Demografik Faktörlere ve Farklı Çalışma Koşullarına Göre Hemşirelerin Okupasyonel Dengesinin İncelenmesi
Year 2025,
Volume: 13 Issue: 1, 50 - 58, 02.01.2025
Mustafa Cemali
,
Serkan Pekçetin
,
Ceren Bayram
,
Meryem Ünal
,
Melike Öztürk
,
Kutlu Bengisu Gümüşçü
,
Aleyna Yazıcı
,
Sude Bolat
,
Furkan Toklu
,
Buse Sayar
Abstract
Amaç: Demografik faktörlere ve farklı çalışma koşullarına göre hemşirelerin okupasyonel dengesinin incelenmesidir. Gereç ve Yöntem: Çalışmaya yaş ortalaması 37,11± 8,35 yıl olan 23-55 yaş arası 128 hemşire (40 yoğun bakım, 48 servis ve 40 poliklinik hemşiresi) katıldı. Katılımcılara aktivite-rol denge anketi uygulandı. Demografik özelliklere ve çalışma koşullarına göre verilere göre okupasyonel denge karşılaştırmaları yapıldı. Sonuçlar: Kadın (p=0,006), yoğun bakımda çalışan (p=0,023), vardiyalı çalışan (p=0,032), işinden memnun olmayan (p=0,000), aylık nöbet sayısı 5’ten çok olan (p=0,023), düşük uyku süresi olan (p<0,05), kronik hastalıkları olan (p=0,015) ve son bir ayda hastalık geçiren (p=0,005) hemşirelerin Aktivite-Rol Denge Anketi puanlarının düşük olduğu bulundu. Medeni durum (p=0,041), eğitim seviyesi (p=0,957) ve birlikte yaşanılan kişilere (p=0,228) göre okupasyonel denge bakımından fark bulunmadı. Tartışma: Cinsiyet, çalışılan bölüm, çalışma şekli, iş memnuniyeti, nöbet sayısı, uyku süresi hastalık durumu değişkenlerinin hemşirelerin okupasyonel dengelerini olumsuz etkileyen faktörler olduğu görüldü.
Ethical Statement
Çalışma, Lokman Üniversitesi Bilimsel Araştırmalar Etik Kurul Başkanlığının 30.01.2024 tarih, 2024/7 karar sayısı ve 2023262 kod numarası ile etik kurul onayı almıştır.
Supporting Institution
Bu çalışma için herhangi bir finansal destek alınmamıştır.
Thanks
Çalışmaya gönüllü olarak katılan tüm hemşirelere teşekkür ederiz
References
- Aruldoss, A., Kowalski, K. B., & Parayitam, S. (2021). The relationship between quality of work life and work-life-balance mediating role of job stress, job satisfaction and job commitment: evidence from India. Journal of Advances in Management Research, 18(1), 36-62. https://doi.org/10.1108/JAMR-05-2020-0082
- Bolin, M. C., & Sweetman, M. M. (2022). Sleep in the intensive care unit: an overlooked opportunity for occupational therapists to fill a gap in health care service. Open J Occup Ther, 10(1), 1-5. https://doi.org/10.15453/2168-6408.1846
- Books, C., Coody, L. C., Kauffman, R., & Abraham, S. (2020). Night shift work and its health effects on nurses. Health Care Manag, 39(3), 122-127. https://doi.org/10.1097/HCM.0000000000000297
- Cai, Z., Cui, Q., Liu, Z., Li, J., Gong, X., Liu, J., et al. (2020). Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China. J Psychiatr Res, 131, 132-137. https://doi.org/10.1016/j.jpsychires.2020.09.007
- Cappadona, R., De Giorgi, A., Boari, B., Tiseo, R., Lopez-Soto, P. J., Fabbian, F., et al. (2021). Nurses, sleep disturbances, desynchronization of circadian rhythms, and performance: a dangerous liaison? A narrative mini-review. Eur Rev Med Pharmacol Sci, 25(22), 6924-6933. https://doi.org/10.26355/eurrev_202111_27241
- Cheung, T., & Yip, P. S. (2015). Depression, anxiety and symptoms of stress among Hong Kong nurses: a cross-sectional study. Int J Environ Res Public Health, 12(9), 11072-11100. https://doi.org/10.3390/ijerph120911072
- Dai, C., Qiu, H., Huang, Q., Hu, P., Hong, X., Tu, J., et al. (2019). The effect of night shift on sleep quality and depressive symptoms among Chinese nurses. Neuropsych Dıs Treat, 2019(15), 435-440. https://doi.org/10.2147/ndt.S190689
- Delice, E. K. (2016). Acil servis hekimlerinin nasa-rtlx yöntemi ile zihinsel iş yüklerinin değerlendirilmesi: bir uygulama çalışması. Atatürk Üniversitesi İktisadi ve İdari Bilimler Dergisi, 30(3), 645-662.
