PURPOSE
The purpose of this study was to identify factors affecting sleep quality in nurses working in a tertiary hospital in Korea.
METHODS
The sample of two hundred and sixty three nurses was drawn from one tertiary care hospital in Korea. Using a descriptive study design, clinical nurses completed the standardized questionnaires, including sleep quality, depressive symptoms, and resilience. Descriptive statistics were computed to describe the sample and study variables. Logistic regression analyses were used to identify factors affecting sleep quality which was classified into two categories.
RESULTS
A total of 263 registered nurses participated in this study. Most of the participants were female (n=252, 95.8%) and single (n=148, 75.9%), with a mean age of 30.09±7.51 years. The average score of sleep quality was 8.57±3.24. Using a cut-off point of 5.0, 84.0% (n=221) were poor sleepers. After controlling for demographic and job-related variables, the depressive symptoms and resilience were associated with poor sleep quality among clinical nurses (Odds Ratio [OR]=4.56, 95% Confidence Interval [CI]=1.02~20.49; OR=0.97, 95% CI=0.94~0.99, respectively). This model explained 19.5% of the variance in sleep quality.
CONCLUSION
The two factors reported to impact the quality of sleep were increased depressive symptoms and lower resilience levels. In order to improve nurses' sleep quality, researchers and nursing administrators need to develop and provide some strategies for decreasing depressive symptoms and enhancing their resilience.

Citations

• Prevalence of sleep disturbances among intensive care nurses: A systematic review and meta‐analysis
  Fengxiang Gong, YuChen Mei, Yuting He, Chao Tang
  Nursing in Critical Care.2025;[Epub]     CrossRef
• Mediating effects of fatigue on the relationship between sleep quality and the quality of life of shift-working nurses
  Jeongwon Yeom, Insun Yeom
  Chronobiology International.2023; 40(4): 450.     CrossRef
• Comparisons of Psycho-Behavioral Factors, Body Composition, and Clinical Outcomes in Adults With Type 2 Diabetes by Perceived Hypoglycemia
  EunSeok Cha, Kyong Hye Joung, Yun-A Shin, Nak-Hoon Son, Hyun Jin Kim, Melissa Spezia Faulkner
  The Science of Diabetes Self-Management and Care.2023; 49(5): 351.     CrossRef
• Factors Associated with Gastrointestinal Symptoms among Rotating Shift Nurses in South Korea: A Cross-Sectional Study
  Sun-Kyung Hwang, Yun-Ji Lee, Min-Eun Cho, Bo-Kyoung Kim, Yea-In Yoon
  International Journal of Environmental Research and Public Health.2022; 19(16): 9795.     CrossRef
• The Mediating Effects of Flexibility on the Relationship between Job Stress, Sleep Quality and Mental Well-being of Psychiatric Hospital Workers
  Subin Lee, Chung Hee Woo
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 349.     CrossRef
• A systematic review and meta-analysis to assess the relationship between sleep duration/quality, mental toughness and resilience amongst healthy individuals
  Teresa Arora, Ian Grey, Linda Östlundh, Asma Alamoodi, Omar M. Omar, Kin-Bong Hubert Lam, Michael Grandner
  Sleep Medicine Reviews.2022; 62: 101593.     CrossRef
• Effect of Sleep Quality and Depression on Married Female Nurses’ Work–Family Conflict
  Eunhee Hwang, Yeongbin Yu
  International Journal of Environmental Research and Public Health.2021; 18(15): 7838.     CrossRef
• The Impact of Practice Environment and Resilience on Burnout among Clinical Nurses in a Tertiary Hospital Setting
  Dzifa Dordunoo, Minjeong An, Min Sun Chu, Eun Ja Yeun, Yoon Young Hwang, Miran Kim, Yeonhu Lee
  International Journal of Environmental Research and Public Health.2021; 18(5): 2500.     CrossRef
• Rotating between day and night shifts: Factors influencing sleep patterns of hospital nurses
  Seunghwa Shin, SuHyun Kim
  Journal of Clinical Nursing.2021; 30(21-22): 3182.     CrossRef
• Secondary Data Analysis on the Quality of Sleep and Related Factors of Novice and Experienced Shift Work Nurses
  Minjeong Yu, Smi Choi-Kwon
  Journal of Korean Academy of Nursing.2020; 50(5): 646.     CrossRef
• Influence of Resilience and Workplace Bullying on Depression of Hospital Nurses
  Suniy Jeon, Moonhee Gang
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(1): 43.     CrossRef
• Correlation between Neck and Shoulder Pain, Neck and Shoulder Disability, Headache and Smartphone Addiction in Adults with Sleep Disorders
  Sei-Youn Park, Tae-Seok Choi, Dae-Hun Kim, Byeong-Ho Ryu, Sang-Bin Lee
  Journal of The Korean Society of Physical Medicine.2020; 15(3): 43.     CrossRef
• Mediating Effect of Stress on the Relationship between Illness Perception and Sleep in Patients at Risk of Metabolic Syndrome
  Hyun-E Yeom, Jee-Won Shin
  Korean Journal of Adult Nursing.2019; 31(4): 449.     CrossRef
• Work-related Characteristics and Sleep Quality of Nurses in Comprehensive Nursing Care Units of Small-medium Sized Hospitals
  Sujin Shin, Inyoung Lee, Jeonghyun Kim, Sung-Heui Bae
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 260.     CrossRef
• Emotional Effects of the Duration, Efficiency, and Subjective Quality of Sleep in Healthcare Personnel
  María del Carmen Pérez-Fuentes, María del Mar Molero Jurado, María del Mar Simón Márquez, Ana Belén Barragán Martín, José Jesús Gázquez Linares
  International Journal of Environmental Research and Public Health.2019; 16(19): 3512.     CrossRef
• Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences
  Go-Un Kim, Ju Hee Lee
  Korean Journal of Adult Nursing.2019; 31(4): 337.     CrossRef

