{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T16:00:46Z","timestamp":1791648046942,"version":"4.3.4"},"reference-count":62,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:00:00Z","timestamp":1747180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Determination of the relationship between sleep quality and the risk of medication errors in nurses working in surgical services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multicenter, descriptive and correlational study was conducted with 192 nurses working in surgical wards of all training and research hospitals in Ankara, the capital of T\u00fcrkiye, between January and December 2023. Data were collected using the \u201cNurse Information Form,\u201d \u201cPittsburgh Sleep Quality Index,\u201d \u201cEpworth Sleepiness Scale,\u201d and \u201cMedication Administration Error Scale.\u201d The suitability of numerical variables for normal distribution was examined graphically and with the Shapiro\u2013Wilk test. Additionally, Mann\u2013Whitney test, Kruskal\u2013Wallis, Bonferroni, and Spearman's Rank Correlation Coefficient tests were used in the analyses. The STROBE checklist was followed in writing the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median age of nurses was 27.0 (IQR\u2009=\u20098.0) years, and 38.5% were in the 21\u201325 age group. Among the nurses, 81.3% stated that they had sleep problems due to working hours, and 44.3% stated that they made medication errors due to insomnia. The nurses' Pittsburgh Sleep Quality Index total score median was 12.00 (IQR\u2009=\u20099.00), Epworth Sleepiness Scale score was 11.00 (IQR\u2009=\u20098.75), and Medication Administration Error Scale score was 85.00 (IQR\u2009=\u200925.75). No statistically significant relationship was found between nurses' Epworth Sleepiness Scale and Medication Administration Error Scale scores (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>s<\/jats:sub>\n                      \u2009=\u20090.042;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.565). A statistically significant low\u2010level relationship was found between the nurses' Epworth Sleepiness Scale score and the total Pittsburgh Sleep Quality Index score (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>s<\/jats:sub>\n                      \u2009=\u20090.387;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Statistically significant weak and very weak relationships were found between Medication Administration Error Scale and subjective sleep quality, sleeping pill use, and daytime dysfunction (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study found that nurses had poor sleep quality and daytime sleepiness. It was determined that nurses with sleep problems were at a higher risk of making medication errors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Public Contribution<\/jats:title>\n                    <jats:p>Based on these results, it is recommended that nurses' working hours be planned to support their sleep patterns, and nurses be provided with adequate rest time during shift work hours. Additionally, nurses should be educated about sleep hygiene and the effects of sleep disorders, and more research should be conducted to understand the causes of medication errors and develop preventive strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>The basic principle of healthcare is to \u201cdo no harm.\u201d Among healthcare professionals, nurses have great responsibility in preventing medical errors. However, the excessive workload, high number of patients under their care, and working in a day\u2010night shift system lead to fatigue and sleep deprivation. Sleep problems increases their tendency to make mistakes. This study aims to contribute evidence to the literature on the impact of sleep problems on medication errors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.17798","type":"journal-article","created":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T23:25:11Z","timestamp":1747265111000},"page":"5338-5349","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Relationship Between Sleep Quality and the Risk of Medication Errors in Nurses Working in Surgical Wards: A Multicenter Study"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7183-2854","authenticated-orcid":false,"given":"Tu\u011f\u00e7e","family":"Aksel Demir","sequence":"first","affiliation":[{"name":"Ankara Beypazar\u0131 State Hospital  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5718-0669","authenticated-orcid":false,"given":"Sema","family":"Ko\u00e7a\u015fli","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Health Sciences Ankara Y\u0131ld\u0131r\u0131m Beyaz\u0131t University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,14]]},"reference":[{"issue":"4","key":"e_1_2_13_2_1","first-page":"261","article-title":"The Validity and Reliability of the Epworth Sleepness Scale","volume":"10","author":"A\u011farg\u00fcn M. Y.","year":"1999","journal-title":"Turkish Journal of Psychiatry"},{"issue":"2","key":"e_1_2_13_3_1","first-page":"107","article-title":"The Validity and Reliability of the Pittsburgh Sleep Quality Index","volume":"7","author":"A\u011farg\u00fcn M. Y.","year":"1996","journal-title":"Turkish Journal of Psychiatry"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.5336\/nurses.2020-74808"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000000196"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/npmj.npmj_79_17"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325\u2010021\u201002333\u2010z"},{"key":"e_1_2_13_8_1","unstructured":"Arat N.2016.\u201cInvestigation of Validity and Reliability of Medication Error Scale in Turkish Population.\u201d[Master's Thesis]. \u015eifa Un\u0131versity."