i-manager Publications

A Comparative Study of Fatigue and Sleep Quality among Nurses in Children's Hospitals

Batool Pouraboli*

School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Periodicity:October - December'2025
DOI : https://doi.org/10.26634/jnur.15.3.22520

Abstract

Background and Objective: COVID-19 pandemic in children and rising mortality rates in hospitals, led to increasing pressure on healthcare teams. This descriptive-analytical study compared the fatigue and sleep quality of nurses who worked in COVID-19 and non-COVID-19 wards in children's hospitals of Tehran in 2021.
Materials and Methods: This descriptive-analytical study compared the fatigue and sleep quality of nurses who worked in COVID-19 wards with nurses in non-COVID-19 wards in children's hospitals of Tehran in 2021. The study included 800 nurses working in 6 pediatric wards of affiliated hospitals of University of Medical Sciences, Tehran. 100 nurses were selected by convenience method based on the entry criteria. Data collection tools included a demographic information questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the Fatigue Severity Scale (FSS). Data analysis was performed using descriptive and inferential statistics in SPSS16.
Results: The research revealed a significant statistical difference in sleep quality (p=0.009, f=2.926) and fatigue (p=0.001, f=5.498) between nurses working in COVID-19 and non-COVID-19 wards. Specifically, the fatigue level was 3.42157 higher among nurses in COVID-19 wards compared to their counterparts in other wards.
Conclusion: Nurses in COVID-19 wards had higher levels of fatigue and poorer sleep quality compared to nurses in non-COVID-19 wards indicating the need to take appropriate care to enhance the mental health of pediatric nurses in various crises, especially in COVID-19.

Keywords

COVID-19, Fatigue, Sleep Quality, Nurses.

How to Cite this Article?

Pouraboli, B. (2025). A Comparative Study of Fatigue and Sleep Quality among Nurses in Children's Hospitals. i-manager’s Journal on Nursing, 15(3), 1-10. https://doi.org/10.26634/jnur.15.3.22520

References

[1]. Abdulah, D. M., & Musa, D. H. (2020). Insomnia and stress of physicians during COVID-19 outbreak. Sleep Medicine: X, 2, 100017.

[2]. Altena, E., Baglioni, C., Espie, C. A., Ellis, J., Gavriloff, D., Holzinger, B., & Riemann, D. (2020). Dealing with sleep problems during home confinement due to the COVID-19 outbreak: Practical recommendations from a task force of the European CBT-I Academy. Journal of Sleep Research, 29(4), e13052.

[3]. Badahdah, A. M., Khamis, F., & Al Mahyijari, N. (2020). Sleep quality among health care workers during the COVID-19 pandemic. Journal of Clinical Sleep Medicine, 16(9), 1635-1635.

[4]. Bagheri, H., Shahabi, Z., Ebrahimi, H., & Alaeenejad, F. (2006). The association between quality of sleep and health-related quality of life in nurses. Hayat, 12(4), 13–20.

[5]. Carayon, P., & Gurses, A. P. (2008). Nursing workload and patient safety—a human factors engineering perspective. Patient Safety and Quality: An Evidence-based Handbook for Nurses.

[6]. Garbarino, S., Mascialino, B., De Carli, F., La Paglia, G., Mantineo, G., Nobili, L., & Ferrillo, F. (2003). Shift-work seniority increases the severity of sleep disorders. Comparison of different categories of shift-workers. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 25(3), 227-228.

[7]. Hasanzadeh, M., Alavi, K., Ghalebandi, M. F., Yadolahi, Z., Gharaei, B., & Sadeghikia, A. (2009). Sleep quality in Iranian drivers recognized as responsible for severe road accidents. Journal of Research in Behavioural Sciences, 6(2), 97–107.

[8]. Himashree, G., Banerjee, P. K., & Selvamurthy, W. (2002). Sleep and performance-recent trends. Indian Journal of Physiology and Pharmacology, 46(1), 6-24.

[9]. Jahrami, H., BaHammam, A. S., AlGahtani, H., Ebrahim, A., Faris, M., AlEid, K., & Hasan, Z. (2021). The examination of sleep quality for frontline healthcare workers during the outbreak of COVID-19. Sleep and Breathing, 25(1), 503-511.

[10]. Kelman, B. B. (1999). The sleep needs of adolescents. The Journal of School Nursing: The Official Publication of the National Association of School Nurses, 15(3), 14-19.

[11]. Khamisa, N., Oldenburg, B., Peltzer, K., & Ilic, D. (2015). Work related stress, burnout, job satisfaction and general health of nurses. International Journal of Environmental Research and Public Health, 12(1), 652-666.

