Abstract

Aim: To explore the effect of changes in sleep characteristics on changes in quality of life during the transition period of new graduate nurses. Background: Sleep problems among nurses are associated with negative physical and psychological consequences. Methods: This prospective cohort study was conducted at a tertiary hospital in South Korea. Participants included 88 newly graduated nurses. Data were collected twice, prior to shift work and after 4 months of working as a nurse, via online structured self-report questionnaires created using Survey Monkey from March 2018 to February 2020. A generalized linear mixed model was used to analyze the influence of changes in sleep characteristics on quality of life. Results: A generalized linear mixed model showed that changes in the subjective quality of sleep, subjective health perception, and daytime dysfunction influenced quality of life changes during the transition. This implies that deterioration already existed. From their undergraduate period to four months after they began working as nurses, a significant decrease was observed in the quality of sleep. Participants’ quality of life significantly decreased. Conclusions: Changes in the quality of life of new graduate nurses may show deterioration with a significant drop in subjective sleep quality. Institutions should improve existing work adaptation programs provided during new graduate nurses’ transition to practice by including information on changes in nurses’ health caused by changes in sleep characteristics and sleep quality.

Highlights

  • The turnover rate of registered nurses is high [1] and varies across countries, such as New Zealand (44.3%) [2]; Canada (19.9%) [3]; and Australia (15.1%) [4]

  • In South Korea, according to the Hospital Nurses Association of Korea [9], in 2018, the turnover rate of new graduate nurses within a year of appointment was as high as 43.5% at tertiary general hospitals

  • Such a high turnover rate among new graduate nurses substantially increases the burden on hospitals and society, and the associated costs are as high as USD 82,000–88,000 [10]

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Summary

Introduction

The turnover rate of registered nurses is high [1] and varies across countries, such as New Zealand (44.3%) [2]; Canada (19.9%) [3]; and Australia (15.1%) [4]. In South Korea, according to the Hospital Nurses Association of Korea [9], in 2018, the turnover rate of new graduate nurses within a year of appointment was as high as 43.5% at tertiary general hospitals This is markedly higher than the turnover rate of all nurses (11.6%) in South Korea [9]. Such a high turnover rate among new graduate nurses substantially increases the burden on hospitals and society, and the associated costs are as high as USD 82,000–88,000 [10]. It increases the workload of remaining nurses, and the continuous changes it causes in the skill mix reduce the quality of nursing and affect patient outcomes [11]

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