ArticleJournal of clinical nursing2022
Analysis of mental health symptoms and insomnia levels of intensive care nurses during the COVID-19 pandemic with a structural equation model.
Article in Journal of clinical nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Prevalence of insomnia in nurses: a meta-analysis of observational studies using the insomnia severity index.Frontiers in public health · 2026Pooled it
- Subjective sleep alterations in healthy subjects worldwide during COVID-19 pandemic: A systematic review, meta-analysis and meta-regression.Sleep medicine · 2022Pooled it
- Prevalence of poor sleep quality among critical care unit nurses: a systematic review and meta-analysis.BMC nursing · 2025Article
- Alone on an Island: Experiences and Needs of Intensive Care Unit Nurses During the COVID-19 Pandemic: A Focused Ethnography.Nursing open · 2025Article
- Fear of future workplace violence and sleep quality in Chinese clinical nurses: the mediating role of anxiety and depression.BMC nursing · 2025Article
- Assessing the impact of the coronavirus pandemic on the mental health status of intensive care unit nurses: a systematic review.BMC nursing · 2025Article
- Machine learning-driven identification of key risk factors for predicting depression among nurses.BMC nursing · 2025Article
- Relationship between depression and burnout among nurses in Intensive Care units at the late stage of COVID-19: a network analysis.BMC nursing · 2024Article
- PTSD of Chinese nurses in the normalisation of COVID-19 pandemic prevention and control: Prevalence and correlates.Journal of global health · 2023Article
- Sleep quality of nurses who worked in coping with COVID-19: an integrative review.Revista brasileira de enfermagem · 2023Review
- Analysis of mental health symptoms and insomnia levels of intensive care nurses during the COVID-19 pandemic with a structural equation model.Journal of clinical nursing · 2022Article
- Mental health status and its associated factors among female nurses in the normalization of COVID-19 epidemic prevention and control in China.Frontiers in public health · 2022Article
- Association between sleep disturbance and mental health of healthcare workers: A systematic review and meta-analysis.Frontiers in psychiatry · 2022Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFaced with this critical situation and directly involved in the treatment and care of COVID-19 patients, front-line healthcare workers are at high risk in terms of mental health symptoms. AIMS AND
objectivesTo determine the stress, anxiety, depression, and insomnia levels of intensive care nurses during the pandemic with a structural equation model.
designA multi-site survey study.
methodsThe study was performed with 194 nurses working in the intensive care units of five hospitals in Istanbul in July 2020. Data were collected using the Depression Anxiety Stress-21 Scale and Insomnia Severity Index electronically. The data were evaluated with descriptive statistics in SPSS package program. In order to test the structural model and hypotheses of the research, path analysis was performed with LISREL statistical software program. A validation study for the suitability of these scales to the study sample was done by the researchers using the confirmatory factor analysis method. The study conforms to the TREND checklist.
resultsIn this study, the majority of the intensive care nurses had moderate to extremely severe depression (65.5%), anxiety (58.3%) and stress (72.3%) scores; in addition, 39.7% of the nurses experienced moderate or severe insomnia. Within the framework of a structural model; the effects of stress, anxiety and insomnia on depression, which is the dependent variable, were found to be statistically significant (p < .001).
conclusionsIt was found that the majority of the intensive care nurses fighting COVID-19 on the front-line experienced stress, anxiety, depression and insomnia at levels ranging from moderate to extremely severe; in addition, it was determined that there is a positive relationship between stress, anxiety, insomnia and depression. RELEVANCE TO CLINICAL PRACTICE: This study, in which we have determined the mental health symptoms and insomnia levels of intensive care nurses, who are in the front-line during the COVID-19 pandemic, constitutes the scientific basis for the effective coping strategies that the authorities will take in this subject.
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