J Korean Acad Nurs Adm.  2018 Sep;24(4):276-287. 10.11111/jkana.2018.24.4.276.

Effects of Labor Intensity and Fatigue on Sleep Quality of Clinical Nurses

• Seol MJ
• Lee BS
• Lee SK

• KMID: 2421696
• DOI: http://doi.org/10.11111/jkana.2018.24.4.276

Abstract

PURPOSE
The purpose of this study was to determine the effects of labor intensity and fatigue on the sleep quality of clinical nurses and provide basic data for preparation of nursing interventions to improve sleep quality.
METHODS
Data were collected from 198 nurses in 2 general hospitals with more than 500 beds in D-city. Data analysis was performed using stepwise regression with the SPSS/WIN 22.0 program.
RESULTS
The significant factors influencing sleep quality of the clinical nurses were fatigue, absolute labor intensity, and shift type. Explanatory power was 66% in the regression model.
CONCLUSION
Findings indicate that nurses with higher level of fatigue, and greater absolute labor intensity which implies extended work hours, had lower sleep quality for all the three shifts. To improve the sleep quality of clinical nurses, an intervention program for fatigue management is needed. In addition, hospitals should establish an internal legal standard to compensate overtime work with breaks. At the same time, as shift work is inevitable for nurses, it is necessary to develop a work system that can minimize the disturbance of daily rhythms.

Keyword

Clinical nurses; Intensity of labor; Fatigue; Sleep quality

MeSH Terms

Fatigue*
Hospitals, General
Nursing
Statistics as Topic

Reference

1. Edé-Gustafasson UM, Kritz EI, Bogren IK. Self-reported sleep quality, strain and health in relation to perceived working conditions in females. Scand J Caring Sci. 2002; 16(2):179–187. DOI: 10.1046/j.1471-6712.2002.00078.x.

2. Han KS, Park E, Park YH, Lim HS, Lee EM, Kim L, et al. Factors influencing sleep quality in clinical nurses. J Korean Acad Psychiatr Ment Health Nurs. 2011; 20(2):121–131. DOI: 10.12934/jkpmhn.2011.20.2.121.

3. National Healthcare Industry Trade Unions (KR). Survey of health workers in 2016 [Internet]. Seoul: National Healthcare Industry Trade Unions;2016. cited 2017 March 28. Available from: http://bogun.nodong.org/xe/index.php?mid=bodo_629&document_srl=393833.

4. Hsieh ML, Li YM, Chang ET, Lai HL, Wang WH, Wang SC. Sleep disorder in Taiwanese nurses: A random sample survey. Nurs Health Sci. 2011; 13(4):468–474. DOI: 10.1111/j.1442-2018.2011.00641.x.

5. Korean Hospital Nurses Association . A survey on hospital nursing staffing (2017). Business report for Hospital Nurses Association. . Seoul: Korean Hospital Nurses Association;2018.

6. Kim IA. The association between perceived labor intensity, job stress and psychosocial well-being [dissertation]. Seoul: Hanyang University;2007.

7. Kim HJ. The relationship among labor intensity, subjective discomfort and job satisfaction of clinical nurses [master's thesis]. Daejeon: Eulji University;2015.

8. Kim H, Park S. Effects of work intensity and physical discomfort on job satisfaction in clinical nurses. J Korean Acad Nurs Adm. 2016; 22(4):362–372. DOI: 10.11111/jkana.2016.22.4.362.

9. Kim EH, Park JH. Reliability and validity tests of patient classification system based on nursing intensity. J Korean Acad Nurs Adm . 2007; 13(1):5–16.

10. Shin SW, Kim SH. Influence of health-promoting behaviors on quality of sleep in rotating-shift nurses. J Korean Acad Fundam Nurs. 2014; 21(2):123–130. DOI: 10.7739/jkafn.2014.21.2.123.

11. Jang EH. Development of fatigue scale for nurse [dissertation]. Seoul: Chung-Ang University;2013.

12. Hwang EH, Kang JS. A study on job involvement according to working pattern and daytime sleepiness among hospital nurses. J East West Nurs Res. 2011; 17(2):81–86.

