ArticleBMJ open2024
Effect of occupational stress and resilience on insomnia among nurses during COVID-19 in China: a structural equation modelling analysis.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Low Back Pain and Psychosocial Work Factors Associated with Sleep Problems among University and Hospital Employees: A Cross-sectional Study.JMA journal · 2026Article
- Prevalence and Factors Associated with Insomnia Among Healthcare Workers in Kazakhstan During the COVID-19 Pandemic: A Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2026Article
- Moderating effect of resilience on the associations of perceived stress and anxiety with unhealthy alcohol use and insomnia in Chinese hospital staff.Frontiers in public health · 2026Article
- Associations Between Fatigue and Sleep Among Night-Shift Nurses: Mediating Role of Depressive Symptoms and Social Support.Journal of nursing management · 2026Article
- Depressive symptoms, insomnia, and burnout among health-care workers in an integrated medical alliance in Shanghai: implications for workforce well-being and health-system management.Frontiers in public health · 2026Article
- Relationships between professional value and workplace violence among healthcare workers: an empiricle study from China.Frontiers in medicine · 2026Article
- Latent Profile Analysis of Occupational Stress and Psychological Capital and the Dual Mechanisms of Psychological Capital in Healthcare Workers' Sleep Quality.Healthcare (Basel, Switzerland) · 2025Article
- Occupational Stress and Burnout Among Public Health Professionals During the COVID-19 Pandemic in Morocco.Healthcare (Basel, Switzerland) · 2025Article
- Stress, Anxiety and Depressive Symptoms, Burnout and Insomnia Among Greek Nurses One Year After the End of the Pandemic: A Moderated Chain Mediation Model.Journal of clinical medicine · 2025Article
- Article
- The Effect of Workplace Violence on the Health of Healthcare Workers: Empirical Evidence From a Multicenter Cross-Sectional Study in China.International journal of public health · 2025Article
- Article
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Authors and funding
5 authors.
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Abstract
objectivesTo explore the effects of occupational stress and resilience on insomnia among Chinese nurses during the COVID-19 pandemic. DESIGN, SETTINGS AND
participantsA 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. OUTCOME MEASURES: The outcome variable was insomnia, and structural equation modelling was used to assess the associations among resilience, occupational stress and insomnia.
resultsThe 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.
conclusionA 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.
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