• Empathy
• Moderating effect
• Narrative medicine
• Nurses
• Working years

• 2024JJ9295 Natural Science Foundation of Hunan Province

• Job satisfaction
• Literature review
• Nurse

• Job Satisfaction
• Humans
• Nursing Staff, Hospital/psychology

• Fatigue
• Health services
• Hospitals
• Midwifery
• Nurses
• Occupational health
• Rostering
• Shift work

• Burnout
• compassion fatigue
• compassion satisfaction
• nurse
• professional quality of life
• resilience

• Humans
• Resilience, Psychological
• Adult
• Female
• Male
• Quality of Life/psychology
• Burnout, Professional/psychology
• Job Satisfaction
• Nursing Staff, Hospital/psychology
• Middle Aged
• Surveys and Questionnaires

• Occupational burnout
• organizational culture
• perceived health
• sleep quality
• workplace violence

• Humans
• Burnout, Professional/epidemiology
• Burnout, Professional/psychology
• Organizational Culture
• Cross-Sectional Studies
• Female
• Workplace Violence/psychology
• Workplace Violence/statistics & numerical data
• Adult
• Male
• Taiwan/epidemiology
• Nursing Staff, Hospital/psychology
• Nursing Staff, Hospital/statistics & numerical data
• Surveys and Questionnaires
• Sleep Quality
• Middle Aged

• Jordan
• UN sustainability goals
• midwives
• nurses
• primary care
• psychological empowerment
• quality of work life

• Saudi Arabia
• mental health
• nurses
• psychiatric hospitals
• work environment

• RSPD2024R1015 King Saud University

• Anxiety
• Burnout
• Depression
• Network analysis
• Sleep quality

• Circadian rhythm
• burnout
• chronotype
• nurses
• perceived stress
• tertiary hospitals

• Adult
• Female
• Humans
• Male
• Middle Aged
• Young Adult
• Burnout, Professional
• China/epidemiology
• Chronotype
• Cross-Sectional Studies
• East Asian People
• Nurses
• Nursing Staff, Hospital/psychology
• Occupational Stress
• Risk Factors
• Shift Work Schedule
• Sleep/physiology
• Surveys and Questionnaires
• Tertiary Care Centers
• Work Schedule Tolerance

• Activity levels
• Circadian rhythms
• Cosinor analysis
• Nursing
• Shiftwork

• Omicron
• healthcare workers
• influencing factors
• job demands
• mobile cabin hospitals

• 2021YC053 Chongqing Social Science Planning Talents Program (Construction and Application of Active Home Intelligent Medical Care Model)
• cstc2021ycjh-bgzxm0092 Chongqing Talents and Famous Teachers Project
• 2020FYYX003 the Joint Project of Chongqing Science and Technology Committee and Chongqing Health Committee
• 2020YFC2005900 the National Key R&D Program
• cstc2020jscx cylhX0002 the Science and Technology Committee of Chongqing, China

• Health care worker
• Mental health
• Resilience
• Sleep behavior
• Sleep hygiene
• Well-being

• Humans
• Sleep Quality
• Singapore/epidemiology
• Burnout, Psychological
• Burnout, Professional/epidemiology
• Burnout, Professional/psychology
• Surveys and Questionnaires

• Burnout
• Family conflict
• Nurses
• Sleep disorder
• Work

• COVID-19
• marriage
• mediation effect
• parenthood
• personal burnout
• suppression effect
• work-related burnout

• Humans
• COVID-19/epidemiology
• Pandemics
• Burnout, Psychological
• Health Personnel
• Marriage
• Burnout, Professional/epidemiology
• Surveys and Questionnaires

• emotional intelligence
• nursing practice
• occupational stress
• performance
• policy development

• burnout
• mediating factor
• musculoskeletal pain
• sex-related differences
• women

• Burnout, Professional/epidemiology
• Burnout, Professional/psychology
• Cross-Sectional Studies
• Female
• Hormones
• Humans
• Male
• Musculoskeletal Pain/epidemiology
• Surveys and Questionnaires

• circadian rhythm
• mediation analysis
• occupational stress
• shift work schedule
• sleep quality

• alcohol use
• burnout
• musculoskeletal pain
• work-related stress

• burnout syndrome
• meta-analysis
• nursing
• prevalence
• sleep disorders
• systematic review

• P11HUM-7771 Regional Government of Andalusia

• Circadian type
• Latent class analysis
• Nurses
• Presenteeism
• Work-related flow

Nurse managers are affected by burnout due to the high degree of interaction between managers with their registered nurses. Explanatory models based on psychological, and personality related variables purvey an estimation to level changes in the three dimensions of the burnout syndrome. A categorical-response logistic ordinal regression model, supported on a quantitative, crosscutting, multicentre, descriptive study with 86 nursing managers in the Andalusian Health Service in Granada, Spain is performed for each dimension. The three models included different variables related to personality, as well as depression as the only explanatory variable included in all the models. The risk factor neuroticism was significant at population level and related to emotional exhaustion, whilst responsibility was significant in the model estimated to personal accomplishment dimension. Finally, depression was significant for the three dimensions of Burnout. This analysis provides useful information to help the diagnosis and evolution of this syndrome in this collective.

