The impact of work schedules, home, and work demands on self-reported sleep in registered nurses
Abstract
OBJECTIVE: To explore the relationship of work schedules to self-reported restless and inadequate sleep in a large population-based sample of registered nurses. METHODS: Cross-sectional mailed survey (n = 2246). Work schedule measures included hours worked per day and per week, weekends per month, shift, frequency of quick returns, mandatory overtime or on-call hours, and circadian mismatch, with indexing to reflect overall schedule adversity. Odds of restless and inadequate sleep related to work schedule components are reported, adjusted for age, childcare, and other domestic responsibilities and physical and psychosocial work demands. RESULTS: Odds of inadequate and restless sleep showed a clear dose effect for adversity of work schedule, even when adjusted for age and home demands. Odds were attenuated after adjustment for work demands. CONCLUSIONS: Current scheduling practices and high work demands negatively impact nurses' sleep and may be partially explained by exposure to work demands.
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For nurses, shift work and long work hours are related to adverse health outcomes and indicators of reduced functioning.
“For nurses, shift work and long work hours have been shown to be related to adverse health outcomes and indicators of reduced functioning.208–217”
From Sleep, Health, and Society (2017) · cites this paper as [217]
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- Authors
- Geiger-Brown, J., Trinkoff, A., & Rogers, V. E.
- Affiliations
- University of Maryland, Baltimore (US)
- Corresponding author
- Geiger-Brown, Jeanne
- Venue
- Journal of Occupational & Environmental Medicine
- Published
- 2011-03
- Volume
- 53
- Issue
- 3
- Pages
- 303-307
- ISSN
- 1076-2752 (ISSN-L)
- OpenAlex
- W2085352629
- Cited by
- 110
- References
- 31
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 3 · 2023: 8 · 2022: 8 · 2021: 7 · 2020: 13 · 2019: 8 · 2018: 9 · 2017: 5 · 2016: 7 · 2015: 10 · 2014: 8 · 2013: 9 · 2012: 5
- FWCI
- 9.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute for Occupational Safety and Health (R01 OH07554)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- sleep quality, restless sleep, insufficient sleep, shift work, work schedules, registered nurses, job demands, mandatory overtime, on-call hours, family responsibilities, child care, occupational health
- MeSH terms
- Child, Child Care, Cross-Sectional Studies, Household Work, Humans, Middle Aged, Nurses, Psychomotor Agitation, Surveys and Questionnaires, Sleep Wake Disorders, Odds Ratio, Occupational Health, Workload, Dyssomnias, Self Report
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