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September 3, 2026Frontiers in PsychiatryOpen Access

Shift work, sociodemographic factors, and sleep quality among nurses working in rotating and day shifts: a cross-sectional analysis

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Authors

MAMaaidah M. AlgamdiMAMashael Hasan Alamrani

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Overview

Cross-sectional study reveals lower odds of poor sleep quality among rotating shift nurses, highlighting the complex confounding role of schedule selection and age.

Key Points

  • To examine associations between work schedule, shift selection modality, and sociodemographic characteristics with sleep quality among nurses.
  • Conducted a descriptive cross-sectional survey of 140 nurses in Saudi Arabia using a sociodemographic questionnaire and the Pittsburgh Sleep Quality Index (α = .824).
  • Evaluated bivariate relationships with Chi-square tests and Cramér's V, and addressed multicollinearity using Firth's penalized logistic regression adjusted for nationality and marital status.
  • Overall, 57.1% (80/140) of nurses had poor sleep quality, with good sleep declining from 70.0% in those aged 20–24 to 24.5% in those over 35 (χ²(3) = 11.85, p = .008).
  • After adjustment, nurses working rotating shifts had lower odds of poor sleep quality than those on fixed daytime schedules (OR = 0.02, 95% CI [0.00, 0.10], p < .001).
  • Nurses with mandatory shift assignments exhibited lower odds of poor sleep compared to those who voluntarily selected their shifts (OR = 0.14, 95% CI [0.03, 0.61], p = .009).

Cite This Study

Algamdi et al. (2026) studied this question.

synapsesocial.com/papers/6aa0252d41ab34f5ce71f336https://doi.org/10.3389/fpsyt.2026.1860489
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Exploration of shift work among nursing professionals related to interconnected determinants of health in a hospital: a cross-sectional study2026
  2. 2Association between night-shift work and sleep quality among nurses2025
  3. 3Relationship between shift type and sleep quality in rotating‐shift nurses with chronotype as a moderator variable2024 · 13 citations
  4. 4Latent profile analysis of sleep quality and associated factors on sleep patterns in night-shift nurses: a cross-sectional study2026
  5. 5Shift work and sleep quality, cardiovascular risk, and occupational safety among healthcare workers in Saudi Arabia: a national cross-sectional study2026