Chronic stress is a highly prevalent condition that may stem from different sources and can substantially impact physiology and behavior, potentially leading to impaired mental and physical health. Multiple physiological and behavioral lifestyle features can now be recorded unobtrusively in daily-life using wearable sensors. The aim of the current study was to identify a distinct set of physiological and behavioral lifestyle features that are associated with elevated levels of chronic stress across different stress sources.

For that, 140 healthy female participants completed the Trier inventory for chronic stress (TICS) before wearing the Fitbit Charge3 sensor for seven consecutive days while maintaining their daily routine. Physiological and lifestyle features that were extracted from sensor data, alongside demographic features, were used to predict high versus low chronic stress with support vector machine classifiers, applying out-of-sample model testing.

The model achieved 79% classification accuracy for chronic stress from a social tension source. A mixture of physiological (resting heart-rate, heart-rate circadian characteristics), lifestyle (steps count, sleep onset and sleep regularity) and non-sensor demographic features (smoking status) contributed to this classification.

As wearable technologies continue to rapidly evolve, integration of daily-life indicators could improve our understanding of chronic stress and its impact of physiology and behavior.

• chronic stress
• heart rate
• machine learning
• sleep
• social tension
• trier inventory for chronic stress
• wearable sensors

• burnout
• compassion satisfaction
• patient safety
• shift nurse

• Burnout, Professional
• Compassion Fatigue
• Cross-Sectional Studies
• Empathy
• Humans
• Job Satisfaction
• Patient Satisfaction
• Personal Satisfaction
• Quality of Life
• Safety Management
• Surveys and Questionnaires

The discrepancy between natural sleep-wake rhythm and actual sleep times in shift workers can cause sleep loss and negative daytime consequences. Irregular shift schedules do not follow a fixed structure and change frequently, which makes them particularly harmful and makes affected individuals more susceptible to insomnia. The present study compares insomnia symptoms of non-shift workers, regular shift workers, and irregular shift workers and takes into account the moderating role of the Big Five personality traits and levels of perfectionism. Employees of an Austrian railway company completed an online survey assessing shift schedules, sleep quality and duration, daytime sleepiness, and personality traits. A total of 305 participants, of whom 111 were non-shift workers, 60 regular shift workers, and 134 irregular shift workers, made up the final sample. Irregular shift workers achieved significantly worse scores than one or both of the other groups in time in bed, total sleep time, sleep efficiency, sleep duration, sleep quality, sleep latency, and the number of awakenings. However, the values of the irregular shifts workers are still in the average range and do not indicate clinical insomnia. Participants working regular shifts reported the best sleep quality and longest sleep duration and showed the least nocturnal awakenings, possibly due to higher conscientiousness- and lower neuroticism scores in this group. Agreeableness increased the effect of work schedule on total sleep time while decreasing its effect on the amount of sleep medication taken. Perfectionism increased the effect of work schedule on time in bed and total sleep time. Generalization of results is limited due to the high percentage of males in the sample and using self-report measures only.

• Big Five
• insomnia
• personality
• shift irregularity
• shift work
• sleep quality

Burnout, musculoskeletal pain, and sharps injuries (SIs) affect medical workers.

To establish a model between SIs, burnout, and the risk factors to assess the extent to which burnout affects SIs.

This questionnaire was used for an observational and cross-sectional study, which was based on members at a hospital affiliated with a medical university in Taichung, Taiwan, in 2020. The valid responses constituted 68.5% (1734 of 2531). The items were drawn from the Nordic Musculoskeletal Questionnaire and Copenhagen burnout inventory and concerned work experience, occupational category, presence of chronic diseases, sleep duration, overtime work, and work schedule. Factor analysis, chi-square test, Fisher exact test, Multiple linear, logistic regression and Sobel test were conducted. The present analyses were performed using SAS Enterprise Guide 6.1 software (SAS Institute Inc., Cary, NC, United States), and significance was set at P < 0.05.

