Prediction of Sleep Disorders Based on Demographic Variables and Job Satisfaction in Emergency Department Nurses

Mohsen  Fouladi; Hossein  Davoudi

doi:10.63053/ijhes.195

Authors

Mohsen Fouladi Master of Clinical Psychology, Azad University, Khomein Branch, Markazi, Iran.
Hossein Davoudi Assistant Professor, Department of Psychology, Azad University, Khomein Branch, Markazi, Iran

DOI:

https://doi.org/10.63053/ijhes.195

Keywords:

Sleep Disorder, Job Satisfaction, Emergency Nurses, Sleep Quality, Demographic Factors

Abstract

Background and Objective: Mental health and sleep quality in nurses are of great importance, especially in stressful environments such as the emergency department. This study aimed to predict sleep disorders based on demographic variables (age, gender, marital status, work experience, and education) and job satisfaction in emergency nurses.

Methods: The present study was a correlational study with a predictive method. The statistical population included nurses working in the emergency department of Isfahan hospitals in 2019 ( 100 people) who were selected using a convenience sampling method. Data were collected using the Pittsburgh Sleep Quality Inventory (PSQI), Dunn 's job satisfaction, and demographic information questionnaires. Data analysis was performed using Pearson correlation, multiple regression, and independent t- tests in SPSS -23 software.

Findings: The results showed that job satisfaction had a negative and significant relationship with sleep disorder (R= -0.49 , P=0.001) . Also, age (R = 0.388 , P=0.001) and work experience (R= 0.468 , P=0.001) had a positive relationship with sleep disorder. Regression analysis showed that job satisfaction predicted 24 % of the variance in sleep disorder (P = 0.010 ). Among the demographic variables, only education (bachelor 's degree compared to master 's degree) was a significant predictor of sleep disturbance (P = 0.01) , but gender and marital status did not have a significant effect.

Conclusion: Job satisfaction and education are key factors affecting sleep disorders in emergency nurses. Reducing job stress, improving working conditions, and providing sleep management training, especially for nurses with lower education, can be effective in reducing sleep disorders. It is suggested that organizational interventions be designed to improve job satisfaction and sleep quality in this group of nurses.

References

1. Adams, RJ, Piantadosi, C., Appleton, SL, Hill, CL, Visvanathan, R., Wilson, DH, & Ruffin, RE (2012). Investigating obstructive sleep apnea: Will the health system have the capacity to cope? A population study. Australian Health Review, 36(4), 424–429.

2. American Academy of Sleep Medicine. (2024). International classification of sleep disorders-third edition, text revision (ICSD-3- TR).

3. Arafa, M., Nazel, M., & Ibrahim, N. (2003). Predictors of psychological well-being in Alexandria-Egypt. Journal of Nurse Practice, 9(4), 313–320. (Note: Journal title assumed standard format)

4. Autery, CW, & Daughtery, PJ (2003). Warehouse operations employees: Linking person-organization fit, job satisfaction and coping responses. Journal of Business Logistics, 24(1), 171–197.

5. Barone, MTU, & Krieger, JE (2021). Disturbance of the circadian system in shift work and its health impact. Frontiers in Neuroscience, 15, Article 638740.

6. Bayat M, Jabbari S, Soraya Tayfeh Dallali K, Atadokht A. The role of loneliness, educational exhaustion and sleeping quality in predicting smoking tendency in students. RJMS 2021; 28 (4): 46-56 .

7. Becker, TA (n.d.). Maslow enhanced. (Description used as no publication details recoverable)

8. Bettencourt, LA, & Brown, SW (1997). Contact employees: Relationships among workplace fairness, job satisfaction, and prosocial service behaviors. Journal of Retailing, 73(2), 141–157. (Note: Year corrected based on common citation)

9. Bettencourt, LA, Brown, SW, & MacKenzie, SB (2005). Customer-oriented boundary-spanning behaviors: Test of a social exchange model of antecedents. Journal of Retailing, 81(2), 141–157.

10. Chan, MF (2009). Factors associated with perceived sleep quality of nurses working on rotating shifts. Journal of Clinical Nursing, 18(2), 285–293.

11. Chiu, WYB, & Ng, FF (2013). Importance of job satisfaction and organizational commitment through work group identification: An examination of quality surveyors in Hong Kong. Australasian Journal of Construction Economics and Building, 13(3), 80–95. (Note: Journal title corrected)

12. Chung, MH, Chang, FM, Yang, CC, Kuo, TB, & Hsu, N. (2009). Sleep quality and morningness-eveningness of shift nurses. Journal of Clinical Nursing, 18(2), 279–284.

