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Relationship Between Shift Intensity and Insomnia Among Hospital Nurses in Korea: A Cross-sectional Study
Yuhjin Chung, Hyunjoo Kim, Dong-Hee Koh, Ju-Hyun Park, Seohyun Yoon
J Prev Med Public Health. 2021;54(1):46-54.   Published online December 22, 2020
DOI: https://doi.org/10.3961/jpmph.20.555
  • 5,117 View
  • 221 Download
  • 7 Web of Science
  • 8 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
This study explored the relationship between shift intensity and insomnia among hospital nurses.
Methods
The participants were 386 female hospital nurses who underwent a special health examination for night workers in 2015. The Korean Insomnia Severity Index (ISI), indices of shift work intensity, and other covariates such as amount of exercise, level of alcohol consumption, employment duration, and hours worked were extracted from the health examination data. The indices for shift intensity were (1) number of 3 consecutive night shifts and (2) number of short recovery periods after a previous shift, both assessed over the prior 3 months. Multiple logistic regression analysis adjusted for the aforementioned covariates was performed to evaluate the association of shift intensity with insomnia, defined as an ISI score of ≥8.
Results
The nurses with insomnia tended to be younger (p=0.029), to have worked 3 consecutive night shifts more frequently (p<0.001), to have experienced a greater number of short recovery periods after the previous shift (p=0.021), and to have worked for more hours (p=0.006) than the nurses without insomnia. Among the other variables, no statistically significant differences between groups were observed. Experiences of 3 or more consecutive night shifts (odds ratio [OR], 2.33; 95% confidence interval [CI], 1.29 to 4.20) and 3 or more short recovery periods (OR, 2.01; 95% CI, 1.08 to 3.73) were associated with increased odds of insomnia.
Conclusions
The results suggest that decreasing the shift intensity may reduce insomnia among hospital nurses working rotating shifts.
Summary
Korean summary
불면증상의 척도로서 ‘한국판 불면증 심각도 평가척도’를, 교대근무강도의 지표로서 지난 3개월 간의 ‘3회 연속 야간근무 횟수’와 ‘교대근무 이후 짧은 휴식기간’을 사용하여, 대학병원 야간 근무 간호사 386명의 불면증상과 교대근무강도 간의 연관성을 탐색하고자 하였다. 로지스틱 회귀분석 결과, ‘3회 연속 야간근무 횟수’와 ‘교대근무 이후 짧은 휴식기간’은 불면증상의 오즈비 증가와 관련이 있었다. 이 결과는 교대근무강도를 저하시켜야 순환 교대근무 병원 간호사들의 불면증상을 줄일 수 있음을 시사한다.

Citations

Citations to this article as recorded by  
  • The interaction between mental resilience and insomnia disorder on negative emotions in nurses in Guangdong Province, China
    Ningjing Zhan, Yixuan Xu, Jiangfeng Pu, Waner Wang, Zhanghao Xie, Huigen Huang
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
  • Qualidade de vida e engajamento no trabalho em profissionais de enfermagem no início da pandemia de COVID-19
    Taisa Moitinho de Carvalho, Luciano Garcia Lourenção, Maria Helena Pinto, Renata Andrea Pietro Pereira Viana, Ana Maria Batista da Silva Gonçalves Moreira, Leticia Pepineli de Mello, Gilney Guerra de Medeiros, Antonio Marcos Freire Gomes
    Ciência & Saúde Coletiva.2023; 28(10): 2903.     CrossRef
  • Quality of life and work engagement among nursing staff at the start of the COVID-19 pandemic
    Taisa Moitinho de Carvalho, Luciano Garcia Lourenção, Maria Helena Pinto, Renata Andrea Pietro Pereira Viana, Ana Maria Batista da Silva Gonçalves Moreira, Leticia Pepineli de Mello, Gilney Guerra de Medeiros, Antonio Marcos Freire Gomes
    Ciência & Saúde Coletiva.2023; 28(10): 2903.     CrossRef
  • Prevalence of Insomnia among Medical Staff during the Epidemic Prevention and Control: A Perspective on Health Behavior
    Jinhua Sun, Xiaoqing Wang, Liman Jian, Bo Dong
    American Journal of Health Behavior.2023; 47(4): 714.     CrossRef
  • Insomnia among Intensive Care Unit Nurses in the United Arab Emirates and its Association to Work Productivity and Quality of Life
    Hassnaa Shaban Mobarak, Fatma Refaat Ahmed, Nabeel Al-Yateem, Wegdan Bani-Issa, Muna Ibrahim Alhosani, Mohannad Eid AbuRuz
    The Open Nursing Journal.2023;[Epub]     CrossRef
  • Personality Traits and Insomnia Symptoms in Shift Workers
    Brigitte Holzinger, Lucille Mayer, Gerhard Klösch
    Frontiers in Psychology.2021;[Epub]     CrossRef
  • The Association Between the Number of Consecutive Night Shifts and Insomnia Among Shift Workers: A Multi-Center Study
    Juho Sim, Byung-Yoon Yun, Jiho Lee, Sung Kyung Kim, Seunghyun Lee, Ara Cho, Seunghan Kim, Chang-young Kim, Yeon Suh Oh, Jin-Ha Yoon
    Frontiers in Public Health.2021;[Epub]     CrossRef
  • Alcohol Abuse and Insomnia Disorder: Focus on a Group of Night and Day Workers
    Fulvio Plescia, Luigi Cirrincione, Daniela Martorana, Caterina Ledda, Venerando Rapisarda, Valentina Castelli, Francesco Martines, Denis Vinnikov, Emanuele Cannizzaro
    International Journal of Environmental Research and Public Health.2021; 18(24): 13196.     CrossRef
The Relationships Among Occupational Safety Climate, Patient Safety Climate, and Safety Performance Based on Structural Equation Modeling
Hamed Aghaei, Zahra Sadat Asadi, Mostafa Mirzaei Aliabadi, Hassan Ahmadinia
J Prev Med Public Health. 2020;53(6):447-454.   Published online October 22, 2020
DOI: https://doi.org/10.3961/jpmph.20.350
  • 5,111 View
  • 245 Download
  • 13 Crossref
AbstractAbstract PDF
Objectives
The aim of the present study was to investigate the relationships among hospital safety climate, patient safety climate, and safety outcomes among nurses.
Methods
In the current cross-sectional study, the occupational safety climate, patient safety climate, and safety performance of nurses were measured using several questionnaires. Structural equation modeling was applied to test the relationships among occupational safety climate, patient safety climate, and safety performance.
Results
A total of 211 nurses participated in this study. Over half of them were female (57.0%). The age of the participants tended to be between 20 years and 30 years old (55.5%), and slightly more than half had less than 5 years of work experience (51.5%). The maximum and minimum scores of occupational safety climate dimensions were found for reporting of errors and cumulative fatigue, respectively. Among the dimensions of patient safety climate, non-punitive response to errors had the highest mean score, and manager expectations and actions promoting patient safety had the lowest mean score. The correlation coefficient for the relationship between occupational safety climate and patient safety climate was 0.63 (p<0.05). Occupational safety climate and patient safety climate also showed significant correlations with safety performance.
Conclusions
Close correlations were found among occupational safety climate, patient safety climate, and nurses’ safety performance. Therefore, improving both the occupational and patient safety climate can improve nurses’ safety performance, consequently decreasing occupational and patient-related adverse outcomes in healthcare units.
Summary

