Sleep health is associated with next-day mindful attention in healthcare workers

Lee, Soomi; Mu, Christina; Gonzalez, Brian D.; Vinci, Christine; Small, Brent J.

doi:10.1016/j.sleh.2020.07.005

Cited by 25 publications

(24 citation statements)

References 38 publications

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“…Sleep is a modifiable factor, with good sleep quality having been proposed as a protective factor for the health and well-being of nursing professionals as well as a factor promoting quality of care, as observed in hospitals in the United States ( Lee et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Sleep and Professional Burnout in Nurses, Nursing Technicians, and Nursing Assistants During the COVID-19 Pandemic

Santos

Pereira

Caliari

et al. 2022

Journal of Nursing Research

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Background The COVID-19 pandemic may trigger sleep disorders and burnout in nursing professionals. Purpose This study was designed to describe the occurrence of sleep disorders and burnout in a nursing team during the COVID-19 pandemic and to identify the associated factors. Methods A cross-sectional approach was used. The questionnaire was administered via the Internet. All of the participants were nursing professionals who had provided care during the COVID-19 pandemic, and data were collected between June and August 2020. Sociodemographic and work characterization instruments, the Jenkins Sleep Scale, and the Maslach Burnout Inventory were used. Results Five hundred seventy-two nursing professionals (nurses, nursing technicians, and nursing assistants) responded. Slightly over one quarter (26.4%) presented a sleep disorder, and 17.3% presented burnout. Professional category was a factor found to be associated with having a sleep disorder. Moreover, a lower prevalence both of disorders and of starting to use sleep medication was found among nurses than nursing assistants. Moreover, an association was found between having a high level of emotional exhaustion burnout and being a nursing technician, having a higher number of patients needing care, and starting to use sleep medication. The level of burnout related to depersonalization was significantly higher for nursing assistants, those with a weekly workload of 50 hours or more, and those starting to use sleep medication. Furthermore, burnout related to personal accomplishment was significantly higher in those starting to use sleep medication. Among the participants with sleep disorders, according to Jenkins Sleep Scale results, all of the participants presented a high or moderate level of emotional exhaustion and a high level of burnout related to personal accomplishment. Conclusions/Implications for Practice The findings indicate that the incidence of sleep disorders and burnout were high among nursing professionals during the COVID-19 pandemic and mainly related with starting to use sleep medication. The results demonstrate the importance of detecting and assessing the frequency of sleep disorders and professional exhaustion. Interventions that aim to improve sleep quality and working conditions for these professionals should be developed.

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Section: Discussionmentioning

confidence: 99%

Sleep and Professional Burnout in Nurses, Nursing Technicians, and Nursing Assistants During the COVID-19 Pandemic

Santos

Pereira

Caliari

et al. 2022

Journal of Nursing Research

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“…EMA sleep variables not included here are reported elsewhere, and items were adapted from questions in previous work (Buxton et al, 2016; Buysse et al, 1989; Lee et al, 2019, 2021; Vigoureux & Lee, 2021). TIB was assessed as the difference between bedtime (i.e., “When did you go to bed last night [that is, get into bed with the intention of sleeping]?”) and waketime (i.e., “When did you get up this morning?”).…”

Section: Methodsmentioning

confidence: 99%

Adapting Research to a Global Pandemic

Vigoureux

Mason

et al. 2022

Nursing Research

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BackgroundMandated social distancing practices and quarantines in response to COVID-19 have resulted in challenges for research on healthcare workers, such as hospital nurses. It remains unknown whether nursing studies utilizing complex methodology like sleep actigraphy and ecological momentary assessment (EMA) can be conducted remotely without compromising data quality.ObjectivesWe aimed to (a) disseminate our remote study protocol for sleep actigraphy and EMA data from hospital nurses during COVID-19, (b) assess feasibility and acceptability of this approach for studies on hospital nurses, and (c) examine the reliability and ecological validity of sleep characteristics measured across 14 days.MethodsUsing an online platform, we provided 86 outpatient nurses from a cancer hospital with detailed video/text instructions regarding the study and facilitated virtual study onboarding meetings. Feasibility was assessed by comparing adherence rates to a similar in-person study of nurses from the same hospital; acceptability was evaluated through content analysis of qualitative study feedback. Multilevel modeling was conducted to assess changes in sleep characteristics as a function of study day and daily stressful experiences.ResultsAdherence to EMA (91.8%) and actigraphy (97.9%) was high. EMA adherence was higher than the in-person study of inpatient day-shift nurses from the same hospital. Content analyses revealed primarily positive feedback, with 51.2% reporting “easy, clear, simple onboarding” and 16.3% reporting the website was “helpful.” Six participants provided only negative feedback. Sleep characteristics did not change as a function of study day except for self-reported quality, which increased slightly during Week 1 and regressed toward baseline after that. A higher incidence of stressor days or higher stressor severity followed nights with shorter-than-usual time in bed or poorer-than-usual sleep quality, supporting the ecological validity for these methods of assessing sleep in nurses.DiscussionFindings suggest that a fully remote study protocol for EMA and actigraphy studies in nursing yields robust feasibility, acceptability, reliability, and validity. Given the busy schedules of nurses, the convenience of this approach may be preferable to traditional in-person data collection. Lessons learned from COVID-19 may apply to improving nursing research postpandemic.

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“…WASO was displayed in minutes per day, and higher values indicate poorer sleep quality and greater sleep disturbance. Actigraphy sleep duration was calculated by subtracting time in bed and WASO (Lee et al., 2020).…”

Section: Methodsmentioning

confidence: 99%

Subjective cognitive abilities correlate with poor sleep among day‐shift and night‐shift nurses

Veal

Small

et al. 2021

Journal of Sleep Research

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Nurses make up the largest subset of healthcare professionals (Jacob et al., 2015). Due to unconventional work shifts and long workdays, nurses often report sleep problems (Sun et al., 2019). Poor sleep is associated with worse cognitive functioning (Lee et al., 2019), lower ratings of patient care, and may even compromise patient safety (Stimpfel et al., 2020). Little is known in regard to how daily sleep is related to subjective cognition and how work characteristics moderate this relationship (Costa & Fardell, 2019). Previous research indicates on days following nights with shorter sleep duration or poorer sleep quality, workers report

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Sleep health is associated with next-day mindful attention in healthcare workers

Cited by 25 publications

References 38 publications

Sleep and Professional Burnout in Nurses, Nursing Technicians, and Nursing Assistants During the COVID-19 Pandemic

Sleep and Professional Burnout in Nurses, Nursing Technicians, and Nursing Assistants During the COVID-19 Pandemic

Adapting Research to a Global Pandemic

Subjective cognitive abilities correlate with poor sleep among day‐shift and night‐shift nurses

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