- Dilig-Ruiz, A., MacDonald, I., Varin, M. D., Vandyk, A., Graham, I. D., & Squires, J. E. (2018). Job satisfaction among critical care nurses: a systematic review. Int J Nurs Stud, 88, 123-134. https://doi.org/10.1016/j.ijnurstu.2018.08.014
- Eklund, M., & Argentzell, E. (2016). Perception of occupational balance by people with mental illness: a new methodology. Scand J Occup Ther, 23(4), 304-313. https://doi.org/10.3109/11038128.2016.1143529
- Freimann, T., Pääsuke, M., & Merisalu, E. (2016). Work-related psychosocial factors and mental health problems associated with musculoskeletal pain in nurses: a cross-sectional study. Pain Res Manag, 2016, 9361016-7. http://dx.doi.org/10.1155/2016/9361016
- Günal, A., Pekçetin, S., Demirtürk, F., Şenol, H., Håkansson, C., & Wagman, P. (2020). Validity and reliability of the Turkish occupational balance questionnaire (OBQ11-T). Scand J Occup Ther, 27(7), 493-499. https://doi.org/10.1080/11038128.2019.1673479
- Håkansson, C., Gunnarsson, A. B., & Wagman, P. (2023). Occupational balance and satisfaction with daily occupations in persons with depression or anxiety disorders. J Occup Sci, 30(2), 196-202. https://doi.org/10.1080/14427591.2021.1939111
- Han, L., Wong, F. K. Y., She, D. L. M., Li, S. Y., Yang, Y. F., Jiang, M. Y., et al. (2020). Anxiety and depression of nurses in a north west province in China during the period of novel coronavirus pneumonia outbreak. J Nurs Scholarsh, 52(5), 564-573. https://doi.org/10.1111/jnu.12590
- Hava, K., & Altun, Ö. Ş. (2015). Hemşirelerin temel psikolojik ihtiyaçları ve etkileyen faktörler. Sağlık Bilimleri ve Meslekleri Dergisi, 5(3), 295-305. https://doi.org/10.1111/jnu.12590
- Hellín Gil, M. F., Ruiz Hernández, J. A., Ibáñez-López, F. J., Seva Llor, A. M., Roldán Valcárcel, M. D., Mikla, M., et al. (2022). Relationship between job satisfaction and workload of nurses in adult inpatient units. Int J Environ Res Public Health, 19(18), 11701. https://doi.org/10.3390/ijerph191811701
- Jensen, H. I., Larsen, J. W., & Thomsen, T. D. (2018). The impact of shift work on intensive care nurses’ lives outside work: a cross‐sectional study. J Clin Nurs, 27(3-4), e703-e709. https://doi.org/10.1111/jocn.14197
- Kaçan, C. Y., Örsal, Ö., & Köşgeroğlu, N. (2016). Hemşirelerde tükenmişlik düzeyinin incelenmesi. Cumhuriyet Hemşirelik Dergisi, 5(2), 65-74.
- Kaliyaperumal, D., Elango, Y., Alagesan, M., & Santhanakrishanan, I. (2017). Effects of sleep deprivation on the cognitive performance of nurses working in shift. J Clin Diagn Res, 11(8), CC01. https://doi.org/10.7860/JCDR/2017/26029.10324
- Karakaş, S. A., Gönültaş, N., & Okanli, A. (2017). Vardiyali çalişan hemşirelerde uyku kalitesi. Erciyes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 4(1), 17-26.
