Rumination, Perceived Stress, and Sleep Quality in Primary Care Nurses: A Cross-Sectional Network Analysis
Xuntao He1, Ning Su1, Quyi Zhang1
1College of Public Health, Chongqing Medical University, Chongqing, China.
Summary
Primary care nurses experiencing high perceived stress and negative rumination, particularly suppressing positive emotions and negative attribution, report poorer sleep quality. Interventions targeting these cognitive factors are crucial for improving nurses
Area of Science:
- Psychology
- Nursing
- Public Health
Background:
- Sleep problems are prevalent among primary care nurses.
- These issues are linked to psychological stress and maladaptive cognition.
- Understanding these psychological factors is key to enhancing nurse well-being and care quality.
Purpose of the Study:
- To investigate the relationships between perceived stress, rumination (positive and negative), and sleep quality in primary care nurses.
- To utilize network analysis to explore these interconnections.
Main Methods:
- A cross-sectional study involving 316 primary care nurses.
- Standardized self-report measures for perceived stress, rumination, and sleep quality.
- Network analysis to model associations and identify influential variables.
Main Results:
- 64.6% of nurses reported poor sleep quality.
- Sleep latency and perceived tension were central network components.
- Negative rumination, including emotional suppression and negative attribution, strongly correlated with sleep issues.
Conclusions:
- Perceived stress and negative rumination significantly impact sleep problems in primary care nurses.
- Stress reduction and cognitive-emotional interventions for rumination may improve sleep and well-being.
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