{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T21:00:15Z","timestamp":1789765215724,"version":"4.0.1"},"reference-count":63,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sleep disturbance is a critical occupational health issue among nurses, jeopardizing their well-being and patient safety. Identifying its prevalence and modifiable factors is essential for developing effective interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to determine the national prevalence of sleep disturbance and explore associated demographic, occupational, and behavioral factors among Chinese nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this nationwide cross-sectional study, we analyzed baseline data from the Nurses\u2019 Mental Health Study (NMHS), a primary database established and maintained by the authors. A total of 132,910 nurses from 67 tertiary public hospitals in China were included between December 2023 and January 2024. Data were collected electronically via a structured questionnaire. Chi-square tests and binary logistic regression were used to identify factors associated with sleep disturbances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The overall prevalence of sleep disturbances was 24.1%. Difficulty initiating sleep (13.3%), difficulty maintaining sleep (15.5%), and early morning awakening (15.4%) were most common, with higher rates in critical care, emergency, pediatrics, and obstetrics. Factors associated with increased odds of sleep disturbance included age (30\u201339\u202fyears), female sex, intermediate professional title, lower education, longer working experience, night shift work, smoking, alcohol use, and physical inactivity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sleep disturbance is prevalent among Chinese nurses and associated with scheduling patterns and health behaviors. To mitigate risk, healthcare organizations should optimize shift schedules, enhance support for high-risk nurses, and allocate resources to high-burden clinical departments. Nurses are also encouraged to adopt healthier lifestyles to improve sleep quality and occupational safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration<\/jats:title>\n                    <jats:p>Identifier ChiCTR2300072142.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1735543","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T17:36:11Z","timestamp":1769016971000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Prevalence of sleep disturbance and associated factors among nurses in Chinese tertiary public hospitals: a national cross-sectional study"],"prefix":"10.3389","volume":"13","author":[{"given":"Chunhui","family":"Bin","sequence":"first","affiliation":[{"name":"Xiangya Nursing School of Central South University","place":["Changsha, Hunan, China"]},{"name":"Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuting","family":"Li","sequence":"additional","affiliation":[{"name":"Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University","place":["Changsha, Hunan, China"]},{"name":"Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusheng","family":"Tian","sequence":"additional","affiliation":[{"name":"Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University","place":["Changsha, Hunan, China"]},{"name":"National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University","place":["Changsha, Hunan, China"]},{"name":"Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zengyu","family":"Chen","sequence":"additional","affiliation":[{"name":"Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University","place":["Changsha, Hunan, China"]},{"name":"School of Nursing, University of Washington","place":["Seattle, WA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiting","family":"Liu","sequence":"additional","affiliation":[{"name":"Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University","place":["Changsha, Hunan, China"]},{"name":"Department of Emergency, The Second Xiangya Hospital of Central South University","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng","family":"Ning","sequence":"additional","affiliation":[{"name":"Xiangya Nursing School of Central South University","place":["Changsha, Hunan, China"]},{"name":"Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin","family":"Yang","sequence":"additional","affiliation":[{"name":"Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University","place":["Changsha, Hunan, China"]},{"name":"Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University","place":["Changsha, Hunan, China"]},{"name":"School of Computer Science and Engineering, Central South University","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Yu","sequence":"additional","affiliation":[{"name":"Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chongmei","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Nursing