Korean Journal of Occupational Health Nursing (한국직업건강간호학회지)

Korean Academic Society of Occupational Health Nursing (한국직업건강간호학회)
권호 표지
DOI QR코드

DOI QR Code

Influence of Consecutive Night-Shift Work and Working Time on Insomnia among Hospital Nurses

병원 간호사의 연속 야간 교대근무와 근무시간이 불면증에 미치는 영향

  • Shin, Seunghwa (Department of Nursing, Andong Science College) ;
  • Kim, Su Hyun (School of Nursing, The Research Institute of Nursing Science, Kyungpook National University)
  • 신승화 (안동과학대학교 간호학과) ;
  • 김수현 (경북대학교 간호대학.간호과학연구소)
  • Received : 2020.04.10
  • Accepted : 2020.05.14
  • Published : 2020.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to identify the influence of consecutive night-shift work and working time on insomnia among hospital nurses. Methods: A descriptive correlational research designutilizing secondary data analysis was adopted. Data on consecutive night-shift work, working time, and insomnia were collected from 64 hospital nurses using a Fitbit activity tracker and questionnaires, and analyzed using hierarchical logistic regression. Results: Consecutive night-shift work for more than three days had a significant influence on insomnia among hospital nurses. Weekly working hours also accounted significantly for the variance in insomnia, exceeding the influence of consecutive night-shift work. Conclusion: Development and implementation of proper schedules to control consecutive night-shift work and working time is important to alleviate insomnia among hospital nurses.