Citations

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    Journal of Safety Research.2024; 89: 160.     CrossRef
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    Keiko Ishii, Katsumi Fujitani, Hironobu Matsushita
    International Journal of Risk & Safety in Medicine.2024; 35(3): 217.     CrossRef
  • Rethinking frontline health workers’ safety performance in times of pandemic: the role of spiritual leadership
    Francisca Arboh, Baozhen Dai, Prince Ewudzie Quansah, Stephen Addai-Dansoh, Samuel Atingabilli, Esther Agyeiwaa Owusu, Ebenezer Larnyo, Baaba Boadziwa Sackey
    International Journal of Occupational Safety and Ergonomics.2024; 30(2): 506.     CrossRef
  • Aspects of occupational safety: a survey among European cancer nurses
    Lena Sharp, Per Fransson, Matthew Fowler, Helena Ullgren
    European Journal of Oncology Nursing.2024; 70: 102595.     CrossRef
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    Mohsen Mahdinia, Iraj Mohammadfam, Ahmad Soltanzadeh, Mostafa Mirzaei Aliabadi, Hamed Aghaei
    International Journal of Occupational Safety and Ergonomics.2023; 29(1): 36.     CrossRef
  • Fatigue in nurses and medication administration errors: A scoping review
    Tracey Bell, Madeline Sprajcer, Tracey Flenady, Ashlyn Sahay
    Journal of Clinical Nursing.2023; 32(17-18): 5445.     CrossRef
  • Family Support to Improve Knowledge, Attitude, and Practices of Occupational Health and Safety (OHS) in the Informal Sector
    Sukismanto Sukismanto, Hartono Hartono, Sumardiyono Sumardiyono, Tri Rejeki Andayani
    Malaysian Journal of Medicine and Health Sciences.2023; 19(2): 175.     CrossRef
  • Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review
    Sofia Guerra-Paiva, Maria João Lobão, Diogo Godinho Simões, Joana Fernandes, Helena Donato, Irene Carrillo, José Joaquín Mira, Paulo Sousa
    BMJ Open.2023; 13(12): e078118.     CrossRef
  • The influencing factors of clinical nurses’ problem solving dilemma: a qualitative study
    Yu Mei Li, Yi Fan Luo
    International Journal of Qualitative Studies on Health and Well-being.2022;[Epub]     CrossRef
  • Factors affecting nurses' attitudes towards risks in the work environment: A cross‐sectional study
    Sibel Gülen, Ülkü Baykal, Nilgün Göktepe
    Journal of Nursing Management.2022; 30(7): 3264.     CrossRef
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    Behzad Fouladi Dehaghi, Gholamheidar Teimori-Boghsani, Davood Rahmani, Leila Ibrahimi Ghavamabadi, Sajad Zare
    Work.2022; 73(4): 1255.     CrossRef
  • Healthcare Workers' Mental Health in Pandemic Times: The Predict Role of Psychosocial Risks
    Carla Barros, Pilar Baylina, Rúben Fernandes, Susana Ramalho, Pedro Arezes
    Safety and Health at Work.2022; 13(4): 415.     CrossRef
  • The Influence of Safety Communications and Safety Promotion Policies on Safety Performance among Nurses in The Emergency Department at a Tertiary Hospital in Surabaya, Indonesia
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    Folia Medica Indonesiana.2022; 58(4): 325.     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health
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