Relationship of Stress and Work Fatigue with Sleep Quality Shift Nurses in the Hospital Inpatient Installation

Oct 13, 2025 by windailys.com 18 views

Relationship of Stress and Work Fatigue with Sleep Quality Shift Nurses in the Hospital Inpatient Installation

Introduction

Sleep is a fundamental human need that plays a crucial role in maintaining overall health and well-being. However, for nurses working in shifts, especially those in inpatient installations, getting adequate sleep is often a significant challenge. A preliminary survey conducted at RSU. Dr. Ferdinand Lumbantobing Sibolga revealed that an alarming 96.7% of nurses had less than 7 hours of sleep, indicating suboptimal sleep quality. This study aims to investigate the relationship between stress, work fatigue, and sleep quality among shift nurses in hospital inpatient installations.

Background

Sleep is essential for physical and mental restoration, and its quality has a direct impact on an individual's overall health and productivity. Nurses working in shifts, particularly in inpatient installations, often face unique challenges that can disrupt their sleep patterns. The high-stress environment, long working hours, and demanding workload can lead to stress and work fatigue, which in turn can negatively impact sleep quality.

Methodology

This study employed a mixed-methods approach with an unbalanced design (concurrent embedded design) to investigate the relationship between stress, work fatigue, and sleep quality among shift nurses in hospital inpatient installations. The sample consisted of all 91 nurses in the inpatient installation. Data were collected through a questionnaire, including:

The Pittsburg Sleep Quality Index (PSQI) to measure sleep quality
American Institute of Stress to measure stress levels
Industrial Fatigue Research Committee (IFRC) and Bourdon Wiersma Test to measure work fatigue

Data were analyzed using univariate and bivariate methods for quantitative data, as well as direct observations and in-depth interviews for qualitative data.

Results

The results of this study revealed a significant relationship between stress (p = 0.015) and work fatigue (p = 0.015) with nurse sleep quality. This indicates that stress and work fatigue are the primary factors affecting the sleep quality of shift nurses.

Deeper Analysis

This study highlights the impact of high working pressure in inpatient installations on stress and work fatigue, which in turn negatively affects the quality of nurses' sleep. The main causes of stress and fatigue include:

High workload, such as a large number of patients, complex types of diseases, and tight time demands
High working pressure, which can lead to burnout and decreased job satisfaction

Recommended Solutions

Based on the research findings, several solutions can be implemented to improve the quality of nurses' sleep and reduce stress and work fatigue:

*** Re-arrangement of workload: *** The hospital needs to re-arrange the workload of the nurse more evenly and realistically to reduce stress and fatigue. *** Recruitment of medical personnel: *** Additional recruitment of medical personnel, especially nurses, can help ease the workload and reduce pressure on existing nurses. *** Rest time settings: *** Nurses need to make the best resting time settings in the middle of work shifts to ensure adequate rest and recovery. *** Stress Management Training Program: *** Stress Management Training Program can help nurses in dealing with and managing work stress they experience. *** Psychological support: *** Psychological support from the hospital can help nurses in overcoming stressors and fatigue.

Conclusion

This study underscores the importance of sleep quality for shift nurses and highlights the negative impact of stress and work fatigue on their sleep quality. The right solutions need to be applied to overcome this problem and improve the welfare of nurse shift. Only with healthy nurses and adequate rest, they can provide optimal health services to patients.

Implications

This study has several implications for healthcare institutions and policymakers:

The need for adequate staffing and workload management to reduce stress and fatigue among nurses
The importance of providing psychological support and stress management training to nurses
The need for hospitals to prioritize nurse well-being and provide a healthy work environment

Limitations

This study has several limitations, including:

The small sample size
The use of self-reported data
The lack of control group

Future Research Directions

Future research should focus on:

Investigating the impact of stress and work fatigue on nurse burnout and job satisfaction
Developing and implementing effective stress management training programs for nurses
Exploring the role of hospital policies and procedures in promoting nurse well-being and reducing stress and fatigue.
Frequently Asked Questions (FAQs) about the Relationship of Stress and Work Fatigue with Sleep Quality Shift Nurses in the Hospital Inpatient Installation

Q: What is the main goal of this study?

A: The main goal of this study is to investigate the relationship between stress, work fatigue, and sleep quality among shift nurses in hospital inpatient installations.

Q: What is the significance of sleep quality for shift nurses?

A: Sleep quality is essential for physical and mental restoration, and its quality has a direct impact on an individual's overall health and productivity. For shift nurses, getting adequate sleep is crucial to maintain their physical and mental well-being, as well as to provide optimal health services to patients.

Q: What are the main causes of stress and fatigue among shift nurses?

A: The main causes of stress and fatigue among shift nurses include high workload, such as a large number of patients, complex types of diseases, and tight time demands, as well as high working pressure, which can lead to burnout and decreased job satisfaction.

Q: What are the recommended solutions to improve the quality of nurses' sleep and reduce stress and work fatigue?

A: The recommended solutions include:

Re-arrangement of workload to reduce stress and fatigue
Recruitment of medical personnel to ease the workload and reduce pressure on existing nurses
Rest time settings to ensure adequate rest and recovery
Stress Management Training Program to help nurses deal with and manage work stress
Psychological support from the hospital to help nurses overcome stressors and fatigue

Q: What are the implications of this study for healthcare institutions and policymakers?

A: The study highlights the need for adequate staffing and workload management to reduce stress and fatigue among nurses, as well as the importance of providing psychological support and stress management training to nurses. It also emphasizes the need for hospitals to prioritize nurse well-being and provide a healthy work environment.

Q: What are the limitations of this study?

A: The study has several limitations, including the small sample size, the use of self-reported data, and the lack of control group.

Q: What are the future research directions based on this study?

A: Future research should focus on investigating the impact of stress and work fatigue on nurse burnout and job satisfaction, developing and implementing effective stress management training programs for nurses, and exploring the role of hospital policies and procedures in promoting nurse well-being and reducing stress and fatigue.

Q: How can healthcare institutions and policymakers apply the findings of this study to improve nurse well-being and reduce stress and fatigue?

A: Healthcare institutions and policymakers can apply the findings of this study by:

Implementing adequate staffing and workload management policies
Providing psychological support and stress management training to nurses
Prioritizing nurse well-being and providing a healthy work environment
Developing and implementing effective stress management training programs for nurses
Exploring the role of hospital policies and procedures in promoting nurse well-being and reducing stress and fatigue.

Q: What are the potential consequences of not addressing stress and fatigue among shift nurses?

A: The potential consequences of not addressing stress and fatigue among shift nurses include decreased job satisfaction, increased burnout, and decreased productivity, which can ultimately lead to decreased quality of care for patients.