ArticleJournal of nursing management2026
Associations Between Fatigue and Sleep Among Night-Shift Nurses: Mediating Role of Depressive Symptoms and Social Support.
Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- Associations Between Fatigue and Sleep Among Night-Shift Nurses: Mediating Role of Depressive Symptoms and Social Support.Journal of nursing management · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundThis study examined the association between fatigue and sleep disturbance among night-shift nurses during the COVID-19 pandemic and the mediating roles of depressive symptoms and social support.
methodsA cross-sectional survey was conducted involving 1667 night-shift nurses from multiple hospitals. The Pittsburgh Sleep Quality Index (PSQI), Fatigue Scale-14, Hospital Anxiety and Depression Scale, and Social Support Rating Scale were used for assessment. Correlation analysis and mediation effect analysis were performed using SPSS 26.0 and PROCESS macro.
resultsPoor sleep (PSQI ≥ 6) was reported by 70.7% of nurses. Increased workload (89.7%) and fear of infection (58.1%) were significantly associated with worse sleep (both p < 0.05). Fatigue correlated positively with depression (r = 0.607, p < 0.001) and sleep disturbance (r = 0.550, p < 0.001) and negatively with social support (r = -0.242, p < 0.001). Mediation analysis identified three pathways: depressive symptoms alone (30.25% of the total effect), social support alone (0.80%), and the sequential depression ⟶ social support path (2.23%).
conclusionsAmong night-shift nurses, fatigue is directly and indirectly associated with poorer sleep quality via three mediating pathways: depressive symptoms alone, social support alone, and the sequential effect of depressive symptoms on social support. Interventions should address these pathways to improve sleep in night-shift nurses under high-load public health emergency contexts. IMPLICATIONS FOR NURSING MANAGEMENT: For night-shift nurses facing excess workload during public health emergencies, managers could adopt a tiered strategy: (1) optimize shift schedules to reduce fatigue and (2) strengthen peer and family support systems. Regular monitoring of sleep and fatigue indicators is recommended to evaluate intervention effectiveness under such high-stress contexts.
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.