Prevalence and Associated Factors of Poor Sleep Quality Among Nurses in a Tertiary Care Hospital: A Cross-Sectional Study.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S511543

Rahma Yusuf Haji Mohamud, Nur Adam Mohamed, Ali Abdullahi Abdi, Iftin Mohamed Osman, Amal Nor Ali, Serpil Doğan, Said Mohamed Mohamud, Zerife Orhan

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Abstract

Background: Poor sleep quality among nurses negatively impacts job performance, patient care, and mental well-being, leading to compromised cognitive ability, decision-making, and increased errors, which ultimately jeopardize patient care and safety. This study aimed to determine the prevalence of poor sleep quality and its associated factors among nurses at a tertiary care hospital in Mogadishu, Somalia.

Methods: A cross-sectional study was conducted among nurses working at a tertiary care hospital between May and August 2024. Data were collected using a standardized questionnaire, which included socio-demographic information, the Pittsburgh Sleep Quality Index (PSQI), the Depression, Anxiety, and Stress Scale (DASS-21), and the Oslo Social Support Scale (OSSS-3). Bivariate and multivariate logistic regression analyses were used to identify risk factors for poor sleep quality. A p-value of 0.05 was considered the threshold for statistical significance.

Results: A total of 280 nurses participated in the study, with 45.7% (95% CI: 39.8-51.7) reporting poor sleep quality. The odds of reporting poor sleep quality were higher among female nurses (AOR = 2.68; 95% CI: 1.35-5.32), those working night shifts (AOR = 4.76; 95% CI: 2.06-11.02), those with poor social support (AOR = 2.82; 95% CI: 1.09-7.27), and those experiencing depression (AOR = 5.35; 95% CI: 2.22-12.88), anxiety (AOR = 5.58; 95% CI: 2.61-11.92), and stress (AOR = 3.92; 95% CI: 1.11-13.90).

Conclusion: This study revealed a significantly high prevalence of poor sleep quality among nurses. These findings underscore the importance of addressing sleep quality as a key component of nursing well-being. It is recommended that nursing managers assess both the mental and physical health of their staff, implement targeted interventions such as stress management and counseling, and develop workplace strategies to improve sleep, including flexible scheduling and education on sleep hygiene.

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三级护理医院护士睡眠质量差的患病率及相关因素：一项横断面研究。

背景：护士睡眠质量差会对工作绩效、患者护理和心理健康产生负面影响，导致认知能力下降、决策能力下降、错误增加，最终危及患者护理和安全。本研究旨在确定索马里摩加迪沙一家三级护理医院护士中睡眠质量差的患病率及其相关因素。方法：对2024年5月至8月在某三级医院工作的护士进行横断面研究。使用标准化问卷收集数据，其中包括社会人口统计信息、匹兹堡睡眠质量指数（PSQI）、抑郁、焦虑和压力量表（DASS-21）和奥斯陆社会支持量表（OSSS-3）。使用双变量和多变量逻辑回归分析来确定睡眠质量差的危险因素。p值0.05被认为是具有统计学显著性的阈值。结果：共有280名护士参与研究，其中45.7% （95% CI: 39.8-51.7）报告睡眠质量较差。报告睡眠质量差的几率在女护士中较高(AOR = 2.68；95% CI: 1.35-5.32)，夜班工作者(AOR = 4.76；95% CI: 2.06-11.02)，社会支持差者(AOR = 2.82；95% CI: 1.09-7.27)和抑郁症患者(AOR = 5.35；95% CI: 2.22-12.88)，焦虑(AOR = 5.58；95% CI: 2.61-11.92)和应激(AOR = 3.92；95% ci: 1.11-13.90)。结论：本研究显示护士睡眠质量差的发生率明显较高。这些发现强调了将睡眠质量作为护理健康的关键组成部分的重要性。建议护理管理人员对其员工的身心健康进行评估，实施有针对性的干预措施，如压力管理和咨询，并制定改善睡眠的工作场所策略，包括灵活的时间安排和睡眠卫生教育。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.