13. Park YN, Yang HK, Kim HR, Cho YC. Relationship between shift work, and sleep problems and fatigue symptoms of nurses for general hospitals. Korean J Occup Health Nurs . 2007; 16(1):37–47.

14. Vleeshouwers J, Knardahl S, Christensen JO. Effects of psychological and social work factors on self-reported sleep disturbance and difficulties initiating sleep. Sleep. 2016; 39(4):833–846. DOI: 10.5665/sleep.5638.

15. Son M. The relationship of working hours and work intensity with sleep disturbance among continuous 12 hours day and night shift workers in an automobile factory in korea. Korean J Occup Environ Med. 2004; 16(1):13–24.

16. So HY, Yoon HS, Cho YC. Effects of quality of sleep and related factors for fatigue symptoms of nurses in an university hospital. Korean J Adult Nurs. 2008; 20(4):513–525.

17. Kang DM, Shin YC, Son MA, strain and. The relationship between enhancing labor intensity and musculoskeletal diseases in Daewoo Shipbuilding Co., Ltd. Geoje. Geoje: Daewoo Shipbuilding Labor Union;2002.

18. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kudfer DJ. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193–213. DOI: 10.1016/0165-1781(89)90047-4.

19. Cho YW. Sleep scale and sleep hygiene. J Korean Sleep Res Soc. 2004; 1(1):12–23. DOI: 10.13078/jksrs.04003.

20. Jeong JY, Gu MO. The influence of stress response, physical activity, and sleep hygiene on sleep quality of shift work nurses. J Korea Acad Ind Coop Soc. 2016; 17(6):546–559. DOI: 10.5762/KAIS.2016.17.6.546.

21. Shin WS, Kim HK. The impact of fatigue on the hotel cuisine, labor intensity and perceived job stress. Int J Tourism Hosp Res. 2012; 26(6):221–239.

22. Son YJ, Park YR. Relationships between sleep quality, fatigue and depression on health promoting behavior by shift-work patterns in university hospital nurses. J Korean Biol Nurs Sci. 2011; 13(3):229–237.

23. Shin SW, Kim SH. Influence of health-promoting behaviors on quality of sleep in rotating-shift nurses. J Korean Acad Fundam Nurs. 2014; 21(2):123–130. DOI: 10.7739/jkafn.2014.21.2.123.

24. Hwang JH. Labor standards act, amended up to 52 hours per week, except in the opposition, including a nurse healthcare services. Medicate News. 2018. 03. Available from: http://www.medigatenews.com/news/2742452054.

25. Janssen O. Job demands, perceptions of effort-reward fairness and innovative work behaviour. J Occup Organ Psychol. 2000; 73(3):287–302. DOI: 10.1348/096317900167038.

26. Lee JS. The neoliberal economic restructuring and the change of labor market in South Korea: paradox of flexibility. Korean J Sociol. 2002; 36(2):25–45.

27. Lee JI, Park SH, Moon JM, Jung JY, Park KA, Kim KO, et al. Fatigue and quality of life in clinical nurses. J Korean Acad Fundam Nurs. 2004; 11(3):317–326.

28. Choi SE, Kim SD. Relationships of fatigue to job satisfaction and turnover intention among clinical nurses at small & medium-Sized hospitals. J Korea Acad Ind Coop Soc. 2012; 14(9):4218–4226. DOI: 10.5762/kais.2013.14.9.4218.

29. Kim KW, Chung EK, Park HD, Kim KB, Kang JH, Ro JW, et al. Differences in sleep quality and fatigue according to gender of shift workers in electronics manufacturing industries. J Korean Soc Occup Environ Hyg. 2017; 27(2):138–148. DOI: 10.15269/JKSOEH.2017.27.2.138.

30. Kim MS, Kim JR, Park KS, Kang YS, Choe MS. Associations between sleep quality, daytime sleepiness, with perceived errors during nursing work among hospital nurses. J Agric Med Community Health. 2013; 38(4):229–229. DOI: 10.5393/jamch.2013.38.4.229.