Sleep quality and job satisfaction in Spanish nursesthe consequences of COVID-19

  1. Maestro-González, Alba 1
  2. Zuazua-Rico, David 2
  3. Juan-García, Carmen 3
  4. Villalgordo-García, Salvador 4
  5. Mosteiro-Díaz, María Pilar 5
  6. Plaza-Carmona, María 3
  1. 1 Hospital Universitario Central de Asturias. Instituto de Investigación del Principado de Asturias. Oviedo. Spain.
  2. 2 Faculty of Medicine and Health Sciences. University of Oviedo. Hospital Universitario Central de Asturias. Oviedo. Spain.
  3. 3 León University Hospital, León, Spain.
  4. 4 Hospital Universitario Central de Asturias. Oviedo. Spain.
  5. 5 Faculty of Medicine and Health Sciences. University of Oviedo. Oviedo. Spain.
Revista:
Revista CUIDARTE

ISSN: 2216-0973 2346-3414

Año de publicación: 2024

Título del ejemplar: May-August

Volumen: 15

Número: 2

Tipo: Artículo

DOI: 10.15649/CUIDARTE.3452 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Revista CUIDARTE

Resumen

Highlights This study reveals that Spanish nurses have significantly poor sleep quality post-COVID-19, with a mean Pittsburgh Sleep Quality Index score of 9.75. Factors such as not having dependents and having a master's degree were linked to poor sleep quality among the nurses surveyed. Job satisfaction was the highest among female nurses and those not working with COVID-19 patients, indicating that sex and work conditions influenced satisfaction levels. Improving nurse-to-patient ratios and shift distributions are crucial for enhancing sleep quality and reducing stress and burnout among nurses. Introduction: Sleep is fundamental to the quality of life and can affect individuals' well-being and mental health. Objective: This study analyzed sleep quality and job satisfaction among Spanish nurses following the COVID-19 pandemic. Materials and Methods: A cross-sectional study was conducted using the Pittsburgh Sleep Quality Index (PSQI), Font Roja Job Satisfaction Questionnaire, and sociodemographic and work-related variables. A “snowball” sampling method was employed through social media dissemination. Results: The mean PSQI score was 9.75 ± 4,36 points. The poorest sleep quality was identified in participants without dependents (p=0.031; β=3.329; 95% CI=0.035-6.354) and those with dependents other than children (p=0.022; β=4.121; 95% CI=0.575-7.667). However, having a Ph.D degree (p=0.001; β=-3.406; 95% CI=-5.503-1.309) or specialist degree (p=0.021; β=-1.639; 95% CI=-3.031- -0.247) was associated with better sleep quality. Higher job satisfaction was found among women (p=0.034; β=0.104; 95% CI=0.007-0.201) who did not work with COVID-19 patients (p=0.049; β=-0.085; 95% CI=-0.174- -0.003).   Discussion: Improving working conditions, such as the nurse-to-patient ratio and distribution of work shifts, is crucial to enhancing nurses' sleep quality. Conclusions:  Spanish nurses reported poor sleep quality. Not having dependents or having dependents other than children were risk factors for poor sleep quality. Job satisfaction was higher among women who did not work with COVID-19 patients. No relationship was found between job satisfaction and sleep quality. How to cite this article: Maestro-González Alba, Zuazua-Rico David, Juan-García Carmen, Villalgordo-García Salvador, Mosteiro-Díaz María Pilar, Plaza-Carmona María. Sleep quality and job satisfaction in Spanish nurses: the consequences of COVID-19. Revista Cuidarte. 2024;15(2):e3452.  https://doi.org/10.15649/cuidarte.3452