- Kim, M., & Windsor, C. (2015). Resilience and work-life balance in first-line nurse manager. Asian Nurs Res, 9(1), 21-27. https://doi.org/10.1016/j.anr.2014.09.003
- Kütükçü, E., & Kocataş, S. (2019). Bir devlet hastanesinde çalışan hemşirelerin tükenmişlik düzeyleri ve sigara içme durumları arasındaki ilişki. Halk Sağlığı Hemşireliği Dergisi, 1(3), 84-102.
- Lakshmi, N., & Prasanth, V. S. (2018). A study on work-life balance in working women. Int J Adv Multidiscip Res, 1(7), 76-88. https://doi.org/10.31426/ijamsr.2018.1.7.718
- Melnyk, B. M., Orsolini, L., Tan, A., Arslanian-Engoren, C., Melkus, G. D. E., Dunbar-Jacob, J., et al. (2018). A national study links nurses’ physical and mental health to medical errors and perceived worksite wellness. J Occup Environ Med, 60(2), 126-131. https://doi.org/10.1097/JOM.0000000000001198
- Moghadam, K. N., Chehrzad, M. M., Masouleh, S. R., Mardani, A., Maleki, M., Akhlaghi, E., et al. (2021). Nursing workload in intensive care units and the influence of patient and nurse characteristics. Nurs Crit Care, 26(6), 425-431. https://doi.org/10.1111/nicc.12548
- Moradi, Y., Baghaei, R., Hosseingholipour, K., & Mollazadeh, F. (2021). Challenges experienced by ICU nurses throughout the provision of care for COVID‐19 patients: a qualitative study. J Nurs Manag, 29(5), 1159-1168. https://doi.org/10.1111/nicc.12548
- Moreno, C. R., Marqueze, E. C., Sargent, C., Wright, Jr., K. P., Ferguson, S. A., & Tucker, P. (2019). Working time society consensus statements: evidence-based effects of shift work on physical and mental health. Industrial Health, 57(2), 139-157. https://doi.org/10.2486/indhealth.SW-1
- Niskala, J., Kanste, O., Tomietto, M., Miettunen, J., Tuomikoski, A. M., Kyngäs, H., et al. (2020). Interventions to improve nurses' job satisfaction: a systematic review and meta‐analysis. J Adv Nurs, 76(7), 1498-1508. https://doi.org/10.1111/jan.14342
- Nursalam, N., Fibriansari, R. D., Yuwono, S. R., Hadi, M., Efendi, F., & Bushy, A. (2018). Development of an empowerment model for burnout syndrome and quality of nursing work life in Indonesia. Int J Nurs Sci, 5(4), 390-395. https://doi.org/10.1016/j.ijnss.2018.05.001
- Oh, H.-K., & Cho, S.-H. (2020). Effects of nurses’ shiftwork characteristics and aspects of private life on work-life conflict. PLoS One, 15(12), e0242379. https://doi.org/10.1371/journal.pone.0242379
- Okechukwu, C. E., Griffiths, M. D., Carta, M. G., Nwobodo, E., Islam, M. S., Forbes, M., et al. (2022). Biological and practical considerations regarding circadian rhythm and mental health relationships among nurses working night shifts: a narrative review and recommendations. Revista di Psichiatria, 57(2), 1-13.
- Ozvurmaz, S., & Öncü, A. Z. (2018). Vardiyali ve nöbet sistemi şeklinde çalişma düzeninin hemşireler üzerine etkisi. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 2(1), 39-46.
