Morning-evening type and burnout level as factors influencing sleep quality of shift nurses: a questionnaire study
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AIM: To assess the relationship between sleep quality and demographic variables, morning-evening type, and burnout in nurses who work shift. METHODS: We carried out a cross-sectional self-administered study with forced choice and open-ended structured questionnaires - Pittsburgh Sleep Quality Index, Morningness-eveningness Questionnaire, and Maslach Burnout Inventory. The study was carried out at Gazi University Medicine Faculty Hospital of Ankara on 524 invited nurses from July to September 2008, with a response rate of 89.94% (n=483). Descriptive and inferential statistics were applied to determine the risk factors of poor sleep quality. RESULTS: Most socio-demographic variables did not affect sleep quality. Participants with poor sleep quality had quite high burnout levels. Most nurses who belonged to a type that is neither morning nor evening had poor sleep quality. Nurses who experienced an incident worsening their sleep patterns (P<0.001) and needlestick or sharp object injuries (P=0.010) in the last month had poor sleep quality. The subjective sleep quality and sleep latency points of evening types within created models for the effect of burnout dimensions were high. CONCLUSIONS: Nurses working consistently either in the morning or at night had better sleep quality than those working rotating shifts. Further studies are still needed to develop interventions that improve sleep quality and decrease burnout in nurses working shifts.
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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 [212]
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Self-citationSleep Disorders among Employees in the Evening Shift in the Hospital: A Systematic Review
Alqarni, A., Blkhair, A., Alghamdi, M. A., Alshehri, A., Alshehri, S., Alamri, A., Alzluaq, M. Z., & Alzahrani, S. M. (2023) · International Journal for Scientific Research · doi:10.59992/ijsr.2023.v2n12p19 · Cited by 1 · see citing works
Köşgeroğlu, N., Örsal, Ö., & Kaçan, C. Y. (2016) · Journal of Anatolia Nursing and Health Sciences
Sleep of nurses in the context of diurnal preference and the shift work
Machálková, L., Reiterová, E., Šáteková, L., Ševčíková, B., & Šikorská, L. (2020) · Profese online · doi:10.5507/pol.2020.012
Cancer Patients Circadian Rhythm Assessment Based on Morningness-Eveningness PreferencePreprint
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Gangwar, A. K., Rawat, A., Seth, S., Verma, A. K., & Suryakant (2024) · Asian Journal of Medical Sciences · doi:10.3126/ajms.v15i5.56707
Sleep Quality and its Predictors in Brazilian Marines
Portugal, G. B., Ferreira, F. G., Costa, C. M. A., Damasceno, V. D. O., & Doimo, L. A. (2024) · Sleep Science · doi:10.1055/s-0044-1787529
Daftari, G., Abbaszadeh, M., Reyhan, S. K., & Khajavirad, N. (2025) · Health Science Reports · doi:10.1002/hsr2.71210
Giltelin, E. N. F., Teng, N. I. M. F., Isa, S. N. I., Nor, N. M., Maluin, S. M., & Juliana, N. (2026) · Chronobiology International · doi:10.1080/07420528.2026.2703821
- Authors
- Demir Zencirci, A., & Arslan, S.
- Affiliations
- Ankara University (TR)
- ORCID
- Arslan, Sümeyye
- Venue
- Croatian Medical Journal
- Publisher
- Croatian Medical Journals
- Published
- 2011-08
- Volume
- 52
- Issue
- 4
- Pages
- 527-537
- ISSN
- 0353-9504 (ISSN-L)
- 1332-8166
- PMC
- PMC3160700
- OpenAlex
- W2153775526
- Cited by
- 69
- References
- 41
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 5 · 2023: 6 · 2022: 4 · 2021: 6 · 2020: 9 · 2019: 8 · 2018: 3 · 2017: 5 · 2016: 4 · 2015: 5 · 2014: 3 · 2013: 2 · 2012: 1
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Croatian Medical Journal (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Zagreb University Computing Centre (SRCE) (submittedVersion, other-oa)
- 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 › Occupational Therapy › Occupational Health and Burnout
- Keywords
- sleep quality, shift work, nurses, burnout, circadian rhythm, rotating shifts, needlestick injuries, occupational stress, sleep latency
- MeSH terms
- Adult, Burnout, Professional, Circadian Rhythm, Female, Humans, Nursing Staff, Hospital, Surveys and Questionnaires, Risk Factors, Sleep, Sleep Wake Disorders, Work Schedule Tolerance, Young Adult
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