Referencias bibliográficas

  • Booker LA, Fitzgerald J, Mills J, Bish M, Spong J, Deacon-Crouch M, et al. Sleep and fatigue management strategies: How nurses, midwives and paramedics cope with their shift work schedules—a qualitative study. Nurs Open. 2024;11(1):e2099. https://doi.org/10.1002/nop2.2099
  • Bae SH. Noneconomic and economic impacts of nurse turnover in hospitals: A systematic review. Int Nurs Rev. 2022;69(3):392-404https://doi.org/10.1111/inr.12769
  • Barion A, Zee PC. A clinical approach to circadian rhythm sleep disorders. Sleep Med. 2007;8(6):566-77. https://doi.org/10.1016/j.sleep.2006.11.017
  • Booker LA, Barnes M, Alvaro P, Collins A, Chai-Coetzer CL, McMahon M, et al. The role of sleep hygiene in the risk of Shift Work Disorder in nurses. Sleep. 2019;43(2)zsz228. https://doi.org/10.1093/sleep/zsz228
  • Brown JP, Martin D, Nagaria Z, Verceles AC, Jobe SL, Wickwire EM. Mental Health Consequences of Shift Work: An Updated Review. Curr Psychiatry Rep. 2020;22(2):1-7. https://doi.org/10.1007/s11920-020-1131-z
  • Kecklund G, Axelsson J. Health consequences of shift work and insufficient sleep. BMJ. 2016;355:i5210. https://doi.org/10.1136/bmj.i5210
  • Membrive-Jiménez MJ, Gómez-Urquiza JL, Suleiman-Martos N, Velando-Soriano A, Ariza T, De la Fuente-Solana EI, et al. Relation between Burnout and Sleep Problems in Nurses: A Systematic Review with Meta-Analysis. Healthcare (Basel). 2022;10(5):954. https://doi.org/10.3390/healthcare10050954
  • García-Tudela Á, Simonelli-Muñoz AJ, Rivera-Caravaca JM, Fortea MI, Simón-Sánchez L, González-Moro MTR, et al. Stress in Emergency Healthcare Professionals: The Stress Factors and Manifestations Scale. Int J Environ Res Public Health. 2022;19(7):4342. https://doi.org/10.3390/ijerph19074342
  • McDowall K, Murphy E, Anderson K. The impact of shift work on sleep quality among nurses. Occup Med (Lond). 2017;67(8):621-5. https://doi.org/10.1093/occmed/kqx152
  • Roman P, Perez-Cayuela I, Gil-Hernández E, Rodriguez-Arrastia M, Aparicio-Mota A, Ropero-Padilla C, et al. Influence of Shift Work on The Health of Nursing Professionals. J Pers Med. 2023;13(4):627. https://doi.org/10.3390/jpm13040627
  • Shi H, Huang T, Schernhammer ES, Sun Q, Wang M. Rotating Night Shift Work and Healthy Aging After 24 Years of Follow-up in the Nurses’ Health Study. JAMA Netw Open. 2022;5(5):e2210450. https://doi.org/10.1001/jamanetworkopen.2022.10450
  • Proper KI, Van De Langenberg D, Rodenburg W, Vermeulen RCH, Van Der Beek AJ, Van Steeg H, et al. The Relationship Between Shift Work and Metabolic Risk Factors. American Journal of Preventive Medicine. 2016;50(5):e147-57. https://doi.org/10.1016/j.amepre.2015.11.013
  • Hwang SK, Lee YJ, Cho ME, Kim BK, Yoon YI. Factors Associated with Gastrointestinal Symptoms among Rotating Shift Nurses in South Korea: A Cross-Sectional Study. Int J Environ Res Public Health. 2022;19(16):9795. https://doi.org/10.3390/ijerph19169795
  • Lozano-Lorca M, Olmedo-Requena R, Vega-Galindo MV, Vázquez-Alonso F, Jiménez-Pacheco A, Salcedo-Bellido I, et al. Night Shift Work, Chronotype, Sleep Duration, and Prostate Cancer Risk: CAPLIFE Study. IJERPH. 2020;17(17):6300. https://doi.org/10.3390/ijerph17176300
  • Alfonsi V. Sleep deprivation provokes aberrant dynamic brain activity and memory decline among night shift nurses. Evid Based Nurs. 2023;26(2):71.https://doi.org/10.1136/ebnurs-2022-103648
  • Suleiman K, Hijazi Z, Al Kalaldeh M, Abu Sharour L. Quality of nursing work life and related factors among emergency nurses in Jordan. Jrnl of Occup Health. 2019;61(5):398-406. https://doi.org/10.1002/1348-9585.12068
  • Rajcani J, Vytykacova S, Solarikova P, Brezina I. Stress and hair cortisol concentrations in nurses during the first wave of the COVID-19 pandemic. Psychoneuroendocrinology. 2021;129:105245. https://doi.org/10.1016/j.psyneuen.2021.105245
  • Tosun A, Tosun H, Ödül Özkaya B, Erdoğan Z, Gül A. Sleep Quality and Depression Level in Nurses in COVID-19. Pandemic. Omega (Westport). 2022. https://doi.org/10.1177/00302228221123159
