ArticleNursing open2023
Mediating effect of circadian rhythm between work stress and sleep quality in Chinese shift-working nurses: A cross-sectional survey.
Article in Nursing open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Lifestyle influence on burnout syndrome in religious leaders in Peru.BMC psychology · 2026Article
- The relationship between shift work, circadian rhythms, and cognitive function in ICU nursing.BMC nursing · 2025Article
- Work-related stress and sleep problems among small-scale miners in Ghana: The role of psychological factors.PloS one · 2025Article
- The association between occupational stress, sleep quality and premenstrual syndrome among clinical nurses.BMC nursing · 2024Article
- Circadian Rhythms Characteristics of Nurses Providing Direct Patient Care: An Observational Study.Safety and health at work · 2024Article
- Chronotypes and their association with sleep quality among Chinese college students of Anhui Province: a cross-sectional study.BMJ open · 2023Article
- Mediating effect of circadian rhythm between work stress and sleep quality in Chinese shift-working nurses: A cross-sectional survey.Nursing open · 2023Article
- Association Between Occupational Stress and Sleep Quality: A Systematic Review.Nature and science of sleep · 2023Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThis study examined the mediating effect of circadian rhythm amplitude (LV) and stability (FR) between work stress and sleep quality among Chinese shift-working nurses (SWNs).
designA cross-sectional study.
methodsThree-hundred and seventy-nine nurses working in shifts were investigated by convenient sampling from six hospitals in Shanghai, China. The mediating effect was analysed using the structural equation model with bootstrapping procedures.
resultsWork stress could directly affect shift nurses' sleep quality and indirectly affect sleep quality through circadian rhythm amplitude and stability. The total indirect effects of work stress on sleep quality accounted for 36.7% of the total effect. The study revealed that poor sleep quality is very common among SWNs, which deserves attention. The mediating effect of the circadian rhythm provides new insights to improve sleep quality, not only by lightening the work stress but also by improving circadian rhythm in SWNs.
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