Factors associated with insomnia among Chinese front‐line nurses fighting against COVID‐19 in Wuhan: A cross‐sectional survey

Jul 14, 2020Journal of nursing management

Factors linked to insomnia in Chinese nurses working on the COVID-19 front line in Wuhan

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Abstract

The prevalence of insomnia among front-line nurses in Wuhan during the COVID-19 pandemic was 52.8%.

Insomnia was associated with factors such as gender, working experience, and chronic diseases.
The duration of midday naps and participation in direct patient care during the pandemic were linked to insomnia.
Frequent night shifts and negative experiences related to COVID-19 were predictors of insomnia.
Higher levels of fear regarding COVID-19, fatigue, and perceived stress correlated with increased insomnia.

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AIM: To investigate the prevalence of insomnia among front-line nurses fighting against COVID-19 in Wuhan, China, and analyse its influencing factors.

BACKGROUND: Insomnia is an important factor that can affect the health and work quality of nurses. However, there is a lack of big-sample studies exploring factors that affect the insomnia of nurses fighting against COVID-19.

METHOD: This cross-sectional study using the Ascension Insomnia Scale, Fatigue Scale-14 and Perceived Stress Scale took place in March 2020. Participants were 1,794 front-line nurses from four tertiary-level general hospitals.

RESULTS: The prevalence of insomnia among participants was 52.8%. Insomnia was predicted by gender, working experience, chronic diseases, midday nap duration, direct participation in the rescue of patients with COVID-19, frequency of night shifts, professional psychological assistance during the pandemic, negative experiences (such as family, friends or colleagues being seriously ill or dying due to COVID-19), the degree of fear of COVID-19, fatigue and perceived stress.

CONCLUSION: The level of insomnia among participants was higher than the normal level. Interventions based on influencing factors should be implemented to ensure nurses' sleep quality.

IMPLICATIONS FOR NURSING MANAGEMENT: An in-depth understanding of the influencing factors of insomnia among front-line nurses can help nurse managers develop solutions to improve front-line nurses' sleep quality, which will enhance the physical and mental conditions of nurses and promote the quality of care.

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Factors associated with insomnia among Chinese front‐line nurses fighting against COVID‐19 in Wuhan: A cross‐sectional survey

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