- Özyürek, P., Çevik, C., Kılıç, İ., & Aslan, A. (2021). Effects of day and night shifts on stress, anxiety, quality of life, and oxidative stress parameters in nurses. Florence Nightingale J Nurs, 29(1), 81. https://doi.org/10.5152/FNJN.2021.19141
- Penconek, T., Tate, K., Bernardes, A., Lee, S., Micaroni, S. P., Balsanelli, A. P., et al. (2021). Determinants of nurse manager job satisfaction: a systematic review. Int J Nurs Stud, 118, 103906. https://doi.org/10.1016/j.ijnurstu.2021.103906
- Phillips, K., Knowlton, M., & Riseden, J. (2022). Emergency department nursing burnout and resilience. Adv Emerg Nurs J, 44(1), 54-62. https://doi.org/10.1097/TME.0000000000000391
- Rosa, D., Terzoni, S., Dellafiore, F., & Destrebecq, A. (2019). Systematic review of shift work and nurses’ health. Occupational Medicine, 69(4), 237-243. https://doi.org/10.1093/occmed/kqz063
- Ruiz-Fernández, M. D., Pérez-García, E., & Ortega-Galán, Á. M. (2020). Quality of life in nursing professionals: burnout, fatigue, and compassion satisfaction. Int J Environ Res Public Health, 17(4), 1253. https://doi.org/10.3390/ijerph17041253
- Sarafis, P., Rousaki, E., Tsounis, A., Malliarou, M., Lahana, L., Bamidis, P., et al. (2016). The impact of occupational stress on nurses’ caring behaviors and their health related quality of life. BMC Nursing, 15, 1-9. https://doi.org/10.1186/s12912-016-0178-y
- Savic, M., Ogeil, R. P., Sechtig, M. J., Lee-Tobin, P., Ferguson, N., & Lubman, D. I. (2019). How do nurses cope with shift work? A qualitative analysis of open-ended responses from a survey of nurses. Int J Environ Res Public Health, 16(20), 3821. https://doi.org/10.3390/ijerph16203821
- Shiffer, D., Minonzio, M., Dipaola, F., Bertola, M., Zamuner, A. R., Dalla Vecchia, L. A., et al. (2018). Effects of clockwise and counterclockwise job shift work rotation on sleep and work-life balance on hospital nurses. Int J Environ Res Public Health, 15(9), 2038. https://doi.org/10.3390/ijerph15092038
- Soomro, A. A., Breitenecker, R. J., & Shah, S. A. M. (2018). Relation of work-life balance, work-family conflict, and family-work conflict with the employee performance-moderating role of job satisfaction. South Asian J Bus Stud, 7(1), 129-146. https://doi.org/10.1108/SAJBS-02-2017-0018
- Stimpfel, A. W., Brewer, C. S., & Kovner, C. T. (2015). Scheduling and shift work characteristics associated with risk for occupational injury in newly licensed registered nurses: an observational study. Int J Nurs Stud, 52(11), 1686-1693. https://doi.org/10.1016/j.ijnurstu.2015.06.011
- Şahin, S., Özgen, D., Özdemir, K., & Ünsal, A. (2018). Bir hastanede çalışan hemşirelerin empati ve tükenmişlik düzeylerinin değerlendirilmesi. Konuralp Medical Journal, 10(3), 318-325. https://doi.org/10.18521/ktd.307194
- Tahghighi, M., Brown, J. A., Breen, L. J., Kane, R., Hegney, D., & Rees, C. S. (2019). A comparison of nurse shift workers’ and non‐shift workers’ psychological functioning and resilience. J Adv Nurs, 75(11), 2570-2578. https://doi.org/10.1111/jan.14023
- Uthede, S., Nilsson, I., Wagman, P., Håkansson, C., & Farias, L. (2023). Occupational balance in parents of pre-school children: potential differences between mothers and fathers. Scand J Occup Ther, 30(8), 1199-1208. https://doi.org/10.1080/11038128.2022.2046154
- Vasconcelos, E. M. D., Martino, M. M. F. D., & França, S. P. D. S. (2018). Burnout and depressive symptoms in intensive care nurses: relationship analysis. Rev Bras Enf, 71, 135-141. https://doi.org/10.1590/0034-7167-2016-0019
- Wagman, P., & Håkansson, C. (2014a). Exploring occupational balance in adults in Sweden. Scand J Occup Ther, 21(6), 415-420. https://doi.org/10.3109/11038128.2014.934917
- Wagman, P., & Håkansson, C. (2014b). Introducing the occupational balance questionnaire (OBQ). Scand J Occup Ther, 21(3), 227-231. https://doi.org/10.3109/11038128.2014.900571