at Ningxia Medical University","place":["Yinchuan, Ningxia, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Xiangya Nursing School of Central South University","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianghao","family":"Yuan","sequence":"additional","affiliation":[{"name":"Xiangya Nursing School of Central South University","place":["Changsha, Hunan, China"]},{"name":"Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University","place":["Changsha, Hunan, China"]},{"name":"Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenhui","family":"Ren","sequence":"additional","affiliation":[{"name":"Xiangya Nursing School of Central South University","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yamin","family":"Li","sequence":"additional","affiliation":[{"name":"Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University)","place":["Changsha, Hunan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1016\/j.sleh.2019.11.001","article-title":"Nurses' sleep, work hours, and patient care quality, and safety","volume":"6","author":"Stimpfel","year":"2020","journal-title":"Sleep Health"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.70088","article-title":"Understanding nurses' needs regarding tailored, evidence-based sleep education and training","author":"Hittle","year":"2025","journal-title":"J Adv Nurs"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1186\/s12992-020-00620-0","article-title":"The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: a systematic review and meta-analysis","volume":"16","author":"Salari","year":"2020","journal-title":"Glob Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"2322","DOI":"10.1001\/jama.2016.17785","article-title":"Sleep-wake disorders","volume":"316","author":"Muth","year":"2016","journal-title":"JAMA"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"487","DOI":"10.5664\/jcsm.27286","article-title":"Clinical guideline for the evaluation and management of chronic insomnia in adults","volume":"4","author":"Schutte-Rodin","year":"2008","journal-title":"J Clin Sleep Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"579938","DOI":"10.3389\/fnins.2020.579938","article-title":"Nurses and night shifts: poor sleep quality exacerbates psychomotor performance","volume":"14","author":"Di Muzio","year":"2020","journal-title":"Front Neurosci"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"A133","DOI":"10.1093\/sleep\/zsab072.332","article-title":"333 associations between insomnia and health correlates in nurses","volume":"44","author":"Nagy","year":"2021","journal-title":"Sleep"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"E65","DOI":"10.1097\/01.Nep.0000000000000966","article-title":"The influence of sleep quality on patient safety learning of nursing students","volume":"43","author":"Alenezi","year":"2022","journal-title":"Nurs Educ Perspect"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e7","DOI":"10.1055\/s-0043-1776753","article-title":"The relationship between nurses' sleep quality and their tendency to commit medical errors","volume":"17","author":"Demir","year":"2024","journal-title":"Sleep Sci"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"931588","DOI":"10.3389\/fpsyt.2022.931588","article-title":"Sleep quality and associated factors among nurses working at comprehensive specialized hospitals in northwest, Ethiopia","volume":"13","author":"Segon","year":"2022","journal-title":"Front Psych"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"746","DOI":"10.1080\/15402002.2019.1677233","article-title":"Prevalence of poor sleep quality in nursing staff: a meta-analysis of observational studies","volume":"18","author":"Zeng","year":"2020","journal-title":"Behav Sleep Med"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1016\/j.sleep.2019.01.047","article-title":"Prevalence of sleep disturbances in Chinese healthcare professionals: a systematic review and meta-analysis","volume":"67","author":"Qiu","year":"2020","journal-title":"Sleep Med"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"395","DOI":"10.13329\/j.cnki.zyyjk.2022.0082","article-title":"Prevalence rate and influencing factors of sleep disorders in Chinese clinical nurses: a meta-analysis","volume":"38","author":"Chu","year":"2022","journal-title":"Occup Health"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1186\/s12888-022-03748-y","article-title":"A cross-sectional study on sleep disturbances and associated factors among nurses","volume":"22","author":"Van Nguyen","year":"2022","journal-title":"BMC Psychiatry"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"100021","DOI":"10.1016\/j.hpopen.2020.100021","article-title":"Assessing the design of China's complex health system - concerns on equity and efficiency","volume":"1","author":"Wang","year":"2020","journal-title":"Health