Insomnia, anxiety, and heart rate variability among nurses working different shift systems in Taiwan

Abstract

This cross-sectional comparative study investigated the levels of insomnia, anxiety, and heart rate variability of nurses members working different shift systems. One hundred and twenty-four participants were recruited from members of the nurses of two Taiwanese hospitals. Data were collected using the Chinese versions of the Athens Insomnia Scale and Beck Anxiety Scale questionnaires and electrocardiograms recorded immediately upon completion of each participant's work shift. A binary logistic regression model was used for analysis. Insomnia, anxiety, and abnormal parasympathetic activity were more acute in nurses who worked a rotating shift than in those performing day or night shift work. Logistic regression analysis showed that age significantly increased the incidence and level of insomnia. Age, years of service, and nurses' status as a parent significantly intensified incidences of anxiety and abnormal parasympathetic activity. Rotating shift work is one of the main factors causing adverse effects on the physical and psychological health of nurses; therefore, when a shift work system cannot be avoided, a practice of day and night shifts for nurses is preferable to rotating shifts.

Association of cumulative job dissatisfaction with depression, anxiety and stress among expatriate nurses in Saudi Arabia

“…The estimates were also higher than those reported in other studies that used a different instrument for the assessment of depression (overall: 10%-40%) (Letvak et al, 2012;Nourry, Luc, Lefebvre, Sultan-Taïeb, & Béjean, 2014;Ohler, Kerr, & Forbes, 2010;Ruggiero, 2005). Furthermore, the proportion of nurses who had symptoms of anxiety (66% overall) was higher than other studies; earlier studies showed prevalence estimates below 38% (Hegney et al, 2014;Shen et al, 2016). Our study found that 38% of nurses reported symptoms of stress.…”

“…Unfortunately, almost nothing is known about depression among expatriate nurses in Saudi Arabia, although it is quite high (13%–20%) among other expatriate groups (Al‐Maskari et al, ; Nadim et al, ). A few studies are available on anxiety and stress among nurses; prevalence of anxiety and stress in these studies ranged between 12% and 38% (Hegney et al, ; Shen, Yen, Yang, & Lee, ) and between 68% and 84%, respectively (Almajwal, ; Karkar, Dammang, & Bouhaha, ).…”

Investigation and Education Practice on Nurse Mental Health

“…Clinical nurses'low mental health directly affects nurses' physical health [10], occupational satisfaction and sense of achievement, but also reduces work efficiency and quality [11]. Consequently, it can induce patient's negative emotions to treatment and the quality of service of hospital [12].…”

Seasonal variations in sleep disorders of nurses

“…Furthermore, a stronger association of SDs has been observed with rotating shifts than with day or night shifts (Shen et al . ). Certain treatments were studied for reducing insomnia in nurses, such as light exposure (Huang et al .…”