- Wagman, P., Hjärthag, F., Håkansson, C., Hedin, K., & Gunnarsson, A. B. (2021). Factors associated with higher occupational balance in people with anxiety and/or depression who require occupational therapy treatment. Scand J Occup Ther, 28(6), 426-432. https://doi.org/10.1080/11038128.2019.1693626
- Zurlo, M. C., Vallone, F., & Smith, A. P. (2020). Work–family conflict and psychophysical health conditions of nurses: gender differences and moderating variables. Jpn J Nurs Sci, 17(3), e12324. https://doi.org/10.1111/jjns.12324
Examining the Educational Balance of Nurses According to Demographic Factors and Different Working Conditions
Year 2025,
Volume: 13 Issue: 1, 50 - 58, 02.01.2025
Mustafa Cemali
,
Serkan Pekçetin
,
Ceren Bayram
,
Meryem Ünal
,
Melike Öztürk
,
Kutlu Bengisu Gümüşçü
,
Aleyna Yazıcı
,
Sude Bolat
,
Furkan Toklu
,
Buse Sayar
Abstract
Purpose: Examining the educational balance of nurses according to demographic factors and different working conditions. Material and Methods: One hundred twenty-eight nurses (40 intensive care, 48 ward and 40 outpatient clinic nurses) between the ages of 23 and 55, with an average age of 37.11± 8.35 years, participated in the study. Occupational Balance Questionnaire was applied to the participants. Occupational balance comparisons were made based on data based on demographic characteristics and working conditions. Results: Occupational balance scores of the nurses that are; female (p=0.006), working in intensive care (p=0.023), working in shifts (p=0.032), being dissatisfied with their job (p=0.000), having more than 5 shifts per month (p=0.023), having low sleep time (p<0.05), those with chronic diseases (p=0.015) and those who had an illness in the last month (p=0.005) were found to be low. There was no statistically significant difference between the groups in terms of educational balance according to marital status (p = 0.041), education level (p = 0.957) and cohabitants (p = 0.228). Discussion: It was observed that gender, department, working style, job satisfaction, number of shifts, sleep duration and disease status variables were factors that negatively affected the nurses' occupational balance.
References
- Aruldoss, A., Kowalski, K. B., & Parayitam, S. (2021). The relationship between quality of work life and work-life-balance mediating role of job stress, job satisfaction and job commitment: evidence from India. Journal of Advances in Management Research, 18(1), 36-62. https://doi.org/10.1108/JAMR-05-2020-0082
- Bolin, M. C., & Sweetman, M. M. (2022). Sleep in the intensive care unit: an overlooked opportunity for occupational therapists to fill a gap in health care service. Open J Occup Ther, 10(1), 1-5. https://doi.org/10.15453/2168-6408.1846
- Books, C., Coody, L. C., Kauffman, R., & Abraham, S. (2020). Night shift work and its health effects on nurses. Health Care Manag, 39(3), 122-127. https://doi.org/10.1097/HCM.0000000000000297
- Cai, Z., Cui, Q., Liu, Z., Li, J., Gong, X., Liu, J., et al. (2020). Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China. J Psychiatr Res, 131, 132-137. https://doi.org/10.1016/j.jpsychires.2020.09.007
- Cappadona, R., De Giorgi, A., Boari, B., Tiseo, R., Lopez-Soto, P. J., Fabbian, F., et al. (2021). Nurses, sleep disturbances, desynchronization of circadian rhythms, and performance: a dangerous liaison? A narrative mini-review. Eur Rev Med Pharmacol Sci, 25(22), 6924-6933. https://doi.org/10.26355/eurrev_202111_27241
- Cheung, T., & Yip, P. S. (2015). Depression, anxiety and symptoms of stress among Hong Kong nurses: a cross-sectional study. Int J Environ Res Public Health, 12(9), 11072-11100. https://doi.org/10.3390/ijerph120911072
- Dai, C., Qiu, H., Huang, Q., Hu, P., Hong, X., Tu, J., et al. (2019). The effect of night shift on sleep quality and depressive symptoms among Chinese nurses. Neuropsych Dıs Treat, 2019(15), 435-440. https://doi.org/10.2147/ndt.S190689
- Delice, E. K. (2016). Acil servis hekimlerinin nasa-rtlx yöntemi ile zihinsel iş yüklerinin değerlendirilmesi: bir uygulama çalışması. Atatürk Üniversitesi İktisadi ve İdari Bilimler Dergisi, 30(3), 645-662.
