Association Between Shift Work, Sleepiness, Chronic Fatigue, and Incident Occurrence in Nurses: A Generalized Structural Equation Modeling Approach

Background and Objective This study aimed to determine the association between shift work, sleepiness, chronic fatigue, and incident occurrence among educational hospital nurses. Methods This cross-sectional study was carried out in the educational hospital in Yazd–Iran. Using a stratified sampling...

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Main Authors: Mehrzad Ebrahemzadih, Gholam Hossein Halvani, Sara Jam Barsang, Sahar Khodi
Format: Article
Language:English
Published: Korean Society of Sleep Medicine 2024-12-01
Series:Sleep Medicine Research
Subjects:
Online Access:http://sleepmedres.org/upload/pdf/smr-2024-02348.pdf
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author Mehrzad Ebrahemzadih
Gholam Hossein Halvani
Sara Jam Barsang
Sahar Khodi
author_facet Mehrzad Ebrahemzadih
Gholam Hossein Halvani
Sara Jam Barsang
Sahar Khodi
author_sort Mehrzad Ebrahemzadih
collection DOAJ
description Background and Objective This study aimed to determine the association between shift work, sleepiness, chronic fatigue, and incident occurrence among educational hospital nurses. Methods This cross-sectional study was carried out in the educational hospital in Yazd–Iran. Using a stratified sampling technique 200 nurses were selected, comprising 100 shift-working nurses and 100 non-shift-working nurses from various departments of the educational hospitals. Demographic information, sleepiness (Epworth Sleepiness Scale), and chronic fatigue (Chalder Fatigue Scale) were assessed via questionnaires. A checklist was used to determine the incident type, cause, location, and frequency in the past 12 months. All statistical analyses, including the development and integration of the structural equation model, were performed using STATA software version 13. Results The results demonstrated a statistically significant association between shift work and incident occurrence (p-value>0.001). The results of this study indicate that the chance of incidents occurring in shift-working nurses is approximately 3.6 times higher than in nurses who do not work shifts. A significant majority of nurses (86.7%) who experienced incidents showed signs of chronic fatigue syndrome and sleepiness. Conclusions The findings suggest that nurses in two-shift systems experience advantages such as better recovery between shifts and higher quality of life. This study provides insights to enhance nurses’ well-being, patient safety, and quality of care.
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spelling doaj-art-3095bc261185431b95e147caa544e8302025-01-14T06:14:41ZengKorean Society of Sleep MedicineSleep Medicine Research2093-91752233-88532024-12-0115426927710.17241/smr.2024.02348304Association Between Shift Work, Sleepiness, Chronic Fatigue, and Incident Occurrence in Nurses: A Generalized Structural Equation Modeling ApproachMehrzad Ebrahemzadih0Gholam Hossein Halvani1Sara Jam Barsang2Sahar Khodi3 Department of Occupational Health Engineering, Iranshahr University of Medical Sciences, Iranshahr, Iran Department of Occupational Health Engineering, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Health Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, IranBackground and Objective This study aimed to determine the association between shift work, sleepiness, chronic fatigue, and incident occurrence among educational hospital nurses. Methods This cross-sectional study was carried out in the educational hospital in Yazd–Iran. Using a stratified sampling technique 200 nurses were selected, comprising 100 shift-working nurses and 100 non-shift-working nurses from various departments of the educational hospitals. Demographic information, sleepiness (Epworth Sleepiness Scale), and chronic fatigue (Chalder Fatigue Scale) were assessed via questionnaires. A checklist was used to determine the incident type, cause, location, and frequency in the past 12 months. All statistical analyses, including the development and integration of the structural equation model, were performed using STATA software version 13. Results The results demonstrated a statistically significant association between shift work and incident occurrence (p-value>0.001). The results of this study indicate that the chance of incidents occurring in shift-working nurses is approximately 3.6 times higher than in nurses who do not work shifts. A significant majority of nurses (86.7%) who experienced incidents showed signs of chronic fatigue syndrome and sleepiness. Conclusions The findings suggest that nurses in two-shift systems experience advantages such as better recovery between shifts and higher quality of life. This study provides insights to enhance nurses’ well-being, patient safety, and quality of care.http://sleepmedres.org/upload/pdf/smr-2024-02348.pdfchronic fatigue syndromesshift work schedulesleepinessincident reporting
spellingShingle Mehrzad Ebrahemzadih
Gholam Hossein Halvani
Sara Jam Barsang
Sahar Khodi
Association Between Shift Work, Sleepiness, Chronic Fatigue, and Incident Occurrence in Nurses: A Generalized Structural Equation Modeling Approach
Sleep Medicine Research
chronic fatigue syndromes
shift work schedule
sleepiness
incident reporting
title Association Between Shift Work, Sleepiness, Chronic Fatigue, and Incident Occurrence in Nurses: A Generalized Structural Equation Modeling Approach
title_full Association Between Shift Work, Sleepiness, Chronic Fatigue, and Incident Occurrence in Nurses: A Generalized Structural Equation Modeling Approach
title_fullStr Association Between Shift Work, Sleepiness, Chronic Fatigue, and Incident Occurrence in Nurses: A Generalized Structural Equation Modeling Approach
title_full_unstemmed Association Between Shift Work, Sleepiness, Chronic Fatigue, and Incident Occurrence in Nurses: A Generalized Structural Equation Modeling Approach
title_short Association Between Shift Work, Sleepiness, Chronic Fatigue, and Incident Occurrence in Nurses: A Generalized Structural Equation Modeling Approach
title_sort association between shift work sleepiness chronic fatigue and incident occurrence in nurses a generalized structural equation modeling approach
topic chronic fatigue syndromes
shift work schedule
sleepiness
incident reporting
url http://sleepmedres.org/upload/pdf/smr-2024-02348.pdf
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