Sleep problems pose global public health concerns, particularly among nurses, with approximately two-thirds experiencing sleep disturbances and fatigue. Although poor sleep hygiene and fatigue can impair nurses' performance and alertness, increasing work-related accidents, chronic diseases, absenteeism, burnout, and medical errors, ultimately threatening both nurses' well-being and patient safety, no studies have been conducted in Ethiopia. This study assesses sleep hygiene practices and perceived fatigue, examines their associations and associated factors among nurses. A cross-sectional study was conducted among 424 nurses via simple random sampling. Data collected using self-administered Sleep Hygiene Index, Chalder Fatigue Scale, and Pittsburgh Sleep Quality Index questionnaires analyzed with SPSS Version 26.0. Bivariate, multivariate, and Pearson correlation analyses were done. The study revealed that 52.3% and 89.3% of nurses had poor sleep hygiene practices, and perceived fatigue respectively. A significant positive correlation was found between poor sleep hygiene and fatigue (r = 0.67, P < 0.001). Burnout syndrome (AOR = 4.51, 95% CI: 2.60, 8.05), depression (AOR = 2.52, 95% CI: 1.53, 4.09), current alcohol drinkers (AOR = 1.95, 95% CI: 1.25, 3.08), shift work sleep disorders (AOR = 2.03, 95% CI: 1.17, 3.82), poor sleep quality (AOR=5.04,95% CI:2.33,9.52) , and job-related stress (AOR = 3.54, 95% CI: 1.76-6.98) were associated factors. Over half of nurses had poor sleep hygiene, and highly experienced perceived fatigue. A significant positive correlation was found between poor sleep hygiene practices and fatigue. Thus, promoting good sleep habits to manage and prevent fatigue among nurses are crucial. • More than half of nurses working at specialized hospitals in Ethiopia report poor sleep hygiene practices and high levels of perceived fatigue. • There is a significant positive correlation was found between poor sleep hygiene practices and fatigue, that poorer sleep hygiene practices are associated with higher levels of fatigue among these nurses. • Poor sleep hygiene is linked to a cluster of occupational and mental health factors, including burnout; depression, job-related stress, and shift work sleep disorder. • Behavioral factors (current alcohol use) and poor sleep quality itself are also identified as significant risk factors for inadequate sleep hygiene. • The findings point to workplace stress, mental health issues, and sleep problems are interconnected, creating a significant public health challenge for most nurses studied.
Segon et al. (Sun,) studied this question.