- Dilig-Ruiz, A., MacDonald, I., Varin, M. D., Vandyk, A., Graham, I. D., & Squires, J. E. (2018). Job satisfaction among critical care nurses: a systematic review. Int J Nurs Stud, 88, 123-134. https://doi.org/10.1016/j.ijnurstu.2018.08.014
- Eklund, M., & Argentzell, E. (2016). Perception of occupational balance by people with mental illness: a new methodology. Scand J Occup Ther, 23(4), 304-313. https://doi.org/10.3109/11038128.2016.1143529
- Freimann, T., Pääsuke, M., & Merisalu, E. (2016). Work-related psychosocial factors and mental health problems associated with musculoskeletal pain in nurses: a cross-sectional study. Pain Res Manag, 2016, 9361016-7. http://dx.doi.org/10.1155/2016/9361016
- Günal, A., Pekçetin, S., Demirtürk, F., Şenol, H., Håkansson, C., & Wagman, P. (2020). Validity and reliability of the Turkish occupational balance questionnaire (OBQ11-T). Scand J Occup Ther, 27(7), 493-499. https://doi.org/10.1080/11038128.2019.1673479
- Håkansson, C., Gunnarsson, A. B., & Wagman, P. (2023). Occupational balance and satisfaction with daily occupations in persons with depression or anxiety disorders. J Occup Sci, 30(2), 196-202. https://doi.org/10.1080/14427591.2021.1939111
- Han, L., Wong, F. K. Y., She, D. L. M., Li, S. Y., Yang, Y. F., Jiang, M. Y., et al. (2020). Anxiety and depression of nurses in a north west province in China during the period of novel coronavirus pneumonia outbreak. J Nurs Scholarsh, 52(5), 564-573. https://doi.org/10.1111/jnu.12590
- Hava, K., & Altun, Ö. Ş. (2015). Hemşirelerin temel psikolojik ihtiyaçları ve etkileyen faktörler. Sağlık Bilimleri ve Meslekleri Dergisi, 5(3), 295-305. https://doi.org/10.1111/jnu.12590
- Hellín Gil, M. F., Ruiz Hernández, J. A., Ibáñez-López, F. J., Seva Llor, A. M., Roldán Valcárcel, M. D., Mikla, M., et al. (2022). Relationship between job satisfaction and workload of nurses in adult inpatient units. Int J Environ Res Public Health, 19(18), 11701. https://doi.org/10.3390/ijerph191811701
- Jensen, H. I., Larsen, J. W., & Thomsen, T. D. (2018). The impact of shift work on intensive care nurses’ lives outside work: a cross‐sectional study. J Clin Nurs, 27(3-4), e703-e709. https://doi.org/10.1111/jocn.14197
- Kaçan, C. Y., Örsal, Ö., & Köşgeroğlu, N. (2016). Hemşirelerde tükenmişlik düzeyinin incelenmesi. Cumhuriyet Hemşirelik Dergisi, 5(2), 65-74.
- Kaliyaperumal, D., Elango, Y., Alagesan, M., & Santhanakrishanan, I. (2017). Effects of sleep deprivation on the cognitive performance of nurses working in shift. J Clin Diagn Res, 11(8), CC01. https://doi.org/10.7860/JCDR/2017/26029.10324
- Karakaş, S. A., Gönültaş, N., & Okanli, A. (2017). Vardiyali çalişan hemşirelerde uyku kalitesi. Erciyes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 4(1), 17-26.
- Kim, M., & Windsor, C. (2015). Resilience and work-life balance in first-line nurse manager. Asian Nurs Res, 9(1), 21-27. https://doi.org/10.1016/j.anr.2014.09.003
- Kütükçü, E., & Kocataş, S. (2019). Bir devlet hastanesinde çalışan hemşirelerin tükenmişlik düzeyleri ve sigara içme durumları arasındaki ilişki. Halk Sağlığı Hemşireliği Dergisi, 1(3), 84-102.
