Poor sleep is associated with work environment among 10,087 French healthcare workers: Results from a nationwide survey
Psychiatry Research. 2023-10-01; 328: 115448
DOI: 10.1016/j.psychres.2023.115448
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1. Psychiatry Res. 2023 Oct;328:115448. doi: 10.1016/j.psychres.2023.115448. Epub
2023 Aug 29.
Poor sleep is associated with work environment among 10,087 French healthcare
workers: Results from a nationwide survey.
Coelho J(1), Lucas G(2), Micoulaud-Franchi JA(1), Philip P(1), Boyer L(3), Fond
G(4).
Author information:
(1)Univ. Bordeaux, SANPSY, UMR 6033, F-33000, Bordeaux, France; CNRS, SANPSY,
UMR 6033, F-33000, Bordeaux, France; CHU Bordeaux, Service Universitaire de
Médecine du sommeil, F-33000, Bordeaux France.
(2)Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University,
CEReSS-Health Service Research and Quality of Life Center, 27, boulevard Jean
-Moulin, 13005, Marseille, France.
(3)Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University,
CEReSS-Health Service Research and Quality of Life Center, 27, boulevard Jean
-Moulin, 13005, Marseille, France; Fondation FondaMental, Créteil, France.
(4)Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University,
CEReSS-Health Service Research and Quality of Life Center, 27, boulevard Jean
-Moulin, 13005, Marseille, France; Fondation FondaMental, Créteil, France.
Electronic address: .
Poor sleep is a prevalent issue among healthcare workers and can have
detrimental effects on their health. Various individual and professional
factors, including the work environment, may contribute to poor sleep. However,
only a limited number of studies have examined the simultaneous influence of
these factors. Hence, we conducted a nationwide survey among graduated
healthcare workers in both public and private healthcare facilities in France.
The aim was to analyze the association between poor sleep, assessed using the
Pittsburgh Sleep Quality Index (>5), and the work environment, evaluated using
the Job Content Questionnaire. The study encompassed 10,087 healthcare workers,
among whom 6,540 (64.8%) reported experiencing poor sleep. Nurses, health
executives, nursing assistants, and other allied healthcare professionals were
more likely to experience poor sleep compared to physicians. Through
multivariate regression analysis, we identified several aspects of the work
environment associated with an increased likelihood of poor sleep. These factors
included high speed and quantity of work, high complexity and intensity, high
fragmentation and unpredictability, limited decision-making latitude,
underutilization of skills, lack of emotional support from colleagues, and
sustained workplace bullying. These findings highlight the significance of
considering the work environment in addressing sleep issues among healthcare
professionals.
Copyright © 2023. Published by Elsevier B.V.
DOI: 10.1016/j.psychres.2023.115448
PMID: 37713924
Conflict of interest statement: Declaration of Competing Interest The authors
have no conflicts to disclose.