Factors associated with insomnia among Chinese front-line nurses fighting against COVID-19 in Wuhan: A cross-sectional survey.

To investigate the prevalence of insomnia among front-line nurses fighting against COVID-19 in Wuhan, China, and analyse its influencing factors. Insomnia is an important factor that can affect the health and work quality of nurses. However, there is a lack of big-sample studies exploring factors that affect the insomnia of nurses fighting against COVID-19. This cross-sectional study using the Ascension Insomnia Scale, Fatigue Scale-14 and Perceived Stress Scale took place in March 2020. Participants were 1,794 front-line nurses from four tertiary-level general hospitals. The prevalence of insomnia among participants was 52.8%. Insomnia was predicted by gender, working experience, chronic diseases, midday nap duration, direct participation in the rescue of patients with COVID-19, frequency of night shifts, professional psychological assistance during the pandemic, negative experiences (such as family, friends or colleagues being seriously ill or dying due to COVID-19), the degree of fear of COVID-19, fatigue and perceived stress. The level of insomnia among participants was higher than the normal level. Interventions based on influencing factors should be implemented to ensure nurses' sleep quality. An in-depth understanding of the influencing factors of insomnia among front-line nurses can help nurse managers develop solutions to improve front-line nurses' sleep quality, which will enhance the physical and mental conditions of nurses and promote the quality of care.

Zhan Y ，Liu Y ，Liu H ，Li M ，Shen Y ，Gui L ，Zhang J ，Luo Z ，Tao X ，Yu J ... -  《-》

Prevalence and Influencing Factors on Fatigue of First-line Nurses Combating with COVID-19 in China: A Descriptive Cross-Sectional Study.

Zhan YX ，Zhao SY ，Yuan J ，Liu H ，Liu YF ，Gui LL ，Zheng H ，Zhou YM ，Qiu LH ，Chen JH ，Yu JH ，Li SY ... -  《-》

Anxiety and its association with perceived stress and insomnia among nurses fighting against COVID-19 in Wuhan: A cross-sectional survey.

To investigate the present status of anxiety among nurses fighting the spread of COVID-19 and its association with perceived stress and insomnia. With the outbreak of COVID-19, nurses have been caring for infected patients for a considerable length of time in Wuhan, China. Previous COVID-19 studies generally focused on patients' medical treatment, but few considered healthcare workers' psychological needs while working with a pandemic involving an unfamiliar infectious disease. Numerous nurses have experienced mental health problems, such as anxiety. The STROBE guidelines for a cross-sectional questionnaire were implemented. An online survey of 643 frontline nurses working with COVID-19-infected patients was conducted from 3-10 March 2020. Sociodemographic data were collected, and the Generalized Anxiety Disorder Scale, the Chinese Perceived Stress Scale and the Athens Insomnia Scale were administered. One-third (33.4%) of participants reported anxiety, which was associated with perceived stress and insomnia among Chinese frontline nurses in Wuhan during the COVID-19 pandemic. Significant associations were found between anxiety, perceived stress, insomnia, working four-night shifts per week, experience working during more than two epidemics and fear of COVID-19. This study found that a substantial proportion of frontline nurses caring for COVID-19-infected patients experienced anxiety. We recommend that nurse managers focus on working conditions and cultivate safe and satisfactory work environments. Meanwhile, frontline nurses should foster awareness of mental health and rely on online resources for psychological training to alleviate anxiety. The findings of this study could facilitate better understanding of anxiety among frontline nurses; more importantly, healthcare authorities and nursing managers need to pay more attention to ensuring intervention training to reduce anxiety for frontline nurses worldwide.

Shen Y ，Zhan Y ，Zheng H ，Liu H ，Wan Y ，Zhou W ... -  《-》

Effect of occupational stress and resilience on insomnia among nurses during COVID-19 in China: a structural equation modelling analysis.

To explore the effects of occupational stress and resilience on insomnia among Chinese nurses during the COVID-19 pandemic. A quantitative description study. The data were collected via a cross-sectional survey. A total of 725 front-line nurses at three tertiary hospitals in western China were included from December 2022 to January 2023. The Connor-Davidson Resilience Scale, Job Content Questionnaire, and Athens Insomnia Scale were used to collect data from a self-reported online questionnaire. The outcome variable was insomnia, and structural equation modelling was used to assess the associations among resilience, occupational stress and insomnia. The prevalence of insomnia among the participants was 58.76%. The structural equation model showed that resilience had a negative direct effect on insomnia and occupational stress, and occupational stress had a positive direct effect on insomnia. Involvement in COVID-19-related work has a positive effect on insomnia through occupational stress. In contrast, higher education levels improved insomnia through increased resilience. A significantly higher prevalence of insomnia has been observed among Chinese nurses during the COVID-19 pandemic. Our study suggests that better resilience may improve insomnia by relieving occupational stress, and implementing measures to promote resilience is essential to reduce occupational stress in nurses and improve their sleep quality.

Cao Q ，Wu H ，Tang X ，Zhang Q ，Zhang Y ... -  《BMJ Open》

Status quo and influencing factors for anxiety, depression, and insomnia among 4 237 nurses in Hunan Province.

Liang M ，Chen Q ，Li Y ，Fan X ，Wang Q ，Wang J ，He L ，Li X ，Tao H ，Xie L ，Nie H ... -  《-》