- Lakshmi, N., & Prasanth, V. S. (2018). A study on work-life balance in working women. Int J Adv Multidiscip Res, 1(7), 76-88. https://doi.org/10.31426/ijamsr.2018.1.7.718
- Melnyk, B. M., Orsolini, L., Tan, A., Arslanian-Engoren, C., Melkus, G. D. E., Dunbar-Jacob, J., et al. (2018). A national study links nurses’ physical and mental health to medical errors and perceived worksite wellness. J Occup Environ Med, 60(2), 126-131. https://doi.org/10.1097/JOM.0000000000001198
- Moghadam, K. N., Chehrzad, M. M., Masouleh, S. R., Mardani, A., Maleki, M., Akhlaghi, E., et al. (2021). Nursing workload in intensive care units and the influence of patient and nurse characteristics. Nurs Crit Care, 26(6), 425-431. https://doi.org/10.1111/nicc.12548
- Moradi, Y., Baghaei, R., Hosseingholipour, K., & Mollazadeh, F. (2021). Challenges experienced by ICU nurses throughout the provision of care for COVID‐19 patients: a qualitative study. J Nurs Manag, 29(5), 1159-1168. https://doi.org/10.1111/nicc.12548
- Moreno, C. R., Marqueze, E. C., Sargent, C., Wright, Jr., K. P., Ferguson, S. A., & Tucker, P. (2019). Working time society consensus statements: evidence-based effects of shift work on physical and mental health. Industrial Health, 57(2), 139-157. https://doi.org/10.2486/indhealth.SW-1
- Niskala, J., Kanste, O., Tomietto, M., Miettunen, J., Tuomikoski, A. M., Kyngäs, H., et al. (2020). Interventions to improve nurses' job satisfaction: a systematic review and meta‐analysis. J Adv Nurs, 76(7), 1498-1508. https://doi.org/10.1111/jan.14342
- Nursalam, N., Fibriansari, R. D., Yuwono, S. R., Hadi, M., Efendi, F., & Bushy, A. (2018). Development of an empowerment model for burnout syndrome and quality of nursing work life in Indonesia. Int J Nurs Sci, 5(4), 390-395. https://doi.org/10.1016/j.ijnss.2018.05.001
- Oh, H.-K., & Cho, S.-H. (2020). Effects of nurses’ shiftwork characteristics and aspects of private life on work-life conflict. PLoS One, 15(12), e0242379. https://doi.org/10.1371/journal.pone.0242379
- Okechukwu, C. E., Griffiths, M. D., Carta, M. G., Nwobodo, E., Islam, M. S., Forbes, M., et al. (2022). Biological and practical considerations regarding circadian rhythm and mental health relationships among nurses working night shifts: a narrative review and recommendations. Revista di Psichiatria, 57(2), 1-13.
- Ozvurmaz, S., & Öncü, A. Z. (2018). Vardiyali ve nöbet sistemi şeklinde çalişma düzeninin hemşireler üzerine etkisi. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 2(1), 39-46.