Policy Open"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"904384","DOI":"10.3389\/fpubh.2022.904384","article-title":"Hierarchical medical system and local medical performance: a quasi-natural experiment evaluation in Shanghai, China","volume":"10","author":"Liang","year":"2022","journal-title":"Front Public Health"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"954","DOI":"10.3390\/healthcare10050954","article-title":"Relation between burnout and sleep problems in nurses: a systematic review with meta-analysis","volume":"10","author":"Membrive-Jimenez","year":"2022","journal-title":"Healthcare (Basel)"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"648","DOI":"10.1007\/s12529-021-10048-4","article-title":"Characterizing patterns of nurses' daily sleep health: a latent profile analysis","volume":"29","author":"Slavish","year":"2022","journal-title":"Int J Behav Med"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1650","DOI":"10.1016\/j.socscimed.2005.08.044","article-title":"Behavioral science at the crossroads in public health: extending horizons, envisioning the future","volume":"62","author":"Glass","year":"2006","journal-title":"Soc Sci Med"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"1197","DOI":"10.1111\/inm.13337","article-title":"Risk factors and consequences of mental health problems in nurses: a scoping review of cohort studies","volume":"33","author":"Yang","year":"2024","journal-title":"Int J Ment Health Nurs"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"A83","DOI":"10.1093\/sleep\/zsaa056.212","article-title":"0214 the relationship between work stress and sleep quality in shift working nurses: the intermediate effect of circadian rhythm amplitude and stability","volume":"43","author":"Wu","year":"2020","journal-title":"Sleep"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"A151","DOI":"10.1093\/sleep\/zsac079.333","article-title":"0335 sleep patterns and experiences in older night shift nurses","volume":"45","author":"Zhang","year":"2022","journal-title":"Sleep"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1640","DOI":"10.1111\/jonm.12851","article-title":"Effects of individual characteristics on insomnia severity trajectory among nurses: a prospective longitudinal study","volume":"27","author":"Huang","year":"2019","journal-title":"J Nurs Manag"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"3846","DOI":"10.3390\/ijerph16203846","article-title":"Analysis of sociodemographic and psychological variables involved in sleep quality in nurses","volume":"16","author":"P\u00e9rez-Fuentes","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"e26","DOI":"10.1017\/s2045796021000810","article-title":"Sleep disturbance and psychiatric disorders: a bidirectional Mendelian randomisation study","volume":"31","author":"Sun","year":"2022","journal-title":"Epidemiol Psychiatr Sci"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1186\/s12888-024-05931-9","article-title":"Interaction effects between sleep-related disorders and depression on hypertension among adults: a cross-sectional study","volume":"24","author":"Liu","year":"2024","journal-title":"BMC Psychiatry"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"7838","DOI":"10.3390\/ijerph18157838","article-title":"Effect of sleep quality and depression on married female nurses' work-family conflict","volume":"18","author":"Hwang","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"e087507","DOI":"10.1136\/bmjopen-2024-087507","article-title":"Protocol of the nurses' mental health study (NMHS): a nationwide hospital multicentre prospective cohort study","volume":"15","author":"Ning","year":"2025","journal-title":"BMJ Open"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"105064","DOI":"10.1016\/j.ijnurstu.2025.105064","article-title":"Understanding Chinese adults' attitudes toward nurse prescribing: a national cross-sectional study","volume":"166","author":"Wang","year":"2025","journal-title":"Int J Nurs Stud"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"104962","DOI":"10.1016\/j.ijnurstu.2024.104962","article-title":"Sickness presenteeism, job burnout, social support and health-related productivity loss among nurses in the Chinese nurses' health cohort study (TARGET): a cross-sectional survey","volume":"162","author":"Zhang","year":"2025","journal-title":"Int J Nurs Stud"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1186\/s12888-018-1808-6","article-title":"Prevalence of insomnia symptoms and their associated factors in patients treated in outpatient clinics of four general hospitals in Guangzhou, China","volume":"18","author":"Zheng","year":"2018","journal-title":"BMC Psychiatry"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2307\/2136404","article-title":"A global measure of perceived stress","volume":"24","author":"Cohen","year":"1983","journal-title":"J