PURPOSE
Purpose of the study was to identify the effect of the Comprehensive Education Program (CEP) on intraprocedure anxiety, post-procedure uncertainty and athletic performance of back strengthening of patients undergo spinal nerve block (SNB).
METHODS
The participants (experimental group=33, control group=33) were recruited from a university hospital in G metropolitan city. Data were collected from July to November 2015. The experimental group was individually provided with a booklet/motion picture about the SNB and back strengthening exercise training before the SNB. This group also received a leaflet about back strengthening exercise post SNB. The Anxiety-Visual Analog Scale (A-VAS), the Mishel adapted uncertainty scale and newly created knowledge scale/athletic performance checklist were utilized as our study tools.
RESULTS
Intra-procedure anxiety score (F=25.70, p<.001), post-procedure uncertainty score (F=82.56, p<.001), post-procedure knowledge score (F=14.63, p<.001) and athletic performance rate of back strengthening (p=.003) of the experimental group showed statistically significant differences in comparison with the control group.
CONCLUSION
This CEP is a cost and time-effective intervention for patients who undergo spinal injections, so it should be actively utilized as an educational management strategy in outpatient.

Citations

• Effects of a Video-based Education Program for Cerebral Angiography on Patients’ Outcomes: A Randomized Controlled Trial
  Sung-Hyun Tark, Jee-In Hwang
  Quality Improvement in Health Care.2024; 30(1): 76.     CrossRef
• Effects of Video-Based Information Provision Using a Smart Pad on Patients Undergoing Bone Marrow Biopsy
  Seung Hee Lee, Chul-Gyu Kim, Hye Sook Han, Jihyun Kwon, So Youen Roh, Beom Jin Shin
  Clinical Nursing Research.2021; 30(6): 724.     CrossRef
• The Effects of Repeated Information using Visual and Video-Audio Media on Uncertainty and Anxiety in Patients undergoing Thyroidectomy
  Hyeon-Ok Lee, Ji-Yeong Seo
  Asian Oncology Nursing.2020; 20(2): 92.     CrossRef
• Stress and Dietary Behavior by Acculturation Level among Chinese Students Living in Korea
  Jiesi Wang, Young-Eun Kang, Sim-Yeol Lee
  Journal of the East Asian Society of Dietary Life.2019; 29(1): 42.     CrossRef
• Impediment in Activity of Daily Living and Social Support for Rural Elderly Farmers Undergoing Nerve Block due to Low Back Pain
  In Young Choi, Moon Sook Hwang
  Journal of Korean Academy of Community Health Nursing.2019; 30(2): 206.     CrossRef
• Effects of Video-centered Nursing Education Program on Anxiety, Uncertainty, and Self-care among Cataract Surgery Patients
  Hyang Hee Jeon, Soo Jin Lee
  Korean Journal of Adult Nursing.2018; 30(5): 482.     CrossRef