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Which Shiftwork Pattern Is the Strongest Predictor for Poor Sleep Quality in Nurses?
Kampanat Wangsan1,2, Naesinee Chaiear1, Kittisak Sawanyawisuth3
1Department of Community, Family and Occupational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
International Journal of Environmental Research and Public Health
|November 11, 2022
Summary
Backward rotational shifts significantly increase the risk of poor sleep quality in nurses. Avoiding this shift pattern is crucial for improving nurse well-being and reducing associated health risks.
Area of Science:
- Occupational Health
- Sleep Medicine
- Nursing Research
Background:
- Shiftwork is linked to adverse health outcomes, including gastric ulcers, myocardial infarction, and diabetes.
- Specific shift schedules, like quick returns or extended shifts, are associated with diminished sleep quality.
Purpose of the Study:
- To identify shiftwork patterns strongly correlated with poor sleep quality among nurses.
- To provide evidence-based recommendations for optimizing shift schedules in nursing.
Main Methods:
- A cross-sectional analytical study involving nurses with at least one month of work experience.
- Data collection via self-reported questionnaires on demographics, job, shiftwork, and sleep quality.
- Logistic regression analysis to determine factors associated with poor sleep quality.
Main Results:
- Depression and backward rotational shifts were identified as factors linked to poor sleep quality.
- Backward rotational shift emerged as the sole independent predictor of poor sleep quality (Adjusted Odds Ratio: 1.946, 95% CI: 1.344–2.871).
Conclusions:
- Backward rotational shiftwork is the most significant factor contributing to poor sleep quality in nurses.
- Eliminating or modifying backward rotational shifts is recommended to enhance sleep quality and mitigate health risks for nurses.
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