Department of Health, Life and Environmental Sciences, University of L'Aquila, Italy.
J Adv Nurs. 2018 Mar;74(3):698-708. doi: 10.1111/jan.13484. Epub 2017 Nov 22.
The aim of this study was to investigate any possible relationship between sleep disorders, burnout and job performance in a shift-work population of nurses.
Sleep disorders and burnout can affect the job performance of nurses in terms of efficiency, productivity, task execution speed and supervision, which can be compromised when work shifts are organized on a 24-hour schedule and when the shift itself is irregular.
A cross-sectional observational study was conducted from August 2014 - January 2015 on a sample of 315 shift-work nurses across 39 wards in seven central Italian hospitals.
The Pittsburgh Sleep Quality Index was used to detect the presence of sleep disorders, the Copenhagen Burnout Inventory was used to detect the presence of any possible type of burnout and the Job Performance Scale was used to measure job performance. Data analysis was mainly based on a multivariate logistic regression to identify variables significantly associated with investigated outcomes.
On shift-work nurses' sleep quality and burnout correlated positively. The female gender and personal burnout were significantly associated with impaired sleep quality, while working in the psychiatric setting, working a long cycle shift pattern and experiencing daytime dysfunction were significantly associated with burnout. A significant negative association between patient-related burnout and job performance was observed.
Specific characteristics of shift-work nurses can directly affect sleep quality and burnout and indirectly job performance. This evidence offers healthcare administrators opportunities to intervene with measures to promote nurse's health, well-being and safety.
本研究旨在调查睡眠障碍、倦怠与轮班护士工作绩效之间可能存在的关系。
睡眠障碍和倦怠会影响护士的工作绩效，表现在工作效率、生产力、任务执行速度和监督方面，当工作班次按照 24 小时时间表安排且班次不规则时，这些方面可能会受到影响。
2014 年 8 月至 2015 年 1 月，在意大利中部 7 家医院的 39 个病房中，对 315 名轮班护士进行了横断面观察性研究。
使用匹兹堡睡眠质量指数（PSQI）来检测睡眠障碍的存在，使用哥本哈根倦怠量表（CBI）来检测任何可能类型的倦怠，使用工作绩效量表（JPS）来测量工作绩效。数据分析主要基于多变量逻辑回归，以确定与调查结果显著相关的变量。
轮班护士的睡眠质量和倦怠呈正相关。女性和个人倦怠与睡眠质量受损显著相关，而在精神科工作、长周期轮班模式和白天功能障碍与倦怠显著相关。患者相关倦怠与工作绩效之间存在显著的负相关关系。
轮班护士的特定特征会直接影响睡眠质量和倦怠，间接影响工作绩效。这一证据为医疗保健管理人员提供了机会，可以采取措施来促进护士的健康、福祉和安全。
