Abstract
Sleep and stress are predictors of daily physical and emotional well-being, but few studies assess both simultaneously. This study examined individual and joint associations of daily sleep and stress with daily well-being (DWB) in hospital nurses. Nurses (n = 60) participated in a 14-day ecological momentary assessment and actigraphy study. Multilevel modeling revealed associations of stressor severity and poor sleep health with DWB, independent of and coupled with each other, at within- and between-person levels. Greater stressor severity or poorer sleep health, independent of each other, were associated with more physical symptoms, less positive affect (PA), and more negative affect (NA). Joint associations of stress and sleep with DWB were observed: PA was lowest when higher stressor severity was coupled with poorer sleep health; NA was lowest when lower stressor severity was coupled with better sleep health. Findings suggest the importance of considering both sleep and stress for DWB in hospital nurses.
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This work was supported, in part, by the University of South Florida College of Behavioral & Community Sciences Internal Grant Program (PI: Lee, Grant No. 0134930).
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S. Lee planned and initiated data collection for the parent study from which this data exists. T. F. D. Vigoureux led data collection, initiated this study concept and analysis plan, conducted statistical analyses, and drafted the manuscript. Both authors contributed to the revision of this manuscript and approved the final submitted version.
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The study received ethical approval from the University of South Florida’s Institutional Review Board (IRB#: Pro00038628) and Moffitt Cancer Center Scientific Review Committee (IRB#: MCC 20012).
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All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.
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Supplemental Figure 1. Interaction Figures for Work Shift by EMA (E) and Actigraphy (A) Sleep Variables (First 3) or Stressor Severity (Bottom Right) with Positive Affect or Physical Symptoms.
Supplemental Figure 2. Interaction Figures for Significant 3-Way Work Shift by EMA (E) and Actigraphy (A) Sleep Variables by Stressor Severity with Negative Affect or Physical Symptoms.
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Vigoureux, T.F.D., Lee, S. Individual and joint associations of daily sleep and stress with daily well-being in hospital nurses: an ecological momentary assessment and actigraphy study. J Behav Med 44, 320–332 (2021). https://doi.org/10.1007/s10865-021-00207-z
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DOI: https://doi.org/10.1007/s10865-021-00207-z