PhD, RN, Adjunct Professor, Federal University of Mato Grosso do Sul, Três Lagoas, Mato Grosso do Sul, Brazil.
PhD, RN, Professor, Federal Institute of Science, Education and Technology of the South of Minas Gerais, Passos, Brazil.
J Nurs Res. 2022 Aug 1;30(4):e218. doi: 10.1097/jnr.0000000000000501.
The COVID-19 pandemic may trigger sleep disorders and burnout in nursing professionals.
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.
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.
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.
COVID-19 大流行可能会引发护理专业人员的睡眠障碍和倦怠。
本研究旨在描述 COVID-19 大流行期间护理团队中睡眠障碍和倦怠的发生情况，并确定相关因素。
采用横断面研究方法。通过互联网发放问卷。所有参与者均为在 COVID-19 大流行期间提供护理的护理专业人员，数据收集于 2020 年 6 月至 8 月之间。使用了社会人口统计学和工作特征描述工具、Jenkins 睡眠量表和 Maslach 倦怠量表。
共有 572 名护理专业人员（护士、护理技师和护理助理）做出回应。略超过四分之一（26.4%）的人出现睡眠障碍，17.3%的人出现倦怠。职业类别是与睡眠障碍相关的一个因素。此外，与护理助理相比，护士的睡眠障碍和开始使用睡眠药物的比例较低。此外，高水平的情绪耗竭倦怠与护理技师、需要护理的患者人数较多以及开始使用睡眠药物有关。与去人性化相关的倦怠程度在护理助理、每周工作负荷 50 小时或以上以及开始使用睡眠药物的人群中显著更高。此外，与个人成就相关的倦怠在开始使用睡眠药物的人群中显著更高。在睡眠障碍患者中，根据 Jenkins 睡眠量表的结果，所有患者均表现出高度或中度的情绪耗竭和与个人成就相关的高度倦怠。
结论/对实践的影响：研究结果表明，COVID-19 大流行期间护理专业人员的睡眠障碍和倦怠发生率较高，主要与开始使用睡眠药物有关。研究结果表明，检测和评估睡眠障碍和职业倦怠的频率非常重要。应制定旨在提高这些专业人员的睡眠质量和工作条件的干预措施。
