The mediating role of sleep quality in the relationship between dispositional mindfulness and fatigue in Chinese nurses during the COVID-19 pandemic

Abstract Background During the COVID-19 epidemic in China, clinical nurses are at an elevated risk of suffering fatigue. This research sought to investigate the correlation between dispositional mindfulness and fatigue among nurses, as well as the potential mediation role of sleep quality in this re...

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Main Authors: Caijun Dai, Pinglang Hu, Feifan Yan, Xuejiao He, Weizhen Cheng, Lihua Yu, Achang Fang, Xiaoling Meng, Meiyang Lou, Youying Chen, Danli Chi, Huasu Zhou, Qiaoge Chen, Zhenhong Fang, Shuhong Ni, Qiqi Huang
Format: Article
Language:English
Published: BMC 2023-12-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-023-01642-w
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author Caijun Dai
Pinglang Hu
Feifan Yan
Xuejiao He
Weizhen Cheng
Lihua Yu
Achang Fang
Xiaoling Meng
Meiyang Lou
Youying Chen
Danli Chi
Huasu Zhou
Qiaoge Chen
Zhenhong Fang
Shuhong Ni
Qiqi Huang
author_facet Caijun Dai
Pinglang Hu
Feifan Yan
Xuejiao He
Weizhen Cheng
Lihua Yu
Achang Fang
Xiaoling Meng
Meiyang Lou
Youying Chen
Danli Chi
Huasu Zhou
Qiaoge Chen
Zhenhong Fang
Shuhong Ni
Qiqi Huang
author_sort Caijun Dai
collection DOAJ
description Abstract Background During the COVID-19 epidemic in China, clinical nurses are at an elevated risk of suffering fatigue. This research sought to investigate the correlation between dispositional mindfulness and fatigue among nurses, as well as the potential mediation role of sleep quality in this relationship. Methods This online cross-sectional survey was performed from August to September 2022 to collect data from 2143 Chinese nurses after the re-emergence of COVID-19. The significance of the mediation effect was determined through a bootstrap approach with SPSS PROCESS macro. Results Higher levels of dispositional mindfulness were significantly negatively related to fatigue (r = -0.518, P < 0.001) and sleep disturbance (r = -0.344, P < 0.001). Besides, insufficient sleep was associated with fatigue (r = 0.547, P < 0.001). Analyses of mediation revealed that sleep quality mediated the correlation of dispositional mindfulness to fatigue (β = -0.137, 95% Confidence Interval = [-0.156, -0.120]). Conclusions In the post-COVID-19 pandemic era, Chinese nurses’ dispositional awareness was related to the reduction of fatigue, which was mediated by sleep quality. Intervention strategies and measures should be adapted to improve dispositional mindfulness and sleep quality to reduce fatigue in nurses during the pandemic.
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spelling doaj.art-d3e9cf57c6684f0680a28ddc99a73fa02023-12-17T12:11:43ZengBMCBMC Nursing1472-69552023-12-012211810.1186/s12912-023-01642-wThe mediating role of sleep quality in the relationship between dispositional mindfulness and fatigue in Chinese nurses during the COVID-19 pandemicCaijun Dai0Pinglang Hu1Feifan Yan2Xuejiao He3Weizhen Cheng4Lihua Yu5Achang Fang6Xiaoling Meng7Meiyang Lou8Youying Chen9Danli Chi10Huasu Zhou11Qiaoge Chen12Zhenhong Fang13Shuhong Ni14Qiqi Huang15Department of Pulmonary and Critical Care Medicine, Jinhua Municipal Central HospitalDepartment of Neurology, The First Affiliated Hospital of Wenzhou Medical UniversityNeurological Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Nursing, Zhejiang Jinhua Guangfu tumor HospitalDepartment of Nursing, Jinhua Hospital of Traditional Chinese MedicineDepartment of Nursing, Jinhua Municipal People’s HospitalDepartment of Nursing, Pujiang County People’s HospitalDepartment of Nursing, Pan’an County People’s HospitalDepartment of Nursing, Jinhua City Fifth HospitalDepartment of Nursing, The Second Hospital of PujiangDepartment of Nursing, Wucheng People’s HospitalDepartment of Nursing, Pan’an County People’s HospitalDepartment of Nursing, Jinhua City Maternal and Child Health Care HospitalDepartment of Cardiac Care Unit, The First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Nursing, Jinhua Municipal Central HospitalDepartment of Pediatrics, The First Affiliated Hospital of Wenzhou Medical UniversityAbstract Background During the COVID-19 epidemic in China, clinical nurses are at an elevated risk of suffering fatigue. This research sought to investigate the correlation between dispositional mindfulness and fatigue among nurses, as well as the potential mediation role of sleep quality in this relationship. Methods This online cross-sectional survey was performed from August to September 2022 to collect data from 2143 Chinese nurses after the re-emergence of COVID-19. The significance of the mediation effect was determined through a bootstrap approach with SPSS PROCESS macro. Results Higher levels of dispositional mindfulness were significantly negatively related to fatigue (r = -0.518, P < 0.001) and sleep disturbance (r = -0.344, P < 0.001). Besides, insufficient sleep was associated with fatigue (r = 0.547, P < 0.001). Analyses of mediation revealed that sleep quality mediated the correlation of dispositional mindfulness to fatigue (β = -0.137, 95% Confidence Interval = [-0.156, -0.120]). Conclusions In the post-COVID-19 pandemic era, Chinese nurses’ dispositional awareness was related to the reduction of fatigue, which was mediated by sleep quality. Intervention strategies and measures should be adapted to improve dispositional mindfulness and sleep quality to reduce fatigue in nurses during the pandemic.https://doi.org/10.1186/s12912-023-01642-wDispositional mindfulnessFatigueSleep qualityCOVID-19Mediation effect
spellingShingle Caijun Dai
Pinglang Hu
Feifan Yan
Xuejiao He
Weizhen Cheng
Lihua Yu
Achang Fang
Xiaoling Meng
Meiyang Lou
Youying Chen
Danli Chi
Huasu Zhou
Qiaoge Chen
Zhenhong Fang
Shuhong Ni
Qiqi Huang
The mediating role of sleep quality in the relationship between dispositional mindfulness and fatigue in Chinese nurses during the COVID-19 pandemic
BMC Nursing
Dispositional mindfulness
Fatigue
Sleep quality
COVID-19
Mediation effect
title The mediating role of sleep quality in the relationship between dispositional mindfulness and fatigue in Chinese nurses during the COVID-19 pandemic
title_full The mediating role of sleep quality in the relationship between dispositional mindfulness and fatigue in Chinese nurses during the COVID-19 pandemic
title_fullStr The mediating role of sleep quality in the relationship between dispositional mindfulness and fatigue in Chinese nurses during the COVID-19 pandemic
title_full_unstemmed The mediating role of sleep quality in the relationship between dispositional mindfulness and fatigue in Chinese nurses during the COVID-19 pandemic
title_short The mediating role of sleep quality in the relationship between dispositional mindfulness and fatigue in Chinese nurses during the COVID-19 pandemic
title_sort mediating role of sleep quality in the relationship between dispositional mindfulness and fatigue in chinese nurses during the covid 19 pandemic
topic Dispositional mindfulness
Fatigue
Sleep quality
COVID-19
Mediation effect
url https://doi.org/10.1186/s12912-023-01642-w
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