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Original Article
- Structural Equation Model for Sleep Quality of Female Shift Work Nurses
- Ji Yeong Jeong, Mee Ock Gu
- J Korean Acad Nurs 2018;48(5):622-635. Published online October 31, 2018
- DOI: https://doi.org/10.4040/jkan.2018.48.5.622
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Abstract
PDF Purpose This study aimed to develop and test a structural model for sleep quality in female shift work nurses. The hypothetical model was constructed on the basis of Spielman's 3P model of insomnia and previous research related to the sleep quality of shift nurses.
Methods This cross-sectional study used structural equation modeling and recruited 285 female shift work nurses from four general and university hospitals with over 300 beds located in C and J cities in Gyeongsangnamdo. Data were collected from September 27 to October 20, 2016, and then analyzed using descriptive statistics, Pearson's correlation, and structural equation modeling. The study used SPSS/Win 18.0 and AMOS 18.0 in processing the data.
Results The final model showed good fit to the empirical data: χ2/df=2.19, SRMR=.07, RMSEA=.07, AGFI=.85, TLI=.91, GFI=.93, GFI=.89, NFI=.87. The factors that influenced sleep quality were sleep hygiene (β=.32), perceived shift work status (β=−.16), stress response (β=.16), shift work experience (β=.15), perceived health status (β=−.14), and circadian rhythm (β=−.13) explaining 36.0% of the variance.
Conclusion The model of sleep quality of the shift work nurses constructed in this study is recommended as a model to understand and predict the sleep quality of shift work nurses. The results suggest that strategies for improving the sleep quality of shift work nurses should focus on sleep hygiene, perceived health status, stress response, circadian rhythm, perceived shift work status, and shift work experience.
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Citations
Citations to this article as recorded by
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Annals of Occupational and Environmental Medicine.2020;[Epub] 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 - Sleep quality among shift-work nurses: A systematic review and meta-analysis
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Applied Nursing Research.2020; 52: 151227. CrossRef - Work-related Characteristics and Sleep Quality of Nurses in Comprehensive Nursing Care Units of Small-medium Sized Hospitals
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Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 260. CrossRef
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