The analysis of determinants of shift nurses’ sleep quality during the COVID-19 pandemic at Sanglah general hospital Denpasar

Authors

  • Stephanie E. Gunawan Department of Neurology, Faculty of Medicine, Udayana University/Sanglah General Hospital, Bali-Indonesia
  • Anak Agung Ayu Putri Laksmidewi Department of Neurology, Faculty of Medicine, Udayana University/Sanglah General Hospital, Bali-Indonesia
  • Anna M. Gelgel Department of Neurology, Faculty of Medicine, Udayana University/Sanglah General Hospital, Bali-Indonesia
  • I. Made Oka Adnyana Department of Neurology, Faculty of Medicine, Udayana University/Sanglah General Hospital, Bali-Indonesia
  • Desak Ketut Indrasari Utami Department of Neurology, Faculty of Medicine, Udayana University/Sanglah General Hospital, Bali-Indonesia
  • I. Gusti Ngurah Budiarsa Department of Neurology, Faculty of Medicine, Udayana University/Sanglah General Hospital, Bali-Indonesia

DOI:

https://doi.org/10.18203/2349-3933.ijam20211045

Keywords:

Sleep quality, Shift nurses, COVID-19

Abstract

Background: Fatigue and sleepiness experienced by nurses can put them at risk of making mistakes in medication administration and clinical judgment. In addition, fatigue and sleepiness can also lead to increased emotions towards co-workers, jeopardize their own safety, especially on the way home from work, and can reduce patient care.

Methods: This study used an analytical research method with a cross-sectional study, involving 91 shift nurses. It was carried out by conducting interviews during the first break of the first morning cycle after holiday.

Results: Results of this study indicated that all sociodemographic variables did not show significant differences with sleep quality variable with a significance level of p>0.05. There was also no relationship between physical activity and caffeine intake and sleep quality. Moreover, there was no significant difference between physical illness and sleep quality. Sleep quality (Pittsburgh sleep quality index/PSQI) and sleepiness level score (Karolinska sleepiness scale/KSS) showed no significant relationship with p<0.05. KSS was divided into 2 including non-sleepy state (1-6) and sleepy state (7-9).4 Insignificant relationship was also shown between sleep quality score (PSQI) and fatigue level score (fatigue severity scale/FSS). Importantly, insignificant relationship was shown between sleep quality score and hospital anxiety and depression scale. In addition, there was only work unit in COVID-19 isolation room which had a significant relationship to sleep quality compared to non-isolation room with a significance level of p<0.05. 

Conclusions: Based on results of this study, it can be concluded that work unit in COVID-19 isolation room had a relationship with sleep quality of shift nurses who work in the unit.

References

. Stimpfel AW, Fatehi F, Kovner C. Nurses’ sleep, work hours, and patient care quality, and safety. Sleep health. 2020;6(3):314-20.

Kodrat KF. Pengaruh shift kerja terhadap kelelahan pekerja pabrik kelapa sawit di PT. X labuhan batu. J Teknik Industri. 2012;12(2):110-7.

Saraswati AW, Paskarini I. Hubungan gangguan tidur pada pekerja shift dengan kejadian kecelakaan kerja di terminal petikemas. Indonesian J Occupational Safety Health. 2018;7(1):72-80.

Brown JG, Wieroney M, Blair L, Zhu S, Warren J, Scharf SM, et al. Measuring subjective sleepiness at work in hospital nurses: validation of a modified delivery format of the Karolinska Sleepiness Scale. Sleep Breathing. 2014;18(4):731-9.

Gallagher S, Phillips AC, Carroll D. Parental stress is associated with poor sleep quality in parents caring for children with developmental disabilities. J Pediatr Psychol. 2010;35(7):728-37.

Wilkinson K, Tomlinson J, Gardiner J. The perceived fairness of work-life balance policies: A UK case study of solo-living managers and professionals without children. Human Resource Management J. 2018;28(2):325-39.

Harrington JM. Health effects of shift work and extended hours of work. Occupational Environmental med. 2001;58(1):68-72.

Ramin C, Devore EE, Wang W, Pierre-Paul J, Wegrzyn LR, Schernhammer ES. Night shift work at specific age ranges and chronic disease risk factors. Occupational environmental medi. 2015;72(2):100-7.

Agririsky IAC, Adiputra IN. Gambaran Kualitas Tidur Perawat dengan Shift Kerja di Ruang Rawat Inap Anak RSUP Sanglah Denpasar Tahun 2016. E-J Medi Udayana. 2016;7(11).

Troxel WM, Robles TF, Hall M, Buysse DJ. Marital quality and the marital bed: Examining the covariation between relationship quality and sleep. Sleep med rev. 2007;11(5):389-404.

Kim S, Kim Y, Lim S-S, Ryoo J-H, Yoon J-H. Long commute time and sleep problems with gender difference in work–life balance: A cross-sectional study of more than 25,000 workers. Safety health work. 2019;10(4):470-5.

Kim HW, Park S, Ahn HY, Park E-J. The effects of an HPV education program by gender among Korean university students. Nurse education today. 2015;35(4):562-7.

Henwood T, Tuckett A, El-Bagdadi N, Oliffe J. Connecting leisure time physical activity and quality of sleep to nurses health: data from the e-cohort study of nurses and midwives. J Nursing Care. 2015;4(3):1000254-1.

Chappel SE, Verswijveren SJ, Aisbett B, Considine J, Ridgers ND. Nurses’ occupational physical activity levels: A systematic review. Int j nursing studies. 2017;73:52-62.

Manierre M, Jansen E, Boolani A. Sleep quality and sex modify the relationships between trait energy and fatigue on state energy and fatigue. PloS one. 2020;15(1):e0227511.

Thun E, Bjorvatn B, Torsheim T, Moen BE, Magerøy N, Pallesen S. Night work and symptoms of anxiety and depression among nurses: A longitudinal study. Work Stress. 2014;28(4):376-86.

Gao X, Jiang L, Hu Y, Li L, Hou L. Nurses’ experiences regarding shift patterns in isolation wards during the COVID-19 pandemic in China: A qualitative study. J clin nursing. 2020;29(21-22):4270-80

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Published

2021-03-23

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Original Research Articles