[12]. Krupp, L. B., LaRocca, N. G., Muir-Nash, J., & Steinberg, A. D. (1989). The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology, 46(10), 1121–1123.

[13]. Li, J., Kong, X., Li, F., Wu, B., Xu, H., Wu, T., Chu, J., & Liu, J. (2020). Sleep Quality and Health in Healthcare Professionals Fighting against COVID-19: A Comparative Study between High Risk Area (Hubei Province) and Low Risk Area (Jiangsu Province) in China [Preprint]. Research Square.

[14]. Meherali, S., Punjani, N., Louie-Poon, S., Abdul Rahim, K., Das, J. K., Salam, R. A., & Lassi, Z. S. (2021). Mental health of children and adolescents amidst COVID-19 and past pandemics: a rapid systematic review. International Journal of Environmental Research and Public Health, 18(7), 3432.

[15]. Muecke, S. (2005). Effects of rotating night shifts: literature review. Journal of Advanced Nursing, 50(4), 433-439.

[16]. Muniyappa, R., & Gubbi, S. (2020). COVID-19 pandemic, coronaviruses, and diabetes mellitus. American Journal of Physiology-Endocrinology and Metabolism.

[17]. Najafi Ghezeljeh, T., Moradi, F., Rafii, F., & Haghani, H. (2014). Relationship between job stress, sleep quality and fatigue in nurses. Iran Journal of Nursing, 27(89), 40–49.

[18]. Patterson, P. D., Weaver, M. D., Fabio, A., Teasley, E. M., Renn, M. L., Curtis, B. R., & Higgins, J. S. (2018). Reliability and validity of survey instruments to measure work-related fatigue in the emergency medical services setting: a systematic review. Prehospital Emergency Care, 22(sup1), 17-27.

[19]. Potter, P. A., & Perry, A. G. (2009). Fundamentals of Nursing. Mosby Elsevier.

[20]. Sagherian, K., Steege, L. M., Cobb, S. J., & Cho, H. (2023). Insomnia, fatigue and psychosocial well-being during COVID-19 pandemic: A cross-sectional survey of hospital nursing staff in the United States. Journal of Clinical Nursing, 32(15-16), 5382-5395.

[21]. Salaree, M. M., Rahmati, F., & Parandeh, A. (2021). Comparison of sleep quality and its related factors in nurses before and at the same time with the COVID-19 epidemic. Journal of Military Medicine, 23, 395–403.

[22]. Salari, N., Khazaie, H., Hosseinian-Far, A., Ghasemi, H., Mohammadi, M., Shohaimi, S., & Hosseinian-Far, M. (2020). The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: a systematic review and meta-analysis. Globalization and Health, 16(1), 92.

[23]. Sinha, I. P., Harwood, R., Semple, M. G., Hawcutt, D. B., Thursfield, R., Narayan, O., & Southern, K. W. (2020). COVID-19 infection in children. The Lancet. Respiratory Medicine, 8(5), 446.

[24]. Tu, Z. H., He, J. W., & Zhou, N. (2020). Sleep quality and mood symptoms in conscripted frontline nurse in Wuhan, China during COVID-19 outbreak: A cross-sectional study. Medicine, 99(26), e20769.

[25]. Wang, S., Xie, L., Xu, Y., Yu, S., Yao, B., & Xiang, D. (2020). Sleep disturbances among medical workers during the outbreak of COVID-2019. Occupational Medicine, 70(5), 364-369.

[26]. Wang, W., Song, W., Xia, Z., He, Y., Tang, L., Hou, J., & Lei, S. (2020). Sleep disturbance and psychological profiles of medical staff and non-medical staff during the early outbreak of COVID-19 in Hubei Province, China. Frontiers in Psychiatry, 11, 733.

[27]. Wu, K. K., Chan, S. K., & Ma, T. M. (2005). Posttraumatic stress, anxiety, and depression in survivors of severe acute respiratory syndrome (SARS). Journal of Traumatic Stress: Official Publication of the International Society for Traumatic Stress Studies, 18(1), 39-42.

[28]. Xiao, H., Zhang, Y., Kong, D., Li, S., & Yang, N. (2020). The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 26, e923549-1.

[29]. Zuo, X. N., He, Y., Betzel, R. F., Colcombe, S., Sporns, O., & Milham, M. P. (2017). Human connectomics across the life span. Trends in Cognitive Sciences, 21(1), 32-45.

A Comparative Study of Fatigue and Sleep Quality among Nurses in Children's Hospitals

Abstract

Keywords

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