  • Krishnamoorthy Y, Nagarajan R, Saya GK, Menon V. Prevalence of psychological morbidities among general population, healthcare workers and COVID-19 patients amidst the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Res. 2020;293:113382. https://doi.org/10.1016/j.psychres.2020.113382
  • American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Fifth edition. Arlington, VA: American Psychiatric Association; 2013.
  • Macías-Fernández J, Royuela-Rico A. La versión española del índice de calidad del sueño de Pittburgh. Informaciones psiquiátricas. 1996;14(4):465-72. https://www.researchgate.net/profile/Angel_Royuela/publication/258513992_La_version_espanola_del_Indice_de_Calidad_de_Sueno_de_Pittsburgh/links/0c96052876d26b1b3b000000/La-version-espanola-del-Indice-de-Calidad-de-Sueno-de-Pittsburgh.pdf
  • Núñez-González E, Estévez-Guerra G, Hernández-Marrero P, Marrero-Medina C. Una propuesta destinada a complementar el cuestionario Font-Roja de satisfacción laboral. Gac Sanit. 2007;21(2):136-41. https://doi.org/10.1157/13101040
  • Maestro-González A, Zuazua-Rico D, Juan-García C, Villalgordo-García S, Mosteiro-Díaz MP, Plaza-Carmona M. Sleep quality and job satisfaction in Spanish nurses: the consequences of COVID-19. Zenodo; 2023.https://zenodo.org/records/8420660
  • World Medical Association. World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA. 2013;310(20):2191-2194. https://doi.org/10.1001/jama.2013.281053
  • Childress JF, Meslin EM, Shapiro HT. Belmont revisited: ethical principles for research with human subjects. Washington (D.C.): Georgetown University press; 2005.
  • Ehni HJ, Wiesing U. Research ethics for a globalised world: the revised CIOMS international guidelines. Indian J Med Ethics. 2017;2(3):165-168. https://doi.org/10.20529/IJME.2017.046
  • Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research. 1989;28(2):193-213.https://doi.org/10.1016/0165-1781(89)90047-4
  • Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
  • Alfonsi V, Scarpelli S, Gorgoni M, Couyoumdjian A, Rosiello F, Sandroni C, et al. Healthcare Workers after Two Years of COVID-19: The Consequences of the Pandemic on Psychological Health and Sleep among Nurses and Physicians. Int J Environ Res Public Health. 2023;20(2):1410. https://doi.org/10.3390/ijerph20021410
  • Bilgiç Ş, Çelikkalp Ü, Mısırlı C. Stress level and sleep quality of nurses during the COVID-19 pandemic. WOR. 2021;70(4):1021-9.https://doi.org/10.3233/WOR-210538
  • Boned-Galán Á, López-Ibort N, Gascón-Catalán A. Sleep disturbances in nurse managers during the early and late stages of the COVID-19 pandemic. Front Psychol. 2022;13:1070355. https://doi.org/10.3389/fpsyg.2022.1070355
  • Pataka A, Kotoulas S, Tzinas A, Kasnaki N, Sourla E, Chatzopoulos E, et al. Sleep Disorders and Mental Stress of Healthcare Workers during the Two First Waves of COVID-19 Pandemic: Separate Analysis for Primary Care. Healthcare (Basel) 2022;10(8):1395. https://doi.org/10.3390/healthcare10081395
  • Norful AA, Haghighi F, Shechter A. Assessing sleep health dimensions in frontline registered nurses during the COVID-19 pandemic: implications for psychological health and wellbeing. SLEEP Advances. 2023;4(1):zpac046. https://doi.org/10.1093/sleepadvances/zpac046
  • Wang B, Lu Q, Sun F, Zhang R. The relationship between sleep quality and psychological distress and job burnout among Chinese psychiatric nurses. Ind Health. 2021;59(6):427-35. https://doi.org/10.2486/indhealth.2020-0249
  • Lyu X, Li K, Liu Q, Wang X, Yang Z, Yang Y, et al. Sleep status of psychiatric nurses: A survey from China. Nurs Open. 2022;9(6):2720-8. https://doi.org/10.1002/nop2.972
  • Proserpio P, Zambrelli E, Lanza A, Dominese A, Di Giacomo R, Quintas R, et al. Sleep disorders and mental health in hospital workers during the COVID-19 pandemic: a cross-sectional multicenter study in Northern Italy. Neurol Sci. 2022;43(4):2241-51. https://doi.org/10.1007/s10072-021-05813-y
