SynthesisNursing open2023
Influencing factors of sleep disorders and sleep quality in healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.
Synthesis in Nursing open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Influencing factors of sleep disorders and sleep quality in healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.Nursing open · 2023Pooled it
- From Occupational Hazard to Public Health Concern: A Bibliometric and Knowledge-Mapping Analysis of Sleep Disorders Among Nurses Worldwide (1985-2025).Journal of nursing management · 2026Review
- Article
- The relationship between components of the biosafety incident response competence for clinical nursing staff: a network analysis.BMC psychiatry · 2025Article
- Cross-Cultural Comparison of Burnout, Insomnia and Turnover Intention Among Nurses in Eastern and Western Cultures During the COVID-19 Pandemic: Protective and Risk Factors.Nursing reports (Pavia, Italy) · 2025Article
- The relationship between professional quality of life and sleep quality among nurses working in intensive care units: a cross-sectional study.BMC nursing · 2025Article
- Lifestyle and Job-Related Factors Associated with Sleep Quality: Gender-Specific Insights from Taiwanese Hospital Physicians.Nature and science of sleep · 2025Article
- Workload Is Associated with Anxiety and Insomnia Symptoms in an Italian Nationally Representative Sample of Public Health Medical Residents: The PHRASI Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Prevalence and Correlates of Poor Sleep Quality Among Psychiatry Physicians in Saudi Arabia: A Cross-Sectional Study.Health science reports · 2024Article
- Characteristics of Sleep Disturbance and Comparison Across Three Waves of the COVID-19 Pandemic Among Healthcare Workers.Psychiatry investigation · 2024Article
- Post-Pandemic Insomnia in Healthcare Workers: A Prospective Study including Sociodemographic, Occupational and Psychosocial Variables.Journal of clinical medicine · 2024Article
- The effect of deep magnetic stimulation on the cardiac-brain axis post-sleep deprivation: a pilot study.Frontiers in neuroscience · 2024Article
- Sleep patterns and their associations with psychiatric symptoms among Chinese healthcare workers: a latent profile analysis.Frontiers in psychology · 2024Article
- Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
Abstract
aimThe aim of this study was to identify the influencing factors of sleep disorders and sleep quality in healthcare workers during the COVID-19 pandemic.
designSystematic review and meta-analysis of observational research.
methodsThe databases of the Cochrane Library, Web of Science, PubMed, Embase, SinoMed database, CNKI, Wanfang Data, and VIP were systematically searched. The quality of studies was assessed using the Agency for Healthcare Research and Quality evaluation criteria and the Newcastle-Ottawa scale.
resultsA total of 29 studies were included, of which 20 were cross-sectional studies, eight were cohort studies, and 1 was a case-control study; 17 influencing factors were finally identified. Greater risk of sleep disturbance was associated with female gender, single relationship status, chronic disease, insomnia history, less exercise, lack of social support, frontline work, days served in frontline work, department of service, night shift, years of work experience, anxiety, depression, stress, received psychological assistance, worried about being infected, and degree of fear with COVID-19.
conclusionsDuring the COVID-19 pandemic, healthcare workers did have worse sleep quality than the general population. The influencing factors of sleep disorders and sleep quality in healthcare workers are multifaceted. Identification and timely intervention of resolvable influencing factors are particularly important for preventing sleep disorders and improving sleep. PATIENT OR PUBLIC CONTRIBUTION: This is a meta-analysis of previously published studies so there was no patient or public contribution.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.