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How Shift Nurses' Presenteeism is Related to Insomnia and Care Left Undone: A Cross-Sectional Study Using Generalised
Yoonjung Ji1, Ari Min2, Minkyung Kang3
1College of Nursing, CHA University, Pocheon-si, Gyeonggi-do, South Korea.
Journal of Advanced Nursing
|September 24, 2024
Summary
Nurses experiencing insomnia and presenteeism (working while unwell) are linked to increased instances of nursing care left undone. Presenteeism acts as a mediator, worsening the impact of insomnia on patient care quality.
Area of Science:
- Nursing
- Healthcare Management
- Sleep Science
Background:
- Insomnia and presenteeism are significant issues affecting healthcare professionals.
- These factors can negatively impact the quality of patient care and safety.
- Understanding the relationship between these issues is crucial for improving healthcare outcomes.
Purpose of the Study:
- To investigate the association between nurses' insomnia, presenteeism, and care left undone.
- To explore the mediating role of presenteeism in the relationship between insomnia and care left undone.
- To apply a dynamic model of presenteeism and absenteeism in acute care settings.
Main Methods:
- A cross-sectional study utilizing secondary data from an online survey of 1154 registered nurses in South Korea.
- Poisson regression analysis was employed to assess associations between insomnia, presenteeism, and care left undone.
- Generalized structural equation modeling was used to examine the mediating effect of presenteeism.
Main Results:
- The prevalence of insomnia was 15.3%, and 63.7% of nurses reported presenteeism.
- All nurses reported at least one instance of care left undone during their last shift.
- Both insomnia and presenteeism were positively associated with care left undone, with presenteeism mediating the relationship.
Conclusions:
- Nurses' insomnia and presenteeism are directly and indirectly linked to increased rates of nursing care left undone.
- Interventions targeting insomnia and presenteeism are essential for improving patient safety in acute care.
- Healthcare administrators should implement proactive strategies to reduce sleep disturbances and promote a healthy work environment for nurses.
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