},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12492"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnur.2021.02.007"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1478\u20105153.2012.00504.x"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2018.03.005"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165\u20101781(89)90047\u20104"},{"issue":"4","key":"e_1_2_13_14_1","first-page":"80","article-title":"Sleep Quality and Related Factors in Nurses","volume":"13","author":"\u00c7etinol T.","year":"2018","journal-title":"Medical Science"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325\u2010018\u20101684\u20109"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.29.20.50.e9507"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100043\u20101776753"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.23749\/mdl.v111i3.9197"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.26355\/eurrev_201905_17963"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.26355\/eurrev_202006_21699"},{"issue":"4","key":"e_1_2_13_21_1","first-page":"1196","article-title":"Sleep Quality of Nurses Working Shift System","volume":"44","author":"Do\u011fan Deniz S.","year":"2019","journal-title":"\u00c7ukurova Medical Journal"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.4178\/epih.e2017022"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010015\u20100099\u20101"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S115326"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/07420528.2023.2256862"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.21608\/ejom.2022.130235.1271"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010012073"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874944501912010414"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12546"},{"issue":"4","key":"e_1_2_13_30_1","first-page":"222","article-title":"The Prevalence and Correlates of Sleep Disturbances and Psychological Symptoms in Healthcare Workers: A Multi\u2010Center Cross\u2010Sectional Study","volume":"9","author":"\u0130\u00e7ten S.","year":"2022","journal-title":"Bosphorus Medical Journal"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.540"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.20210183"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2019.151227"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2008.03.009"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.14744\/phd.2019.90277"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.47115\/jshs.1128544"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40264\u2010013\u20100090\u20102"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i2139"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16912"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqx152"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000001198"},{"key":"e_1_2_13_42_1","unstructured":"Ministry of Health of the Republic of Turkey.2013.\u201cRegulation on the Duties Powers Responsibilities and Training of Workplace Physicians and Other Health Personnel. Official Gazette (Number: 28713).\u201dhttps:\/\/www.mevzuat.gov.tr\/mevzuat?MevzuatNo=18615&MevzuatTur=7&MevzuatTertip=5."},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102022\u2010066531"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.18863\/pgy.336513"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.17681\/hsp.451510"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59101850"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12634"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000220"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqz063"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCQ.0000000000000340"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.931588"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.4103\/2279\u2010042X.114084"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1590\/1518\u20108345.5756.3577"},{"issue":"2","key":"e_1_2_13_54_1","first-page":"63","article-title":"The Examination of the Factors Affecting Emergency Nurses' Medication Errors","volume":"2","author":"Tarhan M.","year":"2020","journal-title":"University of Health Sciences Journal of Nursing"},{"key":"e_1_2_13_55_1","doi-asserted-by":"publisher","DOI":"10.5455\/pmb.1\u20101443792015"},{"key":"e_1_2_13_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lfs.2017.02.008"},{"key":"e_1_2_13_57_1","doi-asserted-by":"publisher","DOI":"10.26559\/mersinsbd.1461827"},{"key":"e_1_2_13_58_1","doi-asserted-by":"publisher","DOI":"10.47115\/jshs.1001431"},{"issue":"1","key":"e_1_2_13_59_1","first-page":"39","article-title":"Nurses' Perceptions of Why Medication Administration Errors Occur","volume":"7","author":"Wakefield B. J.","year":"1998","journal-title":"Medical\u2010Surgical Nursing"},{"key":"e_1_2_13_60_1","unstructured":"World Health Organisation.2024. \u201cGlobal Patient Safety Report 2024. Licence: CC BY\u2010NC\u2010SA 3.0 IGO.\u201dhttps:\/\/www.who.int\/teams\/integrated\u2010health\u2010services\/patient\u2010safety."},{"key":"e_1_2_13_61_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.947948"},{"issue":"1","key":"e_1_2_13_62_1","first-page":"29","article-title":"Evaluation of Knowledge and Attitudes of Nurses' Towards Medication Application Errors","volume":"1","author":"Y\u0131ld\u0131z T. F.","year":"2020","journal-title":"Turkish Journal of Science and Health"},{"key":"e_1_2_13_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anr.2016.09.002"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.17798","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T10:50:46Z","timestamp":1762167046000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.17798"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,14]]},"references-count":62,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/jocn.17798"],"URL":"https:\/\/doi.org\/10.1111\/jocn.17798","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,14]]},"assertion":[{"value":"2025-03-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}