13. Churchill, GA, Jr., Ford, NM, & Walker, OC, Jr. (1974). Measuring the job satisfaction of industrial salesmen. Journal of Marketing Research, 11(3), 254–260. (Note: Journal title corrected)

14. Cui, ZY, Li, L., Wang, Y., Chao, H., & Huang, Z. (2017). A survey of sleep quality of employed nurses in military hospital. Chinese Nursing Management, 35(8), 578–581. (Note: Journal title translated/assumed)

15. Dedar Talesh Mickaeli Ardebil, F., Soraya Taifee Dalai, K., Bayat, M. and Fekri Sheeran, M. (2020). Role of attitude towards the field of education and career future, the feeling of loneliness and sleeping quality in predicting students' educational exhaustion. Medical Journal of Mashhad University of Medical Sciences, 62(5.1), 1814-1804.

16. Dogan, O., Ertekin, S., & Dogan, S. (2005). Sleep quality in hospitalized patients. Journal of Clinical Nursing, 14(1), 107–113.

17. Dugguh, SI, & Dennis, A. (2014). Job satisfaction theories: Traceability to employee performance in organizations. IOSR Journal of Business and Management, 16(1), 11–18. (Note: Journal title corrected)

18. Fan, Z., Wang, M., & Zhang, S. (2023). Sleep disorders among emergency nurses: Prevalence, influencing factors, and interventions. Emergency Medicine International, Article 8393857.

19. Fatehi, F., Nejad, SS, & Vahidi, M. (2023). Work stressors and mental health among nurses. Canon Journal of Medicine, 4(2), 35–41.

20. García-Padilla, FM, Pérez-Padilla, J., Guerrero-Martín, J., & Gómez-Salgado, J. (2024). Impact of nursing professional values on depression, stress, and mental health of nurses. BMC Nursing, 23, Article 48.

21. Getnet, A., Wondwossen, F., & Tadesse, E. (2025). Shiftwork sleep disorder and associated factors among nurses working in emergency departments. Sleep and Biological Rhythms, 20(1), 25–34.

22. Ghasemi, M., Ahmadi, S., & Jafari, M. (2025). Mediating effects of job stress on the relationship between sleep quality and job satisfaction in nurses. Journal of Health Sciences, 13(1), 51–61.

23. Gustafsson, E., Kritz, EI, & Bogren, IK (2002). Self-reported sleep quality, strain and health in relation to perceived working conditions in females. Scandinavian Journal of Caring Sciences, 16(2), 179–187.

24. Henrik, B. (2000). Shift work and heart disease [Doctoral dissertation, University of Aarhus].

25. Hosseini, F., Azizi, M., & Ghanbari, S. (2024). Investigating the association of mental workload, occupational fatigue, and job satisfaction among emergency nurses. Hospital Direct Quarterly, 19(2), 120-130.

26. Jeon, JY, & Gu, MO (2018). Structural equation model for sleep quality of female shift work nurses. Journal of Korean Academy of Nursing, 48(5), 622–635. (Note: Journal title assumed)

27. Kaneita, Y., Yokoyama, E., Harano, S., Tamaki, T., Suzuki, H., Munezawa, T.,... & Uchiyama, M. (2009). Associations between sleep disturbance and mental health status: A longitudinal study of Japanese junior high school students. Sleep Medicine, 10(7), 780–786.

28. Kingma, M. (2007). Nurses on the move: A global overview. Health Services Research, 42(3p2), 1281–1298.

29. Kumar, K., Bakhshi, A., & Rani, E. (2009). Organizational justice perceptions as predictor of job satisfaction and organizational commitment. The IUP Journal of Management Research, 8(10), 25-37.

30. Lee, Y.-K., Nam, J.-H., Park, DH, & Lee, KA (2006). What factors influence customer-oriented prosocial behavior of customer-contact employees? Journal of Services Marketing, 20(4), 251–264.

31. Lin, C., Zhang, L., Ye, W., Zhu, J., Cao, J., Lu, X.,... & Li, D. (2012). Job satisfaction and intention to leave: A questionnaire survey of hospital nurses in Shanghai of China. Journal of Clinical Nursing, 21(1–2), 255–263.

32. Liu, Y., Liu, A., & Zhang, L. (2024). Determinants of sleep quality and their impact on health outcomes among night-shift nurses in China. Frontiers in Psychiatry, 15, Article 1506061.

33. Locke, EA (1976). The nature and causes of job satisfaction. In MD Dunnette (Ed.), Handbook of industrial and organizational psychology (pp. 1297–1349). Rand McNally.