Personal and work-related burnout ranks, sex, work experience ranks, occupational groups, drinking in the past month, sleep duration per day, presence of chronic diseases, overtime work ranks, and work schedule were associated with SIs. Frequent upper limb and lower limb pain (pain occurring every day or once a week) determined to be related to SIs. High personal burnout (> Q3) and high work-related burnout (> Q3) mediated the relationship between SIs and frequent lower limb pain. Similarly, frequent lower limb pain mediated the relationship of SIs with high personal and high work-related burnout. High personal and high work-related burnout mediated the relationships of SIs with overtime work and irregular shift work. The mediating model provides strong evidence of an association between mental health and SIs.

Burnout was determined to contribute to SIs occurrence; specifically, it mediated the relationships of SIs with frequent musculoskeletal pain, overtime work, and irregular shift work.

• Personal burnout
• Work-related burnout
• Sharps injuries
• Musculoskeletal pain
• Mediating factor
• Overtime work

• exhaustion
• integrative review
• nurses
• occupational health
• occupational stress
• strain
• work environment

• Asia
• Humans
• Nurses
• Occupational Stress/epidemiology
• Workplace

• 12-hour shifts
• Clinical competence
• Cognitive effectiveness
• Fatigue
• Nursing
• Patient safety
• Quality of health care
• Quasi-Experimental Studies
• Shift Work Schedule
• Work Performance

Shift work can lead to circadian desynchronization due to temporary misalignment between working hours and physiological and behavioral functioning, resulting in compromised health, insomnia, worsening of sleep quality, reduced ability to work during waking hours, and increased cardiovascular risk. We evaluated the effects of shift work on the rest-activity circadian rhythm (RAR) and health status of Italian orthopaedic nurses. The study population was 59 nurses: 44 worked the night shift and 15 worked the day shift. All carried out continuous 5-day actigraphic monitoring to assess RAR, including both the working and the rest period. The rhythmometric analysis showed that, during the working period, the night shift nurses had a significantly lower amplitude than the day shift nurses (p < 0.001), and the acrophase was significantly different between the two groups (p < 0.01). When we stratified the two groups by median body mass index (<25 kg/m² normal weight and ≥25 kg/m² overweight), during the working period, we noted a significantly lower amplitude for both the normal weight and the overweight nurses who worked the night shift (p < 0.01 and p < 0.001, normal weight and overweight respectively). The current findings suggest the need for further study of the relationship between activity levels and shift work.

• actigraphic monitoring
• activity levels
• health care
• nurses
• occupational health
• shift work

The traits languidity (tendency to become tired/sleepy upon losing sleep) and flexibility (ability to sleep and work at odd times) have been implicated in shift work tolerance. However, there is a dearth of knowledge about their temporal stability. The aim of the present study was to explore these traits during a long follow-up (FU) period and identify factors related to potential changes in trait scores over time. In all, 1,652 nurses completed the Circadian Type Inventory-revised (CTI-r), which measures languidity and flexibility, at both 2008/2009 (baseline, BL) and again in 2016 (FU). The latent scores of these two constructs at BL, in addition to age, sex, childcare responsibility, marital status, night work status, and insomnia status, were regressed on the corresponding latent scores at follow-up using a structural equation modeling (SEM) approach. Stability was found for both languidity (rho = 0.59) and flexibility (rho = 0.58). Both composite scores declined significantly from baseline (20.62 and 12.48) to follow-up (19.96 and 11.77). Languidity at baseline was positively associated with languidity at follow-up (β = 0.89, p < 0.009). Undertaking childcare responsibility between baseline and follow-up was inversely related to languidity at follow-up (β = −0.09, p < 0.05). Starting night work was positively related to languidity at follow-up (β = 0.06, p < 0.05). Developing insomnia between baseline and follow-up (β = 0.15, p < 0.05) was positively, whereas remitting from insomnia during the same period was negatively (β = −0.11, p < 0.01) associated with languidity at follow-up. Flexibility at baseline was positively associated with flexibility at follow-up (β = 0.64, p < 0.05). Having childcare responsibility at baseline, but not at follow-up was inversely related to flexibility at follow-up (β = −0.05 p < 0.05). Becoming cohabitant with a partner between baseline and follow-up (β = −0.07, p < 0.05) was negatively associated with flexibility at follow-up. Starting night work between baseline and follow-up (β = 0.17, p < 0.01) and reporting night work at both baseline and follow-up (β = 0.18, p < 0.01) were both positively associated with flexibility at follow-up, whereas stopping working nights was negatively (β = −0.09, p < 0.05), associated with flexibility at follow-up. The personality traits languidity and flexibility show fairly high stability, albeit the mean scores were significantly reduced during the 7–8 years follow-up period. The results suggest that these personality traits are partly modifiable.

