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Influence of Job Stress, Sleep Quality and Fatigue on Work Engagement in Shift Nurses
Korean J Stress Res 2019;27:344-352
Published online December 31, 2019
© 2019 Korean Society of Stress Medicine.

Ji Yeon Shim1 , Nam Sook Seo2 , Mi Ae Kim3 , Jeung Suk Park4

1A Medical Ward, Chosun University Hospital, Gwangju, 2Nursing Department, Dongshin University, Naju, 3Patient Safety Nurse, Suwan Nursing Hospital, Gwangju, 4Nursing Department, Bukgwangju Nursing Academy, Gwangju, Korea
Correspondence to: Nam Sook Seo
Nursing Department, Dongshin University, 67 Dongsindae-gil, Naju 58245, Korea
Tel: +82-61-33-3583
Fax: +82-61-330-3580
Received July 19, 2019; Revised November 29, 2019; Accepted December 2, 2019.
Articles published in stress are open-access, distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: This study was conducted to examine job stress, sleep quality, and fatigue and identify major variables that influence work engagement in order to develop an intervention program for shift duty nurses to enhance their work engagement.
Methods: The subjects of this study were 170 nurses working with shift duty at one university hospital and one general hospital located in G city. Data were collected from February to March 2018 with structured questionnaires, and analyzed by descriptive statistics, t-test, ANOVA, Scheffe’s test, Pearson correlation coefficients, and multiple regression.
Results: The mean scores of job stress, sleep quality, fatigue, and work engagement were 3.87, 1.57, 4.64, and 2.36, respectively. The work engagement was negatively correlated with job stress, sleep quality, and fatigue. The most powerful variable influencing work engagement was sleep quality and the model showed explanatory power of 22.5%.
Conclusions: The results of this study indicate that the quality of sleep is most important factor affecting work engagement of shift nurses. This study suggest that it is necessary a variety of strategies in order to improve the quality of sleep and to intervene in job stress and fatigue, eventually lead to enhancing nursing performance.
Keywords : Nurse, Job stress, Good sleep habit, Fatigue, Involvement

December 2019, 27 (4)

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