Examining Sleep Quality and Job Satisfaction of Intensive Care Nurses

Objective: Ensuring patient safety in intensive care units, which constitute the key area of nursing profession, depends on protecting the safety of nurses. Intensive care units providing nonstop treatment in challenging conditions change the sleep quality, psychological and physiological rhythm of nurses. In this units nurses need to work very carefully always. Based on this thought the purpose of this study was to examine the sleep quality and job satisfaction of intensive care nurses. Methods: 234 nurses from different intensive care units in five different hospitals participated in this descriptive cross-sectional study. Personal information form, Pittsburgh Sleep Quality Index (PSQI) and Minnesota Satisfaction Questionnaire (MSQ) were used in data analysis. Results: No differences were found among PSQI scores of nurses with respect to intensive care units whereas MSQ scores were found to be different p<0.005. The average PSQI score was found to be 8.99±3.45. The highest Minnesota Satisfaction Questionnaire scores were found at 3. Level general surgery, anesthesia ICUs and neonatal ICUs (69.,16±13.76; 64.63±14.61). A significant relationship was found between the job satisfaction of nurses and the duration of work in intensive care units p<0.001. Conclusions: Although nurses were happy to work in ICU, their sleep quality was found to be "poor" and their job satisfaction was found to be at "medium level". İn order to improve sleep quality of intensive care nurses, working hours should be revised. It is recommended that managers make improvements that increase motivation and take into account the feedback of employees.

Keywords:

