Characterizing Patterns of Nurses' Daily Sleep Health: a Latent Profile Analysis.

Background: Nursing is a demanding occupation characterized by dramatic sleep disruptions. Yet most studies on nurses' sleep treat sleep disturbances as a homogenous construct and do not use daily measures to address recall biases. Using person-centered analyses, we examined heterogeneity in nurses'...

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Publicado en:International Journal of Behavioral Medicine Vol. 29; no. 5; pp. 648 - 659
Autores principales: Slavish, Danica C., Contractor, Ateka A., Dietch, Jessica R., Messman, Brett, Lucke, Heather R., Briggs, Madasen, Thornton, James, Ruggero, Camilo, Kelly, Kimberly, Kohut, Marian, Taylor, Daniel J.
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Oct2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2022
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      place: New York, New York
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        10.1007/s12529-021-10048-4
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          Slavish, Danica C.
          Contractor, Ateka A.
          Dietch, Jessica R.
          Messman, Brett
          Lucke, Heather R.
          Briggs, Madasen
          Thornton, James
          Ruggero, Camilo
          Kelly, Kimberly
          Kohut, Marian
          Taylor, Daniel J.
        affil: University of North Texas, Denton, USA
      sug:
        subj:
          Nurses
          Diaries
          Sleep Quality
          Health Status
          Mental Health
          Human
          Female
          Male
          Adult
          Inflammation
          Biological Markers
          Interleukins
          C-Reactive Protein
          Latent Structure Analysis
          Insomnia
          Multivariate Analysis
          Funding Source
          Adult: 19-44 years
          Female
          Male
      ab: Background: Nursing is a demanding occupation characterized by dramatic sleep disruptions. Yet most studies on nurses' sleep treat sleep disturbances as a homogenous construct and do not use daily measures to address recall biases. Using person-centered analyses, we examined heterogeneity in nurses' daily sleep patterns in relation to psychological and physical health. Methods: Nurses (N = 392; 92% female, mean age = 39.54 years) completed 14 daily sleep diaries to assess sleep duration, efficiency, quality, and nightmare severity, as well as measures of psychological functioning and a blood draw to assess inflammatory markers interleukin-6 (IL-6) and C-reactive protein (CRP). Using recommended fit indices and a 3-step approach, latent profile analysis was used to identify the best-fitting class solution. Results: The best-fitting solution suggested three classes: (1) "Poor Overall Sleep" (11.2%), (2) "Nightmares Only" (8.4%), (3) "Good Overall Sleep" (80.4%). Compared to nurses in the Good Overall Sleep class, nurses in the Poor Overall Sleep or Nightmares Only classes were more likely to be shift workers and had greater stress, PTSD symptoms, depression, anxiety, and insomnia severity. In multivariate models, every one-unit increase in insomnia severity and IL-6 was associated with a 33% and a 21% increase in the odds of being in the Poor Overall Sleep compared to the Good Overall Sleep class, respectively. Conclusion: Nurses with more severe and diverse sleep disturbances experience worse health and may be in greatest need of sleep-related and other clinical interventions.
      pubtype: Academic Journal
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        research
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      ougenre: Article
    language: English
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