Sleep quality and associated factors among critical care nurses in Jordan: A cross-sectional study

IF 1.1 Q3 NURSING

Enfermeria Intensiva Pub Date : 2025-06-20 DOI:10.1016/j.enfi.2025.500562

Kholood E. Al-Nbabteh MSN , Rezan Bani Bkar MSN , Ayman M. Al-Qaaneh PhD , Eqbal M. Alfarajat PhD , Sonia Kraishan MSN

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引用次数: 0

Abstract

Background

Sleep is an essential component of daily living, yet sleep disturbances are prevalent among nurses in critical care settings. Poor sleep quality is linked to adverse outcomes, including diminished cognitive and physical performance, mood disorders, and an increased risk of chronic diseases. This study aimed to evaluate the sleep quality of critical care nurses in Jordanian public hospitals and identify the associated factors.

Methods

A cross-sectional study was conducted in two major hospitals affiliated with Jordan's Ministry of Health. A convenience sample of 172 critical care nurses completed the Pittsburgh Sleep Quality Index (PSQI), the National Aeronautics and Space Administration Task Load Index (NASA-TLX), and the Depression Anxiety Stress Scale (DASS). Data were analyzed using multiple regression analysis in SPSS version 28.

Results

A total of 82.6% of nurses reported poor sleep quality, with an average global PSQI score of 10.87 ± 3.19. Workload (B = 2.844, p < 0.001) and anxiety (B = 1.087, p < 0.001) were the most significant predictors of poor sleep quality. Marital status (B = 1.466, p = 0.017) and working shifts (B = 1.826, p = 0.022) were also significantly associated with poor sleep quality.

Conclusion

Poor sleep quality level was found among the majority of critical care nurses, highlighting the need of implementing immediate interventions; including routine assessment of nurses sleep quality, ongoing support and counseling. Policymakers should prioritize initiatives such as workload management, disciplined shift scheduling, and stress reduction programs to improve nurses’ well-being. Implementing these procedures may reduce fatigue-related medical errors and increase patient safety.

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约旦重症护理护士的睡眠质量及相关因素：一项横断面研究

睡眠是日常生活的重要组成部分，但睡眠障碍在重症护理环境中的护士中很普遍。睡眠质量差与不良后果有关，包括认知和身体表现下降、情绪障碍以及患慢性病的风险增加。本研究旨在评估约旦公立医院重症护理护士的睡眠质量，并确定相关因素。方法在约旦卫生部所属的两大医院进行横断面研究。方便抽样172名重症护理护士完成匹兹堡睡眠质量指数（PSQI）、美国国家航空航天局任务负荷指数（NASA-TLX）和抑郁焦虑压力量表（DASS）。数据分析采用SPSS 28版多元回归分析。结果82.6%的护士睡眠质量较差，整体PSQI平均得分为10.87±3.19。工作量(B = 2.844, p <；0.001)和焦虑(B = 1.087, p <；0.001)是睡眠质量差的最显著预测因子。婚姻状况（B = 1.466, p = 0.017）和工作班次（B = 1.826, p = 0.022）也与睡眠质量差显著相关。结论大多数重症护士睡眠质量水平较差，需要立即采取干预措施；包括对护士睡眠质量的常规评估，持续的支持和咨询。政策制定者应优先考虑工作量管理、有纪律的轮班安排和减压计划等举措，以改善护士的福祉。实施这些程序可以减少与疲劳有关的医疗差错，提高患者安全。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermeria Intensiva NURSING-

CiteScore

2.50

自引率

23.10%

发文量

期刊介绍： Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.