |
May-August |
| Year of Publication |
2019 |
| Page |
- |
| Abstract |
Insomnia is the most common sleep disorder and can substantially impact quality of life.
The nursing profession often involves working in shifts which may lead to increased risk of
insomnia symptoms. Understanding the factors associated with insomnia in nurses is important
for improving the sleep health and quality of working life of registered nurses.
We employed the baseline data of the Thai Nurse Cohort Study which included the
responses of 18,189 registered nurses collected in 2009. We considered the three insomnia
symptoms: Difficulty Initiating Sleep, Difficulty Maintaining Sleep, and Early Morning
Awakening. We also collected workplace burden variables and other potentially important
factors. Binary logistic mixed effect models wasapplied for analysis.
Most participants were female (96.7%) with mean age 43.4+9.7 yearsand worked
predominantly in the day shift (71.3%). Almost one-quarter (24.6%; 95% CI=23.3-25.9) reported
experiencing at least one insomnia symptoms. The prevalence of difficulty initiating sleep,
difficulty maintaining sleep and early morning awakening were 5.2% (95% CI=3.7-6.7), 8.0% (95%
CI=6.5-9.4) and 6.5% (95% CI=5.0-8.0), respectively. Evening and Night shift were associated with a
higher risk of both difficulty initiating sleep (OR evening =2.11, 95% CI=1.45-3.07, p<0.001; ORnight
=1.72, 95% CI=1.01-2.94, p=0.045, respectively) and early morning awakening (OR evening =1.46, 95%
CI=1.01-2.11, p=0.042 and OR night =0.41, 95% CI=0.18-0.95, p=0.038, respectively). No workplace
burden factors were associated with difficulty maintaining sleep. Perceived mental health and
perceived pain were highly associated with all three insomnia symptoms.
We demonstrate shift work substantially impacts insomnia symptoms among Thai nurses.
Policy-making for nursing personnel recruitment and retention should include the optimization
of shift work schedule allocation to promote good sleep health. |
| Keyword |
Insomnia symptoms; Registered nurses; Shift work; Workplace burden |
| Author |
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| Reviewing Status |
มีผู้ประเมินอิสระ |
| Status |
ได้รับการตอบรับให้ตีพิมพ์ |
| Level of Publication |
นานาชาติ |
| citation |
true |
| Part of thesis |
true |
| Attach file |
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| Citation |
0
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Journal Publication
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