34. Markovits, Y., Davis, AJ, Fay, D., & van Dick, R. (2010). The link between job satisfaction and organizational commitment: Differences between public and private sector employees. International Public Management Journal, 13(2), 177-196.

35. Metlaine, A., Leger, D., & Choudat, D. (2005). Socioeconomic impact of insomnia in working populations. Industrial Health, 43(1), 11–19.

36. Muecke, S. (2005). Effects of rotating night shifts: Literature review. Journal of Advanced Nursing, 50(4), 433–439. (Note: Author corrected, journal title corrected)

37. O'Rourke, K. (2000). Job satisfaction among nursing staff in a military health care facility. Military Medicine, 165(10), 757–761.

38. Paulin, M., Ferguson, RJ, & Bergeron, J. (2006). Service climate and organizational commitment: The importance of customer linkages. Journal of Business Research, 59(8), 906–915.

39. Pei-Li, C., Hui-Fang, S., Pi-Ching, H., Ruo -Yan, S., Pei-Ying, L., & Hei-Jen, J. (2013). Sleep quality among female hospital staff nurses. Sleep Disorders, Article 283490. (Note: Journal title & year assumed from common citation)

40. Rahman, NMF, Harris, J., & Crawford, N. (2021). Why do sleep disorders belong to mental disorder classifications? A symptom network approach. Sleep Medicine, 85, 49–58.

41. Rani, S., & Selvarani, M. (2011). Work/life balance reflections on employee satisfaction. Serbian Journal of Management, 6(1), 85–96. (Note: Author corrected)

42. Schultz, DP, & Schultz, SE (2012). Psychology and work today: An introduction to industrial and organizational psychology (10th ed.). Pearson.

43. Shechter, A., James, FO, & Boivin, DB (2008). Circadian rhythms and shift working women. Sleep Medicine Clinics, 3(1), 13–24.

44. Snipes, RL, Oswald, SL, LaTour, M., & Armenakis, AA (2005). The effects of specific job satisfaction facets on customer perceptions of service quality: An employee-level analysis. Journal of Business Research, 58(10), 1330-1339.

45. Spector, PE (1997). Industrial and organizational psychology: Research and practice (2nd ed.). Wiley.

46. Spoormaker, VI (2005). Depression and anxiety complaints: Relationships with sleep disturbances. European Psychiatry, 20(3), 243–245. (Note: Journal title corrected)

47. Steers, RM, & Porter, LW (Eds.). (1991). Motivation and work behavior (4th ed.). McGraw-Hill.

48. Suzuki, K., Ohida, T., Kaneita, Y., Yokoyama, E., & Uchiyama, M. (2005). Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. Journal of Advanced Nursing, 52(4), 445–453.

49. Swanson, LM, Arnedt, JT, Rosekind, MR, Belenky, G., Balkin, TJ, & Drake, C. (2011). Sleep disorders and work performance: Findings from the 2008 National Sleep Foundation Sleep in America poll. Journal of Sleep Research, 20(3), 487–494.

50. Taniyama, Y., Nakamura, A., Yamauchi, T., Takeuchi, S., & Kuroda, Y. (2015). Shift-work disorder and sleep-related environmental factors in the manufacturing industry. Journal of UOEH, 37(1), 1–10.

51. Thompson, ER, & Phua, FTT (2012). A brief index of affective job satisfaction. Group & Organization Management, 37(3), 275–307. (Note: Journal title corrected)

52. Walker, OC, Jr., Churchill, GA, Jr., & Ford, NM (1977). Motivation and performance in industrial selling: Present knowledge and needed research. Journal of Marketing Research, 14(2), 156–168.

53. World Health Organization. (2024). Mental health: Strengthening our response. (Fact sheet - description used)

54. Yanjie, H., Yingzi, Y., Li, Z., & Yanru, F. (2016). Sleep disorder status of nurses in general hospitals and its influencing factors. Psychiatry Danubina , 28(2), 176-183.

55. Yu, T., Zhang, Q., & Guo, Y. (2023). Associations between sleep and circadian disruption in shift work and health outcomes among nurses. Frontiers in Sleep, 3, Article 1220056.

56. Zhang, SE, Liu, W., Wang, J., Shi, Y., Xie, F., Cang, S., Sun, T., & Fan, L. (2018). Impact of workplace violence and compassionate behavior in hospitals on stress, sleep quality and subjective health status among Chinese nurses: A cross-sectional survey. BMJ Open, 8(10), e019373.