Analysis of Sleep Disorder Occurrence among Anaesthesiology Nurses Employed in Operating Theatres and Intensive Therapy Wards – a Prospective, Comparative Study Design using the Athens Insomnia Scale
DOI:
https://doi.org/10.15225/PNN.2022.11.3.2Keywords
sleep disorder, nurse, shift work, operating theatre, intensive therapy, the Athens Insomnia ScaleAbstract
Introduction. Good quality of sleep and feeling well are important issues for health and employee productivity especially for people with highly demanding jobs. Nursing personnel have to confront with significant mental and physical challenges. Shift work can lead to many health problems including: anxiety, insomnia, obesity or high blood pressure.
Aim. The study examined the occurrence of sleep disorders among nursing personnel employed in operating theatres and intensive therapy units.
Material and Methods. The study was prospective, comparative and descriptive nature. The project was carried out between January 1th and April 31th 2019. The study covered 180 medical personnel employed in Anaesthesiology and Intensive Therapy Departments in five different hospitals. Data were collected on the basis of a standardised tool of the Athens Insomnia Scale (AIS) as well as an original interview questionnaire.
Results. The study showed that 65.6% (N = 118) of respondents experienced sleeping problems, manifested by frequent awakenings at night. For more than forty-five percent (45.6%; N = 82) of nurses, the time of their sleep is not sufficient, and more than 60% (N = 109) of respondents feel sleepiness. The in-depth analyses provide a statistically significant dependence between the quality of sleep and the use of sleeping drugs (Z = –1.95; p = 0.050).
Conclusions. A nursing personnel working in the intensive therapy and operating room theatre wards suffer from sleep disorders related to insomnia; the symptoms of insomnia in this professional group include awakening at night and sleepiness during the day; male nurses have a far better quality of sleep compared to females nurses. (JNNN 2022;11(3):105–113)
References
Wells M.E., Vaughn B.V. Poor sleep challenging the health of a Nation. Neurodiagn J. 2012;52(3):233–249.
Kling R.N., McLeod C.B., Koehoorn M. Sleep problems and workplace injuries in Canada. Sleep. 2010;33(5):611–618.
Rosado I.V., Russo G.H., Maia E.M. Produzir saúde suscita adoecimento? As contradições do trabalho em hospitais públicos de urgência e emergência. Cien Saude Colet. 2015;20(10):3021–3032.
Kessler R.C., Berglund P.A., Coulouvrat C. et al. Insomnia and the performance of US workers: results from the America insomnia survey. Sleep. 2011;34(9):1161–1171.
Kuppermann M., Lubeck D.P., Mazonson P.D. et al. Sleep problems and their correlates in a working population. J Gen Intern Med. 1995;10(1):25–32.
Spears S.K., Montgomery-Downs H.E., Steinman S., Duggan K., Turiano N.A. Sleep: A Pathway Linking Personality to Mortality Risk. J Res Pers. 2019;81:11–24.
Chaput J.P., Dutil C., Sampasa-Kanyinga H. Sleeping hours: what is the ideal number and how does age impact this? Nat Sci Sleep. 2018;10:421–430.
Kunzweiler K., Voigt K., Kugler J., Hirsch K., Bergmann A., Riemenschneider H. Factors influencing sleep quality among nursing staff: Results of a cross sectional study. Appl Nurs Res. 2016;32:241–244.
Burgard S.A., Ailshire J.A. Putting work to bed: stressful experiences on the job and sleep quality. J Health Soc Behav. 2009;50(4):476–492.
Chou T.L., Chang L.I., Chung M.H. The mediating and moderating effects of sleep hygiene practice on anxiety and insomnia in hospital nurses. Int J Nurs Pract. 2015;21(Suppl 2):9–18.
Czeisler C.A., Walsh J.K., Roth T. et al. Modafinil for excessive sleepiness associated with shift-work sleep disorder. N Engl J Med. 2005;353(5):476–486.
Dall’Ora C., Dahlgren A. Shift work in nursing: closing the knowledge gaps and advancing innovation in practice. Int J Nurs Stud. 2020;112:103743.
Kecklund G., Axelsson J. Health consequences of shift work and insufficient sleep. BMJ. 2016;355:i5210.
Gaweł G. Czas pracy. Praca zmianowa. W: Ksykiewicz-Dorota A. (Red.), Podstawy organizacji pracy pielęgniarskiej. Podręcznik dla studentów studiów licencjackich wydziałów pielęgniarstwa oraz wydziałów nauk o zdrowiu. Wyd. Czelej, Lublin 2004;121–123.
Rozporządzenie Ministra Zdrowia z dnia 16 grudnia 2016 r. w sprawie standardu organizacyjnego opieki zdrowotnej w dziedzinie anestezjologii i intensywnej terapii (Dz.U. z 2016 r., poz. 2218), http://prawo.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WDU20111120654 [dostęp: 15.05.2019].
