Abstract
This study examined the moderating effect of nursing practice environment on the relationship between clinical nurses’ sleep quality and wellness. The wellness of clinical nurses is a direct outcome of individual-level health behaviors and organizational environmental factors. This study was a cross-sectional analysis. Participants were clinical nurses recruited using convenience sampling. The Nurse Practice Environment Scale, Wellness Index, and Pittsburgh Sleep Quality Index, Korean version (PSQI-K) were used. Data collected from 1874 nurses were analyzed using descriptive statistics and hierarchical multiple regression analyses. A total of 95.3% of the participants were women, and the mean age was 28.8 years. Further, 42.4% of the participants had a nursing career of 5 years or longer. The mean score for nursing practice environment was 2.24 and the mean PSQI-K score was 9.39. Nurses with less than 1 year of experience reported lower wellness scores. The wellness scores decreased with poorer sleep quality, and a more positive evaluation of the nursing practice environment predicted higher levels of wellness. Nursing practice environment had a moderating effect on the negative association of nurses’ poor sleep quality with their wellness. Regarding management, individual strategies for nurses’ well-being and organizational improvement policies may improve the nursing work environment.
Highlights
Most nurses work in shifts due to the necessity to provide 24-h direct care for patients
The present study was designed to explore the relationships among sleep quality, nursing practice environment, and wellness according to the sociodemographic characteristics of nurses, and to identify the moderating effect of nursing practice environment on the relationship between clinical nurses’ sleep quality and wellness
73.9% of the participants worked at medical institutions in the capital region, and there were no significant differences in the sleep quality, nursing practice environment, and wellness between those in the capital region and noncapital region
Summary
Most nurses work in shifts due to the necessity to provide 24-h direct care for patients. This type of work schedule may have a negative impact on nurses’ physical and emotional wellness [1]. Various factors affect sleep quality, including personal characteristics and practice environmental factors, such as job demands and job control [8], ability to control adverse events, and social support [9]. The nursing practice environment can affect nurses’ emotional stress and job outcomes [10]. Nurse managers’ ability, leadership, and support components of the nursing practice environment were predictors of nurses’ fatigue, and fatigue was associated with
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