Purpose
The aim of this study was to longitudinally compare novice nurses’ sleep disturbance, sleep hygiene, and physical activity and analyze factors affecting sleep disturbance.
Methods
Data were obtained from three follow-up surveys of 178 novice nurses. The data were analyzed using SPSS 25.0 to calculate descriptive statistics. A repeated measures ANOVA and Cochran’s Q test were performed, and a logistic regression analysis was conducted using generalized estimation equations.
Results
The sleep disturbance rate increased significantly over time in the following order: before the start of shift work, after six months of shift work, and after 18 months of shift work (T=98.67, p<.001). Sleep hygiene significantly deteriorated over time after the start of shift work (F=127.95, p<.001). Arousal behavior (OR=10.34, p<.001) and the sleep environment (OR=1.54, p=.005) in sleep hygiene, significantly influenced sleep disturbance. Stretching exercises were an influencing factor in sleep disturbance (OR=1.71, p=.039).
Conclusion
Sleep disturbance among novice nurses increased after the start of shift work. Sleep hygiene and stretching were influencing factors. Therefore, to prevent and reduce sleep disturbance in novice nurses, efforts are needed to improve sleep hygiene and promote stretching exercises.

Purpose
This study aimed to identify the changes in dietary behavior of shift work nurses and its influencing factors over time. Methods: This was a secondary data analysis study based on the Shift Work Nurses’ Health and Turnover study. Data of 165 shift work nurses, who were followed for three-time points [before shift work (T0), after 6 months (T1), and after 18 months(T2) of shift work], were analyzed. Dietary behavior, level of stress, fatigue, depressive symptoms, and the amount of physical activity were measured. SPSS 28.0 was used to analyze the data to acquire descriptive statistics, repeated-measures ANOVA, and multiple linear regression with generalized estimating equations (GEE). Results: Dietary behavior of shift work nurses was poorer at T1 and T2 as compared to T0. As a result of GEE, shift work duration, level of stress, fatigue, and depressive symptoms were found to have negative impacts on dietary behavior. Conclusion: Dietary behavior deteriorated and remained poor over time since shift work began. Shift work, along with stress, fatigue, and depressive symptoms, were the factors influencing their dietary behavior. Thus, to improve shift work nurses’ dietary behavior, efforts to decrease stress, and alleviate fatigue and depressive symptoms are urgently required.

Citations

• Dietary behavior and its influencing factors among experienced shiftwork nurses: a secondary analysis
  Soyeon Kim, Jison Ki, Ji Yun Choi, Woan Heui Choi, Smi Choi-Kwon
  Korean Journal of Women Health Nursing.2023; 29(1): 32.     CrossRef

PURPOSE
The aim of this study was to investigate the effect of sense of coherence (SOC) on occupational stress, psychosocial stress and quality of life (QOL) of nurses working in a hospital.
METHODS
The participants were 401 nurses working in S hospital in Seoul. A stratified random sampling was performed for the all nurses in S hospital which were grouped by age and work unit. Data were collected by a self-report survey. Data analyses included descriptive statistics, t-test, Pearson correlations, multiple linear regressions, and ANOVA.
RESULTS
This study showed nurses' occupational stress was at high risk and their psychosocial stress, at low risk. It also showed that those two types of stress are mutual predictors for each other and that SOC was a predictor for both types of stress. For QOL, SOC was also a predictor in SF-36 and MCS (Mental Component Summary). Therefore, SOC may be considered as a major controlling factor for stress and QOL.
CONCLUSION
The results indicate the need to develop programs that enhances nurses' SOC, programs that could be utilized as an intervention to reduce nurses' stress and to promote nurses' QOL.

Citations

• Study of Work-Related Musculoskeletal Pain and Health-related Quality of Life among Hospital Workers
  Giwon Kim, Chun Sun Lee, Kyunghee Lee
  The Journal of Korean Physical Therapy.2019; 31(5): 304.     CrossRef
• The Relationship among Anger-in, Forgiveness, and Quality of Life in Clinical Nurses
  Jeong Hwa Choi, Young Sook Tae, Je Eun Heo, Young Suk Kim
  Journal of East-West Nursing Research.2016; 22(1): 78.     CrossRef
• Structural Equation Modeling on Health Status in Hospital Nurses: Based on the Theory of Salutogenesis With Bio Behavioral Approach
  Kyeong Sug Kim, Smi Choi-Kwon, Kihye Han
  Journal of Korean Biological Nursing Science.2015; 17(1): 50.     CrossRef
• Relationship between Job Stress and Health Status(SF-36) Among General Hospital Nurses
  Yeon-Hee Lim, Young-Chae Cho
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(7): 4745.     CrossRef
• Sense of Coherence and Academic Stress in Nursing Students
  Mihyon Lee, Misook Park
  The Journal of the Korea Contents Association.2014; 14(12): 863.     CrossRef
• Sense of Coherence and Stress of Clinical Practice in Nursing Students
  Eun-Ju Lee, Won-Hee Jun
  The Journal of Korean Academic Society of Nursing Education.2013; 19(2): 163.     CrossRef