Sleep quality among emergency nurses and its influencing factors during COVID-19 pandemic: a cross-sectional study

Awatif Alrasheeday; Maha Ali Alsaeed; Bushra Alshammari; Farhan Alshammari; Asia Saad Alrashidi; Turki Ahmed Alsaif; Soha Kamel Mahmoud; Dolores I Cabansag; Ma Venus Borja; Ahmad R Alsayed; Omaima Mohamed Elalem; Shaimaa Mohamed Nageeb; Rania Abd-Elnaby Allam; Tahani Nasser Alhejaili; Haneen Fahad Alsulami; Bahia Galal Abd Elrazik Siam

doi:10.3389/fpsyg.2024.1363527

Sleep quality among emergency nurses and its influencing factors during COVID-19 pandemic: a cross-sectional study

Front Psychol. 2024 Jul 19:15:1363527. doi: 10.3389/fpsyg.2024.1363527. eCollection 2024.

Authors

Awatif Alrasheeday¹, Maha Ali Alsaeed², Bushra Alshammari³, Farhan Alshammari⁴, Asia Saad Alrashidi³, Turki Ahmed Alsaif⁵, Soha Kamel Mahmoud^{6

7}, Dolores I Cabansag³, Ma Venus Borja³, Ahmad R Alsayed⁸, Omaima Mohamed Elalem^{6

9}, Shaimaa Mohamed Nageeb⁵, Rania Abd-Elnaby Allam¹⁰, Tahani Nasser Alhejaili¹¹, Haneen Fahad Alsulami¹², Bahia Galal Abd Elrazik Siam^{3

13}

Affiliations

¹ Department of Nursing Administration, College of Nursing, University of Hail, Hail, Saudi Arabia.
² Damam Health Network, Eastern Health Cluster, Dammam, Saudi Arabia.
³ Department of Medical Surgical Nursing, College of Nursing, University of Hail, Hail, Saudi Arabia.
⁴ Department of Pharmaceutics, College of Pharmacy, University of Hail, Hail, Saudi Arabia.
⁵ Department of Mental Health Nursing, College of Nursing, University of Hail, Hail, Saudi Arabia.
⁶ Community Health Nursing, College of Nursing, University of Hail, Hail, Saudi Arabia.
⁷ Department of Community Health Nursing, Faculty of Nursing, Benha University, Banha, Egypt.
⁸ Department of Clinical Pharmacy and Therapeutics, Applied Science Private University, Amman, Jordan.
⁹ Family and Community Health Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt.
¹⁰ Department of Maternal and Child, College of Nursing, University of Hail, Hail, Saudi Arabia.
¹¹ Adult ICU, Maternity and Children Hospital, Makkah Health Cluster, Makkah, Saudi Arabia.
¹² Adult ICU, King Abdullah Medical City Hospital, Makkah Health Cluster, Makkah, Saudi Arabia.
¹³ Department of Medical Surgical Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt.

Abstract

Background: COVID-19 has probably contributed to sleep disturbance among nurses, especially those working at emergency departments (EDs). Sleep disorders in nurse managers can negatively impact their health and impair work performance and decision-making. This study aimed to explore the quality of sleep among nurses working in EDs and its influencing factors during the COVID-19 pandemic.

Method: In this study, a cross-sectional design was employed to assess the sleep quality of nurses working in EDs during the COVID-19 pandemic. The research recruited a convenience sample of emergency nurses, who were selectively sourced from four hospitals in Hail City. This recruitment occurred over the period from April to July 2022. Descriptive data analysis was conducted using SPSS, with the significance level set at 0.05.

Results: Among the 216 participants in the study, the majority (55.6%) were aged between 30 and 39 years, and 73.6% were female. Additionally, 64.4% were married, while 69.4% had a bachelor's degree, 20% held a diploma, and the remaining had a master's degree. Notably, a significant 81.5% of the nurses reported poor sleep quality, as assessed by the Pittsburgh Sleep Quality Index (PSQI), with an overall mean score of 10.55 indicating poor sleep. The study highlighted that poor sleep quality among nurses was linked to being female, being married, and not exercising regularly. Better sleep was associated with nurses who manage fewer patients per shift and have adequate monthly income.

Conclusion: The prevalence of poor sleep quality among Emergency nurses during the COVID-19 pandemic is high. There is a pressing need for targeted interventions to enhance sleep quality among ED nurses. Improving sleep quality is not only essential for the wellbeing of these nurses but is also likely to contribute to better patient care.

Keywords: COVID-19; emergency nurses; factors; sleep disturbances; sleep quality.

Grants and funding

The authors declare that financial support was received for the research, authorship, and/or publication of this article. This research has been funded by the Scientific Research Deanship at University of Hail-Saudi Arabia through project number BA-22 038.