Keywords

References

  1. American Academy of Sleep Medicine (2014). International classification of sleep disorder: 3rd edition. https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2019/05/ICSD3-TOC.pdf
  2. An, M. J., Kim, J. S., Heo, S. K., Kim, S. H., & Hwang, Y. Y. (2018). Factors affecting sleep quality of clinical nurses working in a hospital. Korean Journal of Adult Nursing, 30(2), 126-135. https://doi.org/10.7475/kjan.2018.30.2.126
  3. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. (2nd ed.). Hillsdale. NJ, Lawrence Erlbaum Associates.
  4. Elissa, B., Keith, D. H., Nicola, T. L., Cecilie, T. N., Gill, L., Eileen, B., et al. (2018). Reliability and validity of two fitness tracker devices in the laboratory and home environment for older community-dwelling people. BMC Geriatrics, 18, 103. https://doi.org/10.1186/s12877-018-0793-4
  5. Haines, V. Y., Marchand, A., Genin, E., & Rousseau, V. (2015). A balanced view of long work hours. International Journal of Workplace Health Management, 5(2), 104-119. https://doi.org/10.1108/17538351211239153
  6. Hospital Nurses Association. (2019). Survey on hospital nurses working condition. Retrieved from https://khna.or.kr/home/pds/utilities.php
  7. Jang, H. J., & Choi, E. S. (2020). The impacts of nurses' working environment on health problems. Korean Journal of Occupational Health Nursing, 29(1), 1-7. https://doi.org/10.5807/KJOHN.2020.29.1.1
  8. Jung, D. W., Lee, Y. J., Jeong, D. U., & Park, S. K. (2016). New predictors of sleep efficiency. The Journal of Chronobiology International, 14, 93-104.
  9. Kim, C. B., Jung, T. Y., & Han, S. M. (2015). Association night-shift and long working-hours effects on subjective insomnia in korean workers: The third korean working conditions survey. The Korean Society of Health Service Management, 9(1), 41-55. https://doi.org/10.12811/kshsm.2015.9.1.041
  10. Kim, J. H., Kim, M. S., & Kim, Y. H. (2017). A comparison of standard shiftwork index between night shift fixed nurses and rotating shift nurses. Journal of Korean Clinical Nursing Research, 23(1), 54-63. https://doi.org/10.22650/JKCNR.2017.23.1.54
  11. Kim, J. Y., Kim, J. H., Lee, Y. W., & Choi, K. G. (2005). Prevalence of shift work sleep disorder and its impact on health and working function in rapid rotating shift worker nurses. Journal Korea Sleep Society, 2(1), 39-46. https://doi.org/10.13078/jksrs.05007
  12. Kim, S. J., & Gu, M. O. (2013). A study on the relationship among circadian types, sleep quality and adaptation to night shifts among nurses working on two or three day night duties. Journal of Korean Clinical Nursing Research, 19(3), 309-320. https://doi.org/10.22650/JKCNR.2013.19.3.309
  13. Korea Occupational Safety & Health Agency (2016). Health management plan of shift worker. Retrieved from http://www.kosha.or.kr/kosha/data/jobHealthMain.do
  14. Korean Sleep Research Society. (2020). Sleep disorder-insomnia. Retrieved from https://www.sleepnet.or.kr/sleep/disorder?content=insomnia
  15. Korean Statistical Information Service. (2019). Economically active population survey 2019. Retrieved from http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=3032
  16. Merkus, S. L., Holte, K. A., Huysmans, M. A., Mechelen, W., & Beek, A. J. (2015). Nonstandard working schedules and health: the systematic search for a comprehensive model. BMC Public Health, 15(1084), 2-15. https://doi.org/10.1186/1471-2458-15-2
  17. Morin, C. M. (1993). Insomnia: Psychological assessment and management. New York: Guilford Press.
  18. Occupational Safety and Health Research Institute (2014). Sleep disorder investigation and its management for night shift workers 2014. Retrieved from http://oshri.kosha.or.kr/oshri/publication/researchReportSearch.do?mode=view&articleNo=408189&article.offset=0&articleLimit=10&srSearchVal=%EC%88%98%EB%A9%B4%EC%9E%A5%EC%95%A0
  19. Oh, B. H., Park, J. C., In, H. U., & Kim, K. W. (2017). The sleep disorders of nighttime fixed nurses and shift-work nurses. Korean Journal of Family Practice, 7(4), 551-556. https://doi.org/10.21215/kjfp.2017.7.4.551
  20. Olivier, V. R. (1998). Sleep and circadian disturbances in shift work: Strategies for their management. Hormone Research, 49, 158-162. https://doi.org/10.1159/000023164
  21. Seol, M. J., Lee, B. S., & Lee, S. K. (2018). Effects of labor intensity and fatigue on sleep quality of clinical nurses. Journal of Korean Academic Nurses Administration, 24(4), 276-287. https://doi.org/10.11111/jkana.2018.24.4.276
  22. Rajaratnam, S. M., Howard, M. E., & Grunstein, R. R. (2013). Sleep loss and circadian disruption in shift work: health burden and management. Medical Journal of Australia, 199, S11-S15.
  23. Shin, S. H. (2019). Sleep patterns according to shift work and healthy lifestyle in nurses. Unpublished doctoral dissertation, Kyungpook National University, Daegu.
  24. Shin, S. J., Lee, I. Y., Kim, J. H., & Bae, S. H. (2019). Work-related characteristics and sleep quality of nurses in comprehensive nursing care units of small-medium sized hospitals. Journal of Korean Academy of Fundamentals of Nursing, 26(4), 260-268. https://doi.org/10.7739/jkafn.2019.26.4.260
  25. Shin, S. W., & Kim, S. H. (2014). Influence of health-promoting behaviors on quality of sleep in rotating-shift nurses. Journal of Korean Academic Fundamental Nurses, 21(2), 123-130. https://doi.org/10.7739/jkafn.2014.21.2.123
  26. Shin, Y. S., Yoon, K. J., Kim, S. Y., Lee, N. K., Lim, J. W., Lee, J. H., et al. (2018). Survey on the status of health care providers. Sejong: Korea Institute for Health and Social Affairs. 2018-38.
  27. Zambotti, M., Goldstone, A., Claudatos, S., Colrain, I. M., & Baker, F. C. (2018). A validation study of Fitbit Charge $2^{TM}$ compared with polysomnography in adults. The Journal of Biological and Medical Rhythm Research, 35, 465-476.

Cited by

  1. The Association Between the Number of Consecutive Night Shifts and Insomnia Among Shift Workers: A Multi-Center Study vol.9, 2020, https://doi.org/10.3389/fpubh.2021.761279
  2. Relationship Between Shift Intensity and Insomnia Among Hospital Nurses in Korea: A Cross-sectional Study vol.54, pp.1, 2020, https://doi.org/10.3961/jpmph.20.555