ArticleJournal of nursing management2025
Exploring Pathways Linking Work and Nonwork Factors to Sleep, Fatigue, and Health in Night Shift Nurses: A Structural Equation Modeling Analysis.
Article in Journal of nursing management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Shift work disrupts Immune regulation of the transcriptome in hospital nurses.Frontiers in public health · 2026Article
- Exploring Pathways Linking Work and Nonwork Factors to Sleep, Fatigue, and Health in Night Shift Nurses: A Structural Equation Modeling Analysis.Journal of nursing management · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Night shift work disrupts sleep and physiological recovery, leading to adverse health outcomes among nurses. While both work and nonwork factors are known to influence sleep and fatigue, few studies have examined their simultaneous and multiple mediating effects on health in night shift nurses. Aim: This study tested a comprehensive model to investigate the relationships among work factors (emotional demands, night shift rotation intervals, and social support), nonwork factors (exercise and work-life interference), sleep disturbance, fatigue, and health in night shift nurses. Methods: A cross-sectional study was conducted with 289 nurses working rotating night shifts at three hospitals in South Korea. Structural equation modeling (SEM) was employed to assess the direct and indirect effects between variables. Data were collected using validated instruments for sleep disturbance, fatigue, emotional demands, social support, exercise, work-life interference, and health. Results: Work-life interference had the most significant effect on health, both directly and indirectly through sleep disturbance and fatigue. Emotional demands negatively influenced health via sleep disturbance and fatigue. Exercise indirectly improved health by reducing fatigue, but showed no direct effects. Sleep disturbance was a significant predictor of both fatigue and health. Social support did not demonstrate significant direct or indirect effects on health. The final model explained 51.8% of the variance in health outcomes and exhibited strong model fit indices. Conclusion: Maintaining a work-life balance is critical for improving the health of night shift nurses, as work-life interference directly and indirectly exacerbates health risks through sleep disturbance and fatigue. Implications for Nursing Management: These findings highlight the importance of implementing strategies to manage work-life balance, address emotional demands, promote physical activity, and ensure recovery from shift work to support the health of night shift nurses.
Indexed as
Identifiers
What OpenQuestion holds
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.