Health Soc Behav"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"47010","DOI":"10.1289\/ehp10959","article-title":"Associations between aircraft noise exposure and self-reported sleep duration and quality in the United States-based prospective nurses' health study cohort","volume":"131","author":"Bozigar","year":"2023","journal-title":"Environ Health Perspect"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"100565","DOI":"10.1016\/j.eclinm.2020.100565","article-title":"Consequences of early career nurse burnout: a prospective long-term follow-up on cognitive functions, depressive symptoms, and insomnia","volume":"27","author":"Rudman","year":"2020","journal-title":"EClinicalMedicine"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"1687","DOI":"10.2147\/nss.s461993","article-title":"Sleep habits and disturbances in healthcare workers: a cross-sectional survey in French public hospitals","volume":"16","author":"Yanis","year":"2024","journal-title":"Nat Sci Sleep"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02557-w","article-title":"Factors influencing sleep quality among nurses in tertiary hospitals in Kelantan, Malaysia: a cross-sectional study","author":"Nur Shuhaiza","year":"2024","journal-title":"BMC Nurs"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.ijnurstu.2019.04.013","article-title":"The impact of rotating work schedules, chronotype, and restless legs syndrome\/Willis-Ekbom disease on sleep quality among female hospital nurses and midwives: a cross-sectional survey","volume":"95","author":"Uekata","year":"2019","journal-title":"Int J Nurs Stud"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1186\/s12912-023-01257-1","article-title":"Shiftwork sleep disorder and associated factors among nurses working at public hospitals in Harari regional state and Dire Dawa administration, eastern Ethiopia: a cross-sectional study","volume":"22","author":"Abate","year":"2023","journal-title":"BMC Nurs"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"1525","DOI":"10.1111\/jonm.13094","article-title":"Factors associated with insomnia among Chinese front-line nurses fighting against COVID-19 in Wuhan: a cross-sectional survey","volume":"28","author":"Zhan","year":"2020","journal-title":"J Nurs Manag"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"59","DOI":"10.16460\/j.issn1008-9969.2021.07.059","article-title":"Analysis of the current status and influencing factors of sleep quality of 170 ICU night shift nurses","volume":"28","author":"Yifeng Guo","year":"2021","journal-title":"J Nurs"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1186\/s12888-017-1402-3","article-title":"Sleep disturbances among Chinese clinical nurses in general hospitals and its influencing factors","volume":"17","author":"Dong","year":"2017","journal-title":"BMC Psychiatry"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1093\/bmb\/ldz014","article-title":"Global nurse shortages-the facts, the impact and action for change","volume":"130","author":"Drennan","year":"2019","journal-title":"Br Med Bull"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/s12960-020-0446-5","article-title":"Nurse staffing in large general hospitals in China: an observational study","volume":"18","author":"Shen","year":"2020","journal-title":"Hum Resour Health"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"A87","DOI":"10.1093\/sleep\/zsaa056.223","article-title":"0225 do associations between daily stress and sleep vary by work shift? A within-person analysis in nurses","volume":"43","author":"Dietch","year":"2020","journal-title":"Sleep"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"103745","DOI":"10.1016\/j.ijnurstu.2020.103745","article-title":"Improving fatigue risk management in healthcare: a scoping review of sleep-related\/ fatigue-management interventions for nurses and midwives (reprint)","volume":"112","author":"Querstret","year":"2020","journal-title":"Int J Nurs Stud"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"884","DOI":"10.1111\/jonm.12756","article-title":"Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: an integrative review","volume":"27","author":"Min","year":"2019","journal-title":"J Nurs Manag"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"e0256300","DOI":"10.1371\/journal.pone.0256300","article-title":"Nurses' experiences and preferences around shift patterns: a scoping review","volume":"16","author":"Ejebu","year":"2021","journal-title":"PLoS One"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"e2129906","DOI":"10.1001\/jamanetworkopen.2021.29906","article-title":"Comparison of sleep and attention metrics among nurses working shifts on a forward- vs backward-rotating schedule","volume":"4","author":"Di Muzio","year":"2021","journal-title":"JAMA Netw