Job Satisfaction, , Intensive Care Units, , Nursing, Sleep Quality.,

PDF

___

Altun Emirza, MA, Bican A, Bora İ, Özkaya G. Who sleeps in the sleep lab? A retrospective study. Turk J Neurol . 2012; 18(1): 21-5 doi: 10.4274/Tnd.88609. Available from: http://dx.doi.org/10.4274/Tnd.88609.
Akerstedt T, Wright KP. Sleep loss and fatigue in shift work and shift work disorder, sleep. Med Clin. 2009; 4 (2), 257–271.
Biçim S, Dakman M, Coşkun Y, Maydos A, Karakaş E, Göçmen G, Pehlivan Ç, Koçoğlu P, Ekici M. Sleep quality in nurses working in shifts, scientific studies 2002 year. Available from: http://www.acibademhemsirelik.com/bilimsel-calismalar.asp?mıd=19&yil=2002.
Culebras A. İntroduction and overview of sleep medicine. In: Culebras A. Clinical Handbook Of Sleep Disorders. Boston, Butterworth-Heinemann. 1996; 1-11.
Schwab RJ, Goldberg AN, Pack AL. Sleap apnea syndromes. In: Fishman AP (ed). Fishman’s Pulmonary Disease and Disorders. New York: Mc Graw-Hill Book Company. 1998. 1617-37.
Üstün Y, Yücel ŞÇ. Examination of sleep quality of nurses. Maltepe University Journal of Nursing Science and Art. 2011; 4 (1), 29-38.
Karakaş AS, Gönültaş N, Okanlı A. Sleep quality in shift working nurses. Journal of Erciyes University Faculty of Health Sciencesi. 2017; 4 (1) : 17-26.
Knutsson A, Hallquist J, Reuterwall C, Theorel T, Åkerstedt T. Shiftwork and myocardial infarction: a case-control study. Occup Environ Med. 1999; 56: 46- 50.
Ardekani ZZ, Kakooei H, Ayattollahi S, Choobineh A, Seraji GN. Prevalence of mental disorders among shift work hospital nurses in Shiraz, Iran. Pak J Biol Sci. 2008; 11(12):1605-1609.
Şentürk S. Investigation of the relationship between burnout levels and sleep quality of ICU nurses. Bozok Medical Journal. 2014; 4 (3):48-56.
Türkistanlı E, Dönmez Z, Sarı Şahin E. SSK Satisfaction of nurses and midwives working at the Ege Maternity and Ministry of Health Izmir maternity ward.. VII. National Nursing Congress Book: 273-79, Erzurum.
Kahraman G, Engin E, Dulgerler Ş, Öztürk E. Job satisfaction of intensive care nurses and affecting factors. DEUHYO ED. 2011; 4(1): 12-8.
Tilev S, Beydağ K D. Job satisfaction level of nurses. Journal of Health and Nursing Management. 2014; 3 (1), 140-147. doi:10.5222/shyd.2014.140.
Şahinoğlu AH. Intensive care and intensive care units. In: Şahinoğlu AH. editor. Intensive care and intensive care units. In: Şahinoğlu AH. Editor. Intensive care proble ms and treatments. Istanbul: Nobel Medical Bookstores, 2011; 1-3.
THD (Türk Hemşireler Derneği). 7 days-24 hours / working conditions of nurses at the bedside in Turkey. Ankara. 2008. [16] Ağargün MY, Kara H, Anlar Ö. The validity and reliability of the Pittsburgh sleep quality index. Turkish Journal of Psychiatry. 1996; 7(2): 107-15.
Ağargün MY, Kara H, Anlar Ö. The validity and reliability of the Pittsburgh sleep quality index. Turkish Journal of Psychiatry. 1996; 7(2): 107-15.
Çetinol T, Özyurmaz S. Sleep Quality and Related Factors in Nurses. Aydın Adnan Menderes University Institute of Health Sciences Public Health Nursing Master's Thesis. 2018.
Küçükyılmaz Ü, Gök Özer F, Taşçı KD. Determination of job satisfaction levels of nurses working in state hospital. Nurs Forum. 2006;37-46.
Bai J. Does job satisfaction mediate the relationship between healthy work environment and carequality? Nurs Crit Care. 2016; 21 (1):18-27. doi: 10.1111/nicc.12122.
Karagozoglu S, Bingöl N. Sleep quality and job satisfaction of Turkish nurses. Nurs Outlook. 2008; 56: 298-307.
Yang Y, Zhao RY, Lan M.J. Effect of sleep quality on day cycle fatigue in ward nurses. [Article in Chinese] Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi: 2008. 26: 360-2.
Shao MF, Chou YC, Yeh MY, Tzeng WC. Sleep quality and quality of life in female shift-working nurses. J Adv Nurs. 2010; 66(7):1565-72. doi: 10.1111/j.1365-2648.2010.05300.
Günaydın N. The effect of nurses working in a state hospital on sleep quality and general mental status. J Psychiatr Nurs. 2014; 5 (1):33-40.
Zverev YP, Misiri H.E. Perceived effects of rotating shift work on nurses’ sleep quality and duration. Malawi Med J. 2009; .21:19-21.
Çoban S, Yılmaz H. Ok G, Erbüyün K, Aydın D. Investigation of sleep disorders in intensive care nurses. Journal of Turkish Intensive Care Association. 2011; 9: 59-63.
Aldem M, Arslan Taş F, Kurt AS. Employee safety in healthcare professionals. Journal of Medical Research. 2013; 11(2): 60-7.
Çam O, Yıldırım S. Job Satisfaction in Nurses and Effective Factors: Review. Turkiye Klinikleri J Nurs. 2010; 2(1): 64-70
Gönültaş T, Aytaç N, Akbaba M. 2018. Investigationjob satisfaction of among nurses working in Balcalı Hospital, Çukurova University. Sakarya Medical Journal. 2018; 8 (1) 30– 40.
Aksoy NM. Job satisfaction of nurses working in surgical units of three different hospitals in a province in the Mediterranean Region and affecting factors HEAD; 2013; 10 (2): 45-53.
Yüksel C. Investigation of the Relationship Between Sleep Quality Job Satisfaction and Burnout in Nurses. Eskişehir Osmangazi University Institute of Health Sciences Nursing Department Surgical Diseases Nursing Department. Master Thesis. 2013.
Yüksel C, Örsal Ö, Köşgeroğlu N. Investigation of Job Satisfaction Level in Nurses. J Res Dev Nurs Midw. 2016; 18(2-3): 1-12.
Aytekin A, Kurt F Y. Factors affecting the job satisfaction of nurses working in the Neonatal Intensive Care Unit. The journal of Dr. Behcet Uz Children’s Hospital. 2014; 4(1):51-58 doi:10.5222/buchd.2014.051.
Özden D, Karagözoğlu Ş, Yildirim G. Intensive care nurses' perception of futility: job satisfaction and burnout dimensions. Nurs Ethics. 2013; 20(4):436-47. doi: 10.1177/0969733012466002.
Yılmaz E, Vermişli S. The effect of professionalization of occupation on job satisfaction of nurses working in intensive care units. YBU Faculty of Health Sciences E-Journal of Nursing. 2016; 4, (1): 17-27.
Uçar N, Aygin D, Uzun E. Evaluation of burnout and job satisfaction of nurses working in intensive care units. Turkish Journal of Health Sciences, 2016; 1 (4) 18-37.
Kontogeorgou I, Varounis C, Vasilopoulos G, Kelesi M, Fasoi G, Stavropoulou A. Job satısfactıon among ıntensıve care un ıt and emergency department nurses ın Greece. Perıoperatıve Nursıng. 2017; 6 (3). 158-170. doi:10.5281/zenodo.1165374.
Myhren H, Ekeberg Q, Stokland O. Job Satisfaction and Burnout among Intensive Care Unit Nurses and Physicians. Critical Care Research and Practice 2013. volume article ID 786176, 6 p. Available from: http://dx.doi.org/10.1155/2013/786176.
Alharbi J, Wilson R, Woods C, Usher K.The factors influencing burnout and job satisfaction among critical care nurses: a study of Saudi critical care nurses. J Nurs Manag. 2016; 24(6):708-17. doi: 10.1111/jonm.12386.
Liu YE , While A, Li SJ, Ye WQ. Job satisfaction and work related variables in Chinese cardiac critical care nurses. J Nurs Manag. 2015; 23(4):487-97. doi: 10.1111/jonm.12161.
Dilig-Ruiz, A, MacDonald I, Demery Varin, M, Vandyk A, Graham ID, Squires J.E. Job satisfaction among critical care nurses: A systematic review. Int J Nurs Stud. 2018; 88:123-134. doi: 10.1016/j.ijnurstu.2018.