ArticlePloS one2025
Work-related stress in intensive care unit night shift nurses: A cross-sectional analysis of prevalence and determinants.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Non-pharmacological therapies for sleep and occupational stress regulation among nightshift nurses: a systematic review and Bayesian network meta-analysis based on randomized controlled trials.Frontiers in public health · 2026Pooled it
- Factors Associated with Wearable-Derived Physiological Stress Indicators Among Clinical Nurses: A Longitudinal Observational Study Using Continuous Monitoring.Healthcare (Basel, Switzerland) · 2026Article
- Towards Healthy Work Environments: Development and Validation of the Nursing Organizational Well-Being Questionnaire-A Theory-Based Measure.Healthcare (Basel, Switzerland) · 2026Article
- High-Performance Work Systems and Nurse Role Stress: Serial Indirect Associations of Psychological Capital and Professional Identity.Healthcare (Basel, Switzerland) · 2026Article
- Factors associated with the level of occupational stress among nurses-a cross-sectional study.Frontiers in public health · 2026Article
- The mediating role of self-regulatory fatigue on the relationship between insomnia and sleep-related worry among shift nurses: a cross-sectional study.BMC nursing · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNight-shift ICU nurses are highly vulnerable to work-related stress, impacting performance, patient safety, and burnout risk.
aimTo assess the prevalence and sources of work-related stress among ICU nurses working night shifts and to explore the relationships between stress levels and selected demographic and professional variables.
methodA descriptive cross-sectional study was conducted with a convenience sample of 362 ICU nurses working at Mansoura University Hospitals. Participants completed a two-part questionnaire comprising a nurses' demographic data sheet and a validated Arabic version of the Revised Nursing Stress Scale (RNSS). Data were collected via a Google Form between January 10, 2025, and April 30, 2025, and analyzed using SPSS version 21.0, employing descriptive statistics, t-tests, ANOVA, and reliability testing.
resultsNearly 60% of participants reported moderate to high levels of stress. The highest stress scores were associated with workload, interactions with patients and their families, and supervisory issues. Female nurses reported significantly higher stress levels related to death and dying, patient-family interactions, and discrimination (p < 0.05). Nurses with less than five years of experience reported significantly greater stress concerning uncertainty about treatment. No significant associations were found between overall stress levels and variables such as age, marital status, educational level, or frequency of night shifts.
conclusionWork-related stress is highly prevalent among ICU nurses working night shifts, primarily driven by heavy workloads and interpersonal challenges. Stress levels vary significantly by gender and years of experience, underscoring the need for organizational interventions, such as staff support programs, training, and effective shift management, to mitigate stress and improve the quality of care. Future research is warranted to conduct longitudinal assessments of stress and to evaluate the effectiveness of interventions across diverse healthcare settings.
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