Nightmare distress, insomnia and resilience of nursing staff in the post-pandemic era

Argyro Pachi; Athanasios Tselebis; Christos Sikaras; Eleni Paraskevi Sideri; Maria Ivanidou; Spyros Baras; Charalampos Milionis; Ioannis Ilias; Argyro Pachi; Athanasios Tselebis; Christos Sikaras; Eleni Paraskevi Sideri; Maria Ivanidou; Spyros Baras; Charalampos Milionis; Ioannis Ilias

doi:10.3934/publichealth.2024003

AIMS Public Health

2024, Volume 11, Issue 1: 36-57. doi: 10.3934/publichealth.2024003

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Research article Special Issues

Nightmare distress, insomnia and resilience of nursing staff in the post-pandemic era

1.
Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
2.
Nursing Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
3.
Emergency Department of General Hospital of Athens Korgialeneio-Benakeio Hellenic Red Cross, 11526, Athens, Greece
4.
Department of Endocrinology, “Elena Venizelou” Hospital, 11521 Athens, Greece

Received: 04 October 2023 Revised: 10 December 2023 Accepted: 11 December 2023 Published: 18 December 2023

Introduction
The pandemic has led to notable psychological challenges among healthcare professionals, including nurses.

Objective
Our aims of this study were to assess insomnia and nightmare distress levels in nurses and investigate their association with mental resilience.

Methods
Nurses participated in an online survey, which included the Nightmare Distress Questionnaire (NDQ), Brief Resilience Scale (BRS) and Athens Insomnia Scale (AIS). Demographic information, such as age, professional experience and gender, was also collected.

Results
The study included 355 female and 78 male nurses. Findings revealed that 61.4% had abnormal AIS scores, 7% had abnormal NDQ scores and 25.4% had low BRS scores. Female nurses had higher AIS and NDQ scores but lower BRS scores compared to males. BRS demonstrated negative correlations with both AIS and NDQ. Multiple regression analysis indicated that NDQ accounted for 24% of the AIS variance, with an additional 6.5% explained by the BRS. BRS acted as a mediator, attenuating the impact of nightmares on insomnia, with gender moderating this relationship.

Conclusions
Nursing staff experienced heightened sleep disturbances during the pandemic, with nightmares and insomnia being prevalent. Nightmares significantly contributed to insomnia, but mental resilience played a vital role in mitigating this effect. Strategies are warranted to address the pandemic's psychological impact on nursing professionals.
- nightmares,
- insomnia,
- resilience,
- nurses,
- COVID-19,
- mediation analysis
Citation: Argyro Pachi, Athanasios Tselebis, Christos Sikaras, Eleni Paraskevi Sideri, Maria Ivanidou, Spyros Baras, Charalampos Milionis, Ioannis Ilias. Nightmare distress, insomnia and resilience of nursing staff in the post-pandemic era[J]. AIMS Public Health, 2024, 11(1): 36-57. doi: 10.3934/publichealth.2024003

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Abstract

Introduction

The pandemic has led to notable psychological challenges among healthcare professionals, including nurses.

Objective

Our aims of this study were to assess insomnia and nightmare distress levels in nurses and investigate their association with mental resilience.

Methods

Nurses participated in an online survey, which included the Nightmare Distress Questionnaire (NDQ), Brief Resilience Scale (BRS) and Athens Insomnia Scale (AIS). Demographic information, such as age, professional experience and gender, was also collected.

Results

The study included 355 female and 78 male nurses. Findings revealed that 61.4% had abnormal AIS scores, 7% had abnormal NDQ scores and 25.4% had low BRS scores. Female nurses had higher AIS and NDQ scores but lower BRS scores compared to males. BRS demonstrated negative correlations with both AIS and NDQ. Multiple regression analysis indicated that NDQ accounted for 24% of the AIS variance, with an additional 6.5% explained by the BRS. BRS acted as a mediator, attenuating the impact of nightmares on insomnia, with gender moderating this relationship.

Conclusions

Nursing staff experienced heightened sleep disturbances during the pandemic, with nightmares and insomnia being prevalent. Nightmares significantly contributed to insomnia, but mental resilience played a vital role in mitigating this effect. Strategies are warranted to address the pandemic's psychological impact on nursing professionals.

Acknowledgments

We would like to thank all participants in this study.

Conflicts of interest

The authors declare no conflicts of interest.

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