• change
• circadian type inventory-revised
• flexibility
• languidity
• longitudinal
• reliability
• stability

• Blood pressure
• circadian rhythm
• hypertension
• nurses
• shift work

• cognitive behavioral therapy
• emotional regulation
• health professionals
• immune system
• sleep

This study aimed to investigate the effect of circadian rhythm stability and amplitude on musculoskeletal disorder prevalence and work–family conflict among nurses.

This cross‐sectional study was conducted on 386 nurses working in three hospitals, in Shahroud, Iran.

The data were collected using the Circadian Rhythm Inventory, Nordic Musculoskeletal Disorders, and Carlson Work‐Family Conflict questionnaires.

The highest prevalence of musculoskeletal disorders was reported in the lower back (68.4%), upper back (65.5%) and shoulders (53.6%), respectively. No significant relation was found between circadian rhythm stability and amplitude, and musculoskeletal disorders prevalence. The nurses who could not overcome drowsiness reported more Work Interference with Family (WIF), Family Interference with Work (FIW) (time‐based) and FIW (strain‐based) compared to the nurses who overcame drowsiness. In addition, the appropriate nurses for shift work experienced less WIF, FIW (behavioural‐based) and WIF (strain‐based) compared to the nurses who could not work overtime or at night.

• circadian rhythm amplitude
• circadian rhythm stability
• family interference with work
• musculoskeletal disorders
• work interference with family

• burnout syndrome
• clinical nursing teachers
• emotion regulation
• life satisfaction
• perceived stress

• burnout
• midwifery
• nursing
• personality
• predictors

• burnout
• emotional exhaustion
• empathy
• mediating effect
• nurses
• nursing organizational climate
• personal accomplishment

• Burnout
• Job demands
• Maslach Burnout Inventory
• Nursing
• Practice environment

• Burnout, Professional/epidemiology
• Health Status
• Humans
• Internal-External Control
• Job Satisfaction
• Leadership
• Nurse's Role/psychology
• Nurses/psychology
• Nurses/statistics & numerical data
• Patient Safety
• Personnel Turnover/statistics & numerical data
• Quality of Health Care
• Sick Leave/statistics & numerical data
• Time Factors
• Workload/psychology
• Workplace/psychology

The balance of personal life with professional life is a topical issue that is increasingly worrisome due to globalization, the rapid introduction of new technologies into all areas of human life, the overlap between time between work and family, new organizational systems, and changes in the nature of work. This problem is accentuated by professions subjected to intense labor demands, as is the case of nurses. Adopting the Job Demand–Control–Support model, the main purpose of this research is to analyze how these factors lead to a greater or lesser degree of work–life balance. The research proposes a logistic regression model, which was constructed with a sample of 991 nursing professionals from the V European Working Conditions Survey. The results obtained confirm, on the one hand, that there is a significant effect of physical demands (but not psychological demands) on work–life balance. On the other hand, the moderating effects of job control are partially confirmed for psychological demands, and those of supervisor support (but not co-worker support) are partially confirmed for physical demands. In conclusion, the present research shows that effective management of nurses’ work context can decisively contribute to finding the difficult balance between personal and professional time.

• job control
• job demands
• nurses
• social support
• work–life balance

• burnout
• health promotion
• intervention
• literature review
• mindfulness
• nursing
• systematic review

• Nurses working rotating shifts
• daytime activity level
• rest-activity cycle
• sleep fragmentation
• sleep quality

• Burnout
• Health personnel
• Middle East

• Burnout, Professional/epidemiology
• Health Personnel/psychology
• Humans
• Middle East/epidemiology
• Prevalence

• K23 AT009218 NCCIH NIH HHS
• K23AT009218 NCCIH NIH HHS
• National Center for Complementary and Integrative Health

Nursing work environment consists of a number of work-related psychosocial risk factors such as excessive workloads, lack of social support, emotional demands, job insecurity and confronting with challenging situations all of which may induce burnout. The aim of the current study was to investigate the relationship between work-related psychosocial factors and burnout among Iranian nurses.

A cross-sectional study was carried out among 522 nurses. The data related to work-related psychosocial factors and burnout was gathered using Job Content Questionnaire (JCQ) and Maslach Burnout Inventory (MBI), respectively. Pearson’s correlation coefficients were used to examine the relationship between work-related psychosocial factors and burnout.

Mean scores of the dimensions of burnout for emotional exhaustion, depersonalization, and reduced personal accomplishment were 13.6 (SD=8.6), 18.42 (SD=7.1), and 28.45 (SD= 9.15), respectively. Psychological and physical job demands were positively correlated with different dimensions of burnout while social support and job control showed negative correlation with them.

Appropriate interventions on reducing job demands both psychologically and physically and increasing social support and job control are suggested in prevention of burnout among the studied nurses.