  • Maestro-Gonzalez A, Sánchez-Zaballos M, Mosteiro-Díaz MP, Zuazua-Rico D. Quality of sleep among social media users during the lockdown period due to COVID-19 in Spain. Sleep Medicine. 2021;80:210-5. https://doi.org/10.1016/j.sleep.2021.01.050
  • García‐Tudela Á, Simonelli‐Muñoz AJ, Gallego‐Gómez JI, Rivera‐Caravaca JM. Impact of the COVID ‐19 pandemic on stress and sleep in emergency room professionals. Journal of Clinical Nursing. 2023;32(15-16):5037-5045. https://doi.org/10.1111/jocn.16738
  • Moreno-Casbas MT, Alonso-Poncelas E, Gómez-García T, Martínez-Madrid MJ, Escobar-Aguilar G. Perception of the quality of care, work environment and sleep characteristics of nurses working in the National Health System. Enfermería Clínica (English Edition). 2018;28(4):230-239. https://doi.org/10.1016/j.enfcle.2018.01.003
  • Suleiman K, Hijazi Z, Kalaldeh MA, Sharour LA. Factors Associated with Sleep Quality Among Emergency Nurses in Jordan. Sleep Vigilance. 2020;4(1):11-6. https://doi.org/10.1007/s41782-019-00082-4
  • Martin-Rodriguez LS, Escalda-Hernandez P, Soto-Ruiz N, Ferraz-Torres M, Rodriguez-Matesanz I, Garcia-Vivar C. Mental health of Spanish nurses working during the COVID-19 pandemic: A cross-sectional study. Int Nurs Rev. 2022;69(4):538-45. https://doi.org/10.1111/inr.12764
  • Senol V, Soyuer F, Guleser GN, Argun M, Avsarogullari L. The Effects of the Sleep Quality of 112 Emergency Health Workers in Kayseri, Turkey on Their Professional Life. Turkish Journal of Emergency Medicine. 2014;14(4):172-178. https://doi.org/10.5505/1304.7361.2014.60437
  • Kang J, Noh W, Lee Y. Sleep quality among shift-work nurses: A systematic review and meta-analysis. Applied Nursing Research. 2020;52:151227. https://doi.org/10.1016/j.apnr.2019.151227
  • Bagheri Hosseinabadi M, Ebrahimi MH, Khanjani N, Biganeh J, Mohammadi S, Abdolahfard M. The effects of amplitude and stability of circadian rhythm and occupational stress on burnout syndrome and job dissatisfaction among irregular shift working nurses. J Clin Nurs. 2019;28(9-10):1868-78. https://doi.org/10.1111/jocn.14778
  • Giorgi F, Mattei A, Notarnicola I, Petrucci C, Lancia L. Can sleep quality and burnout affect the job performance of shift-work nurses? A hospital cross-sectional study. J Adv Nurs. 2018;74(3):698-708. https://doi.org/10.1111/jan.13484
  • Meneguin S, Ignácio I, Pollo CF, Honório HM, Patini MSG, de Oliveira C. Burnout and quality of life in nursing staff during the COVID-19 pandemic. BMC Nurs. 2023;22(1):14. https://doi.org/10.1186/s12912-022-01168-7
  • Olagunju AT, Bioku AA, Olagunju TO, Sarimiye FO, Onwuameze OE, Halbreich U. Psychological distress and sleep problems in healthcare workers in a developing context during COVID-19 pandemic: Implications for workplace wellbeing. Progress in Neuro-Psychopharmacology and Biological Psychiatry. 2021;110:110292. https://doi.org/10.1016/j.pnpbp.2021.110292
  • Rahnavard F, Sadati AK, Hemmati S, Ebrahimzade N, Sarikhani Y, Heydari ST, et al. The impact of environmental and demographic factors on nursing job satisfaction. Electron Physician. 2018;10(4):6712-7. https://doi.org/10.19082/6712
  • Rouxel G, Michinov E, Dodeler V. The influence of work characteristics, emotional display rules and affectivity on burnout and job satisfaction: A survey among geriatric care workers. Int J Nurs Stud. 2016;62:81-89. https://doi.org/10.1016/j.ijnurstu.2016.07.010
  • Toscano F, Tommasi F, Giusino D. Burnout in Intensive Care Nurses during the COVID-19 Pandemic: A Scoping Review on Its Prevalence and Risk and Protective Factors. Int J Environ Res Public Health. 2022;19(19):12914. https://doi.org/10.3390/ijerph191912914
  • Petrino R, Riesgo LGC, Yilmaz B. Burnout in emergency medicine professionals after 2 years of the COVID-19 pandemic: a threat to the healthcare system? Eur J Emerg Med. 2022;29(4):279-284.https://doi.org/10.1097/MEJ.0000000000000952
  • de Pinho LG, Sampaio F, Sequeira C, Teixeira L, Fonseca C, Lopes MJ. Portuguese Nurses’ Stress, Anxiety, and Depression Reduction Strategies during the COVID-19 Outbreak. Int J Environ Res Public Health. 2021;18(7):3490. https://doi.org/10.3390/ijerph18073490