TY - JOUR
T1 - Short sleep duration is dose-dependently related to job strain and burnout in nurses
T2 - A cross sectional survey
AU - Chin, Weishan
AU - Guo, Yue Leon
AU - Hung, Yu Ju
AU - Yang, Chiu Yueh
AU - Shiao, Judith Shu Chu
N1 - Funding Information:
This work was supported by Department of Health, Executive Yuan, R.O.C. (Taiwan) grant DOH099-TD-M-113-098006 . We thank governments’ support and also appreciate all participants. We are grateful to Dr. Hintchun Huang help us to use statistic product for GAM analysis. Conflict of interest : No conflicts of interest. Funding : This work was supported by Ministry of Health and Welfare, R.O.C. (Taiwan) grants DOH099-TD-M-113-098006. Ethical approval : The Institutional Review Board (IRB) at the National Taiwan University Medical College, protocol 200812011R.
Publisher Copyright:
© 2014 Elsevier Ltd.
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Objectives: Lack of sleep is a common problem amongst nurses. Short sleep duration has been related to stress and burnout. However, in nurses, the effects of short sleep duration on job strain and burnout are controversial and a clear relationship has been lacking. This study aims to assess whether short sleep duration is related to job strain and burnout statue, and whether such relationship is in a dose-dependent manner. Methods: A cross-sectional survey among female nurses in secondary referral health centers in Taiwan, using a self-administered structured questionnaire. Stratified sampling by region and patient bed number category was done to select representative centers for this survey. Approximately 10% of all secondary referral centers were randomly selected from each stratum. Non-linear dose-response relationship between sleep duration and job strain and burnout scores was assessed by general additive models (GAM), adjusting for personal characteristics, work condition, and family situation. Results: Among the 2268 full-time nurses in 39 hospitals invited to participate in this study, 1384 (61%) satisfactorily completed the questionnaire. There were 169 nurses (12.2%) who slept less than 6. h per working day. Among the participants, 37% (n= 512) were classified into high strain group. The mean scores of personal, work-related, and client-related burnout were 59.4 (SD = 22.0), 54.6 (SD = 21.7), and 42.3 (SD = 18.6). Compared to those slept longer than 7. h, nurse who slept less than 6. h per working day had higher risk for job strain (adjusted odds ratio, AOR = 1.8, 95% confidence interval, CI = 1.2-2.7), personal burnout (AOR = 3.0, CI = 1.7-5.2), work-related burnout (AOR = 3.4, CI = 2.0-6.0), and client-related burnout (AOR = 2.0, CI = 1.2-3.6). GAM analysis found a linear relationship between sleep duration and job strain, and client-related burnout. For personal and work-related burnout, a linear increase in burnout score between 7. h and 5. h of sleep was observed, followed by a leveling off for durations of less than 5. h. Conclusion: Our study found sleep duration at working days was inversely associated with female nurses' job strain and burnout in a dose-dependent manner. Further studies on work factors which affecting sleep duration are warranted.
AB - Objectives: Lack of sleep is a common problem amongst nurses. Short sleep duration has been related to stress and burnout. However, in nurses, the effects of short sleep duration on job strain and burnout are controversial and a clear relationship has been lacking. This study aims to assess whether short sleep duration is related to job strain and burnout statue, and whether such relationship is in a dose-dependent manner. Methods: A cross-sectional survey among female nurses in secondary referral health centers in Taiwan, using a self-administered structured questionnaire. Stratified sampling by region and patient bed number category was done to select representative centers for this survey. Approximately 10% of all secondary referral centers were randomly selected from each stratum. Non-linear dose-response relationship between sleep duration and job strain and burnout scores was assessed by general additive models (GAM), adjusting for personal characteristics, work condition, and family situation. Results: Among the 2268 full-time nurses in 39 hospitals invited to participate in this study, 1384 (61%) satisfactorily completed the questionnaire. There were 169 nurses (12.2%) who slept less than 6. h per working day. Among the participants, 37% (n= 512) were classified into high strain group. The mean scores of personal, work-related, and client-related burnout were 59.4 (SD = 22.0), 54.6 (SD = 21.7), and 42.3 (SD = 18.6). Compared to those slept longer than 7. h, nurse who slept less than 6. h per working day had higher risk for job strain (adjusted odds ratio, AOR = 1.8, 95% confidence interval, CI = 1.2-2.7), personal burnout (AOR = 3.0, CI = 1.7-5.2), work-related burnout (AOR = 3.4, CI = 2.0-6.0), and client-related burnout (AOR = 2.0, CI = 1.2-3.6). GAM analysis found a linear relationship between sleep duration and job strain, and client-related burnout. For personal and work-related burnout, a linear increase in burnout score between 7. h and 5. h of sleep was observed, followed by a leveling off for durations of less than 5. h. Conclusion: Our study found sleep duration at working days was inversely associated with female nurses' job strain and burnout in a dose-dependent manner. Further studies on work factors which affecting sleep duration are warranted.
KW - Burnout
KW - Job strain
KW - Night shift work
KW - Nurses
KW - Sleep duration
KW - Burnout
KW - Job strain
KW - Night shift work
KW - Nurses
KW - Sleep duration
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U2 - 10.1016/j.ijnurstu.2014.09.003
DO - 10.1016/j.ijnurstu.2014.09.003
M3 - Article
C2 - 25311378
AN - SCOPUS:84919458890
SN - 0020-7489
VL - 52
SP - 297
EP - 306
JO - International Journal of Nursing Studies
JF - International Journal of Nursing Studies
IS - 1
ER -