{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:01:01Z","timestamp":1780470061048,"version":"3.54.1"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"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>Introduction<\/jats:title>\n                    <jats:p>Shift work is a recognized occupational risk factor for sleep disturbances, particularly among healthcare professionals. Nurses are especially vulnerable due to irregular work schedules, night duties, and the high physical and psychological demands of clinical practice. The aim of this study was to assess the association between shift work and insomnia among nurses using the Athens Insomnia Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross-sectional survey was conducted among 110 nurses. Data were collected using an anonymous electronic questionnaire consisting of an original sociodemographic and occupational section and the Athens Insomnia Scale (AIS). Statistical analysis was performed using non-parametric methods, including the Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      -test, Kruskal\u2013Wallis test, Spearman's rank correlation, and chi-square test, with the significance threshold set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2264 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean AIS score in the study group was 9.62 (SD = 4.60), indicating a high burden of sleep disturbances in the analyzed population. Nurses on shift schedules, including night duties, had higher AIS scores than those on daytime schedules only; however, this difference did not reach statistical significance (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.204). Similarly, no significant associations were found between AIS score and age, length of service, education level, family status, number of jobs, weekly working hours, or hospital referral level. In contrast, the use of hypnotics was associated with significantly higher insomnia severity (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.033).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Insomnia symptoms were common among the nurses in the study group. Although shift work was associated with higher insomnia scores, no statistically significant relationship was observed in this sample. The findings nevertheless indicate the need for further large-scale studies and organizational measures to improve sleep hygiene and working conditions among nurses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1848179","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:01:46Z","timestamp":1780466506000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between shift work and insomnia in nurses: a cross-sectional study using the Athens Insomnia Scale"],"prefix":"10.3389","volume":"14","author":[{"given":"Mateusz","family":"Szczupak","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Intensive Therapy in the Nicolaus Copernicus Hospital in Gda\u0144sk","place":["Gda\u0144sk, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacek","family":"Kobak","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology","place":["Faculty of Medicine, Medical University of Gda\u0144sk, Poland"]},{"name":"Department of Otolaryngology, University Clinical Center","place":["Gda\u0144sk, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabina","family":"Krupa-Nurcek","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Collegium Medicum, University of Rzesz\u00f3w","place":["Rzesz\u00f3w, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"B1","first-page":"2","article-title":"Jha, Vibha M Jha","volume-title":"Sleep, Memory And Synaptic Plasticity","author":"Sushil","year":"2019"},{"key":"B2","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/j.pcad.2023.02.005","article-title":"Sleep physiology, pathophysiology and sleep hygiene","author":"Baranwal","year":"2023","journal-title":"Prog Cardiovasc Dis."},{"key":"B3","first-page":"153","volume-title":"Clinical Electroencephalography","author":"Oriano","year":"2016"},{"key":"B4","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1093\/med\/9780199682003.001.0001","author":"Chokroverty","year":"2017","journal-title":"Oxford Textbook of Sleep Disorders"},{"key":"B5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/978-3-319-41742-4","volume-title":"Sleep Disorders In Adolescentes","author":"Kothare","year":"2017"},{"key":"B6","doi-asserted-by":"publisher","first-page":"573","DOI":"10.3390\/ijerph19010573","article-title":"Influence of sleep characteristic changes on nurses' quality of life during their transition to practice: a prospective cohort study","volume":"19","author":"Kim","year":"2022","journal-title":"Int J Environ Res Public Health."},{"key":"B7","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-Jim\u00e9nez","year":"2022","journal-title":"Healthcare."},{"key":"B8","doi-asserted-by":"publisher","first-page":"725","DOI":"10.2147\/NSS.S325220","article-title":"Psychometric validation of the athens insomnia scale among nurses: a robust approach using both classical theory and rating scale model parameters","volume":"14","author":"Manzar","year":"2022","journal-title":"Nat Sci Sleep."},{"key":"B9","doi-asserted-by":"publisher","first-page":"9802","DOI":"10.3390\/ijerph19169802","article-title":"Sleep disturbances and health consequences induced by the specificity of nurses' work","volume":"19","author":"Knap","year":"2022","journal-title":"Int J Environ Res Public Health."},{"key":"B10","doi-asserted-by":"publisher","first-page":"6218","DOI":"10.3390\/ijerph19106218","article-title":"Determinants of sleep disorders and occupational burnout among nurses: a cross-sectional study","volume":"19","author":"M\u0142ynarska","year":"2022","journal-title":"Int J Environ Res Public Health."},{"key":"B11","doi-asserted-by":"publisher","first-page":"1384","DOI":"10.1080\/07420528.2021.1931273","article-title":"Influence of rotating shifts and fixed night shifts on sleep quality of nurses of different ages: a systematic literature review and meta-analysis","volume":"38","author":"Chang","year":"2021","journal-title":"Chronobiol Int."},{"key":"B12","doi-asserted-by":"publisher","first-page":"124","DOI":"10.5455\/msm.2021.33.124-130","article-title":"Effort reward imbalance and insomnia among greek healthcare personnel during the outbreak of COVID-19","volume":"33","author":"Tzenetidis","year":"2021","journal-title":"Mater Sociomed."},{"key":"B13","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1002\/nop2.1057","article-title":"Sleep medication and melatonin use among Norwegian nurses - 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