Sleep Quality and Daytime Sleepiness in Pre-licensure Baccalaureate Nursing Students

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Abstract Introduction: Poor sleep quality and maladaptive sleep hygiene may lead to chronic daytime sleepiness, which may, in turn, impact daily functioning. The purpose of this research study was to further investigate sleep in pre-licensure baccalaureate nursing students, and describe factors that impact their sleep quality and daytime sleepiness. Methods: This study used a cross-sectional descriptive design. A convenience sample was used to recruit participants from thirteen baccalaureate nursing programs from a Midwest region in the United States. An Invitation to Participate was emailed to deans who forwarded the invitation to the pre-licensure baccalaureate nursing students enrolled in their programs. Research questions included relationships and differences in student year of study, enrollment status, behaviors, obligations, and their sleep quality, daytime sleepiness, and sleep hygiene. Data were collected using a demographic questionnaire, the Pittsburgh Sleep Quality Index, the Epworth Sleepiness Scale, and the Sleep Hygiene Index. Data were analyzed using SPSS 26.0 and Mplus version 8.4. Results: The sample (N = 254) was mostly 19-24 years old (83.8%), primarily White (85%) and female (93.3%). Overall, the participants reported poor sleep quality, excessive daytime sleepiness, and maladaptive sleep hygiene, regardless of their year of study or enrollment status. Student obligations and behaviors most frequently reported as reasons for losing sleep were classes (94.1%), work (72%), technology use into the night (85%), and caffeine use (44.5%), respectively. Classes and finances for food were inversely and statistically significant with sleep quality, daytime sleepiness and sleep hygiene. Mediation results indicated work, classes, and technology use into the night significantly predicted sleep hygiene; work, family, activity with friends, and classes significantly predicted sleep quality. Discussion: Learning the importance of sleep hygiene, good sleep quality, and the associated health benefits may assist pre-licensure baccalaureate nursing students with achieving optimal daytime functioning. Providing undergraduate nursing students with routine educational sessions on sleep health to promote holistic well-being is essential. The findings support future research on testing the effect sleep hygiene has on academic performance and how sleep health affects their nursing profession. Consideration should be given to sleep health content as a thread through nursing curriculum. Keywords: sleep, sleep quality, daytime sleepiness, sleep hygiene, nursing student, college student
Higher Education, Nursing, Sleep, Sleep quality, Daytime sleepiness, Sleep hygiene, Nursing students, College student
Blome, M. (2020). Sleep quality and daytime sleepiness in pre-licensure baccalaureate nursing students. [Doctoral dissertation, Bryan College of Health Sciences].