Sleep Behaviors and Quality of Care Among Public-Sector Healthcare Workers: Cross-Sectional and Prospective Associations.

Yuan Zhang, Alicia Kurowski, Suzanne Nobrega, Mazen El Ghaziri, Rebecca Gore, Laura Punnett

Abstract read

In one paragraph

Article in Research in nursing & health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing 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

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Yuan ZhangSolomont School of Nursing, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, USA.ORCID https://orcid.org/0000-0003-1098-7235

Alicia KurowskiDepartment of Biomedical Engineering, Francis College of Engineering, University of Massachusetts Lowell, Lowell, MA, USA.

Suzanne NobregaDepartment of Biomedical Engineering, Francis College of Engineering, University of Massachusetts Lowell, Lowell, MA, USA.

Mazen El GhaziriSolomont School of Nursing, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA, USA.

Rebecca GoreDepartment of Biomedical Engineering, Francis College of Engineering, University of Massachusetts Lowell, Lowell, MA, USA.

Laura PunnettDepartment of Biomedical Engineering, Francis College of Engineering, University of Massachusetts Lowell, Lowell, MA, USA.

Funding

NIOSH CDC HHS U19 OH008857NIOSH CDC HHS U19 OH012299

6 · The paper itself

Abstract

Previous research has shown the effect of healthcare workers' sleep on their safety and health outcomes. The association between healthcare workers' sleep and the quality of care (QOC) has not been systematically investigated. A large survey was collected from a prospective cohort of healthcare workers at five public-sector facilities in the northeastern U.S. in 2018 and again in 2021. Sleep characteristics assessed were short sleep duration (≤ 6 h/day), sleep disturbances, and sleep at two or more episodes. Among 1553 healthcare workers (mean age 46.4 years, 61.5% female) who completed the 2021 survey, sleep risk factors (range 0-3, sleep disturbances or short duration or at ≥ 2 episodes) were cross-sectionally associated with a linearly increasing prevalence of poor QOC on the unit and in the last shift, and deteriorated QOC over the past year. Two or more sleep risk factors were associated with all poor QOC outcomes after adjusting for covariates. Among 428 healthcare workers who completed both surveys, two or more sleep risk factors at baseline were associated with a 133%-196% increase in reported deterioration of QOC at follow-up, but not in poor QOC on the unit or in the last shift, after adjusting for covariates. Healthcare workers' sleep behaviors were significantly associated with QOC outcomes cross-sectionally and prospectively. Evidence-based interventions at individual and organizational levels to improve healthcare workers' sleep would likely benefit QOC.

Indexed as

Health PersonnelPublic SectorQuality of Health CareSleepSleep Wake DisordersAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsSleep DurationSurveys and Questionnairesquality of caresleep disturbancessleep durationsleep episodessleep risk factors

Identifiers

PMID42470295

DOI10.1002/nur.70106

PMCPMC13539641

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

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.