Open"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"104881","DOI":"10.1016\/j.ijnurstu.2024.104881","article-title":"Effects and implementation of an intervention to improve sleep, fatigue and recovery among healthcare workers with night shifts: a pre- and post-test study","volume":"160","author":"van Elk","year":"2024","journal-title":"Int J Nurs Stud"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"660776","DOI":"10.3389\/fpsyt.2021.660776","article-title":"Relationships between sleep problems and stress coping strategies adopted by nurses including socio-occupational factors","volume":"12","author":"Kowalczuk","year":"2021","journal-title":"Front Psych"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"129","DOI":"10.5935\/1984-0063.20200051","article-title":"Is working in the emergency department a risk factor for sleep disorders for healthcare workers?","volume":"14","author":"\u00c7altekin","year":"2021","journal-title":"Sleep Sci"},{"key":"ref52","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.13151","article-title":"Prevalence of sleep disturbances among intensive care nurses: a systematic review and meta-analysis","author":"Gong","year":"2024","journal-title":"Nurs Crit Care"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"A303","DOI":"10.1093\/sleep\/zsad077.0689","article-title":"0689 nurses and sleep: the relationship between patient-related stressors and sleep quality","volume":"46","author":"Sedano","year":"2023","journal-title":"Sleep"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"S555","DOI":"10.1192\/j.eurpsy.2021.1480","article-title":"Sleep disorders among health care workers practicing in emergency department in South Tunisia","volume":"64","author":"Bader","year":"2021","journal-title":"Eur Psychiatry"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1016\/j.jen.2024.02.004","article-title":"Prevalence of anxiety, depression, and sleep disturbance among emergency nurses in\u202fOman","volume":"50","author":"Al Mawaali","year":"2024","journal-title":"J Emerg Nurs"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1186\/s12912-022-00918-x","article-title":"Nurses' perceptions on the effects of high nursing workload on patient care in an intensive care unit of a referral hospital in Malawi: a qualitative study","volume":"21","author":"Banda","year":"2022","journal-title":"BMC Nurs"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"1035","DOI":"10.1177\/0018720818781196","article-title":"Human performance deterioration due to prolonged wakefulness can be accurately detected using time-varying spectral analysis of electrodermal activity","volume":"60","author":"Posada-Quintero","year":"2018","journal-title":"Hum Factors"},{"key":"ref58","volume-title":"An examination of nurses\u2019 schedule characteristics, recovery from work, and well-being [Doctoral dissertation] (2021). Portland State University, Portland, OR.","author":"Van Dyck","year":""},{"key":"ref59","doi-asserted-by":"publisher","first-page":"103933","DOI":"10.1016\/j.ijnurstu.2021.103933","article-title":"Relationship between nurse burnout, patient and organizational outcomes: systematic review","volume":"119","author":"Jun","year":"2021","journal-title":"Int J Nurs Stud"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"zsab112","DOI":"10.1093\/sleep\/zsab112","article-title":"The relationship between sleep and physical activity: the moderating role of daily alcohol consumption","volume":"44","author":"Tracy","year":"2021","journal-title":"Sleep"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"e49162","DOI":"10.7759\/cureus.49162","article-title":"Effects of nicotine on the central nervous system and sleep quality in relation to other stimulants: a narrative review","volume":"15","author":"Singh","year":"2023","journal-title":"Cureus"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"101877","DOI":"10.1016\/j.smrv.2023.101877","article-title":"Comparative efficacy of exercise modalities on sleep quality in populations with sleep disorders: a systematic review and network meta-analysis","volume":"73","author":"Xu","year":"2024","journal-title":"Sleep Med Rev"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"e10659","DOI":"10.7717\/peerj.10659","article-title":"Sleep disturbance and its association with quality of life among psychiatric nurses in China","volume":"9","author":"Lu","year":"2021","journal-title":"PeerJ"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1735543\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T07:42:12Z","timestamp":1771918932000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1735543\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,21]]},"references-count":63,"alternative-id":["10.3389\/fpubh.2025.1735543"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1735543","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,21]]},"article-number":"1735543"}}