- Özyürek, P., Çevik, C., Kılıç, İ., & Aslan, A. (2021). Effects of day and night shifts on stress, anxiety, quality of life, and oxidative stress parameters in nurses. Florence Nightingale J Nurs, 29(1), 81. https://doi.org/10.5152/FNJN.2021.19141
- Penconek, T., Tate, K., Bernardes, A., Lee, S., Micaroni, S. P., Balsanelli, A. P., et al. (2021). Determinants of nurse manager job satisfaction: a systematic review. Int J Nurs Stud, 118, 103906. https://doi.org/10.1016/j.ijnurstu.2021.103906
- Phillips, K., Knowlton, M., & Riseden, J. (2022). Emergency department nursing burnout and resilience. Adv Emerg Nurs J, 44(1), 54-62. https://doi.org/10.1097/TME.0000000000000391
- Rosa, D., Terzoni, S., Dellafiore, F., & Destrebecq, A. (2019). Systematic review of shift work and nurses’ health. Occupational Medicine, 69(4), 237-243. https://doi.org/10.1093/occmed/kqz063
- Ruiz-Fernández, M. D., Pérez-García, E., & Ortega-Galán, Á. M. (2020). Quality of life in nursing professionals: burnout, fatigue, and compassion satisfaction. Int J Environ Res Public Health, 17(4), 1253. https://doi.org/10.3390/ijerph17041253
- Sarafis, P., Rousaki, E., Tsounis, A., Malliarou, M., Lahana, L., Bamidis, P., et al. (2016). The impact of occupational stress on nurses’ caring behaviors and their health related quality of life. BMC Nursing, 15, 1-9. https://doi.org/10.1186/s12912-016-0178-y
- Savic, M., Ogeil, R. P., Sechtig, M. J., Lee-Tobin, P., Ferguson, N., & Lubman, D. I. (2019). How do nurses cope with shift work? A qualitative analysis of open-ended responses from a survey of nurses. Int J Environ Res Public Health, 16(20), 3821. https://doi.org/10.3390/ijerph16203821
- Shiffer, D., Minonzio, M., Dipaola, F., Bertola, M., Zamuner, A. R., Dalla Vecchia, L. A., et al. (2018). Effects of clockwise and counterclockwise job shift work rotation on sleep and work-life balance on hospital nurses. Int J Environ Res Public Health, 15(9), 2038. https://doi.org/10.3390/ijerph15092038
- Soomro, A. A., Breitenecker, R. J., & Shah, S. A. M. (2018). Relation of work-life balance, work-family conflict, and family-work conflict with the employee performance-moderating role of job satisfaction. South Asian J Bus Stud, 7(1), 129-146. https://doi.org/10.1108/SAJBS-02-2017-0018
- Stimpfel, A. W., Brewer, C. S., & Kovner, C. T. (2015). Scheduling and shift work characteristics associated with risk for occupational injury in newly licensed registered nurses: an observational study. Int J Nurs Stud, 52(11), 1686-1693. https://doi.org/10.1016/j.ijnurstu.2015.06.011
- Şahin, S., Özgen, D., Özdemir, K., & Ünsal, A. (2018). Bir hastanede çalışan hemşirelerin empati ve tükenmişlik düzeylerinin değerlendirilmesi. Konuralp Medical Journal, 10(3), 318-325. https://doi.org/10.18521/ktd.307194
- Tahghighi, M., Brown, J. A., Breen, L. J., Kane, R., Hegney, D., & Rees, C. S. (2019). A comparison of nurse shift workers’ and non‐shift workers’ psychological functioning and resilience. J Adv Nurs, 75(11), 2570-2578. https://doi.org/10.1111/jan.14023
- Uthede, S., Nilsson, I., Wagman, P., Håkansson, C., & Farias, L. (2023). Occupational balance in parents of pre-school children: potential differences between mothers and fathers. Scand J Occup Ther, 30(8), 1199-1208. https://doi.org/10.1080/11038128.2022.2046154
- Vasconcelos, E. M. D., Martino, M. M. F. D., & França, S. P. D. S. (2018). Burnout and depressive symptoms in intensive care nurses: relationship analysis. Rev Bras Enf, 71, 135-141. https://doi.org/10.1590/0034-7167-2016-0019
- Wagman, P., & Håkansson, C. (2014a). Exploring occupational balance in adults in Sweden. Scand J Occup Ther, 21(6), 415-420. https://doi.org/10.3109/11038128.2014.934917
- Wagman, P., & Håkansson, C. (2014b). Introducing the occupational balance questionnaire (OBQ). Scand J Occup Ther, 21(3), 227-231. https://doi.org/10.3109/11038128.2014.900571
- Wagman, P., Hjärthag, F., Håkansson, C., Hedin, K., & Gunnarsson, A. B. (2021). Factors associated with higher occupational balance in people with anxiety and/or depression who require occupational therapy treatment. Scand J Occup Ther, 28(6), 426-432. https://doi.org/10.1080/11038128.2019.1693626
- Zurlo, M. C., Vallone, F., & Smith, A. P. (2020). Work–family conflict and psychophysical health conditions of nurses: gender differences and moderating variables. Jpn J Nurs Sci, 17(3), e12324. https://doi.org/10.1111/jjns.12324