Nurses have an increased risk of sleep disorders and sleep deprivation

June 13, 2019

The American Academy of Sleep Medicine (AASM) reported on the preliminary results of a new study that shows a high prevalence of insufficient sleep and symptoms of common sleep disorders among medical center nurses. Results show that 49 percent of participating nurses at an academic medical center averaged less than seven hours of sleep per night, and the overall average nightly sleep time was 6.6 hours.

Symptoms consistent with chronic insomnia were identified in 31 percent of nurses, and excessive daytime sleepiness was found in 4.5 percent of them. Twenty-seven percent of nurses used medications to help them sleep, and 13 percent reported using medications to stay awake. Symptoms indicative of shift work disorder were present in 31 percent of nurses. About 18.5 percent of nurses also had a moderate-to-severe risk for obstructive sleep apnea.

The AASM recommends that adults should sleep 7 or more hours per night on a regular basis to promote optimal health. According to the authors, nearly 100,000 deaths are estimated to occur each year in U.S. hospitals due to medical errors, and sleep deprivation and sleep disorders are significant contributors to this risk.

The study involved an online survey of 1,165 nurses at a tertiary care medical center. Questions asked about topics such as their sleep schedule and medications. Questionnaires such as the STOP-BANG and Epworth Sleepiness Scale were used to assess the nurses for sleep disorder symptoms.

“Nurses are at increased risk for circadian rhythm sleep-wake disorders such as shift work disorder,” said lead author Francis Christian, M.D., a second-year fellow at the University of Oklahoma Health Sciences Center in Oklahoma City. “Recognition needs to take place so that we can screen appropriately and make scheduling modifications to help alleviate the burden of shift work disorder among nurses.”

The research abstract was published recently in an online supplement of the journal Sleep and was presented in San Antonio at SLEEP 2019, the 33rd annual meeting of the Associated Professional Sleep Societies LLC (APSS), which is a joint venture of the American Academy of Sleep Medicine and the Sleep Research Society.