Kusza K., Kübler A., Maciejewski D. i wsp. Wytyczne Polskiego Towarzystwa Anestezjologii i Intensywnej Terapii określające zasady, warunki oraz organizację udzielania świadczeń zdrowotnych w dziedzinie anestezjologii i intensywnej terapii. Anest Intens Ter. 2012;44(4):201–212.
Cudak E.K., Dyk D. Ocena nakładu pracy pielęgniarek na oddziale intensywnej terapii na podstawie skali. Probl Pielęg. 2007;15(1):7–12.
Cudak E.K., Dyk D. Zapotrzebowanie na opiekę pielęgniarską w oddziałach intensywnej terapii. Anest Intens Ter. 2010,2:70–74.
Naczelna Izba Pielęgniarek i Położnych. Raport Naczelnej Rady Pielęgniarek i Położnych. Zabezpieczenie społeczeństwa polskiego w świadczenia pielęgniarek i położnych. Warszawa 2017, https://nipip.pl/wp-content/uploads/2017/03/Raport_druk_2017.pdf [dostęp: 9.02.2019]
Raosoft. Sample size calculator. Retrieved May 29, 2019, from http://www.raosoft.com/samplesize.html
Fornal-Pawłowska M., Wołyńczyk-Gmaj D., Szelenberger W. Walidacja Ateńskiej Skali Bezsenności. Psychiatr Pol. 2011;45(2):211–221.
Li Y., Fang J., Zhou C. Work-Related Predictors of Sleep Quality in Chinese Nurses: Testing a Path Analysis Model. J Nurs Res. 2019;27(5):e44.
Rogers A.E. The Effects of Fatigue and Sleepiness on Nurse Performance and Patient Safety. In Hughes R.G. (Ed.), Patient Safety and Quality. An Evidence-Based Handbook for Nurses. Agency for Healthcare Research and Quality (US), 2008:1–37.
Scholtz S., Nel E.W., Poggenpoel M., Myburgh C.P.H. The Culture of Nurses in a Critical Care Unit. Glob Qual Nurs Res. 2016;3:2333393615625996.
Stryjewski P.J., Kuczaj A., Domal-Kwiatkowska D., Mazurek U., Nowalany-Kozielska E. Wpływ pracy nocnej i zmianowej na zdrowie pracowników. Przegl Lek. 2016;73(7):513–515.
Pacheco D. Shift Work Disorder Symptoms. Retrieved April 25, 2019, from https://www.sleepfoundation.org/shift-work-disorder/what-shift-work-disorder/shift-work-disorder-symptoms
World Sleep Society. 10 commandments of sleep hygiene for adults. Retrieved April 26, 2019, from http://worldsleepday.org/10-commandments-of-sleep-hygiene-for-adults
Kuriata E., Felińczak A., Grzebieluch J., Szachniewicz M. Specyfika pracy pielęgniarskiej w szpitalu — warunki pracy i aktualne wyzwania. Część I. Piel Zdr Publ. 2011;1(2):163–167.
Gómez-García T., Ruzafa-Martínez M., Fuentelsaz-Gallego C. et al. Nurses’ sleep quality, work environment and quality of care in the Spanish National Health System: observational study among different shifts. BMJ Open. 2016;6(8):e012073.
Jafari Roodbandi A., Choobineh A., Daneshvar S. Relationship between circadian rhythm amplitude and stability with sleep quality and sleepiness among shift nurses and health care workers. Int J Occup Saf Ergon. 2015;21(3):312–317.
Waage S., Pallesen S., Moen B.E. et al. Predictors of shift work disorder among nurses: a longitudinal study. Sleep Med. 2014;15(12):1449–1455.
Choi S.J., Song P., Suh S., Joo E.Y., Lee S.I. Insomnia Symptoms and Mood Disturbances in Shift Workers with Different Chronotypes and Working Schedules. J Clin Neurol. 2020;16(1):108–115.
Andrzejewska K., Snarska K.K., Chorąży M. i wsp. Występowanie zaburzeń snu wśród personelu pielęgniarskiego. Med Og Nauk Zdr. 2018;24(2):126–132.
Shen S.H., Yen M., Yang S.L., Lee C.Y. Insomnia, anxiety, and heart rate variability among nurses working different shift systems in Taiwan. Nurs Health Sci. 2016;18(2):223–229.
Ustawa z dnia 15 kwietnia 2011 r. o działalności leczniczej (Dz.U. z 2011 r., nr 112, poz. 654), http://prawo.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WDU20160002218 [dostęp: 10.05.2019].
Silveira F.B.C.A., Lira Neto J.C.G., Weiss C., Araújo M.F.M. Associação entre a violência comunitária e no local de trabalho e a qualidade do sono de profissionais da saúde: estudo transversal. Cien Saude Colet. 2021;26(5):1647–1656.
Kousloglou S., Mouzas O., Bonotis K., Roupa Z., Vasilopoulos A., Angelopoulos N. Insomnia and burnout in Greek Nurses. Hippokratia. 2014;18(2):150–155.
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