Evidence map›Paper›PMID 41415236›Full record

ArticleFrontiers in public health2025

Relationship between occupational stress and sleep quality among emergency nurses.

Yizhu Gao, Xiaofang Ma, Yusi Wang, Hao Zhang, Luying Zhong, Zhenfei Yuan, Xiaoli Chen

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yizhu Gao *Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, China.
Xiaofang Ma *Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, China.
Yusi WangDepartment of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, China.
Hao ZhangDepartment of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, China.
Luying ZhongDepartment of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, China.
Zhenfei YuanDepartment of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, China.
Xiaoli ChenDepartment of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Emergency nurses face high occupational stress and long working hours, which may contribute to sleep disorders. However, the extent and nature of this association remain unclear. Objective: This study assessed the relationship between occupational stress and sleep disorders among emergency nurses and identified their contributing factors. Study design: A stratified cluster sampling method was employed between 26 December 2023 and 18 January 2024, based on the seven geographical regions of China (Northeast, North, East, Central, South, Southwest, and Northwest China). Emergency nurses aged ≥18 years, with ≥1 year of emergency care experience, and no psychiatric disorder history were included. Nurses undergoing advanced training or those on sick leave, maternity leave, or breastfeeding leave for ≥1 month were excluded. Participants completed a structured questionnaire including demographic data, an occupational stress assessment using a five-point Likert scale from 1 to 5, and sleep disorder quality evaluation. Logistic regression analysis was conducted to identify factors associated with sleep disorders, whereas Spearman's correlation analysis evaluated the relationship between occupational stress and sleep disorders. Results: A total of 1,551 questionnaires were collected. After excluding 11 invalid responses, 1,540 were analyzed. Binary logistic regression identified key risk factors for sleep disorders, including 11-15 years of work experience (OR = 1.692), weekly working hours of 49-58 h (OR = 1.784) or ≥59 h (OR = 2.268), night shift frequency, and overcommitment scores (OR = 1.098). A significant positive correlation was found between occupational stress and sleep disturbances ( Conclusion: These findings highlight the need for hospital administrators to implement targeted interventions, such as psychological support programs, shift rotation optimization, and stress management training. Future research should focus on longitudinal designs to establish causal pathways and evaluate the effectiveness of interventions aimed at improving sleep quality among emergency nurses.

Indexed as

Emergency NursingNursesNursing Staff, HospitalOccupational StressSleep QualitySleep Wake DisordersAdultChinaFemaleHumansMaleMiddle AgedRisk FactorsSurveys and Questionnaireseffort-reward imbalanceemergency nursesnight shiftsoccupational stressovercommitmentsleep disordersworkload

Identifiers

PMID41415236
PMCPMC12708282

What OpenQuestion holds

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Registered trials

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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.