Abstract
Objectives
Previous studies have focused on the role of mindfulness in improving sleep health.
Sleep health may also increase daily mindfulness; however, this potential directionality
is understudied, with a lack of research on healthcare workers who need high-quality
sleep and mindful attention for patient care. This study examined whether sleep health
predicts next-day mindful attention, and vice versa, in nurses.
Design
Smartphone-based ecological momentary assessment.
Setting
U.S. hospitals.
Participants
Sixty-one full-time nurses.
Measurements
For 2 consecutive weeks, participants provided actigraphy-measured and self-reported
daily sleep characteristics. We examined 8 sleep variables across 5 key dimensions:
satisfaction (self-report of sleep sufficiency, quality, and insomnia symptoms), alertness (self-report of daytime sleepiness), timing (actigraphy bed- and wake- times), efficiency (actigraphy percentage of time spent asleep during time in bed), and duration (actigraphy sleep duration). Participants reported state mindfulness specific to
attention and awareness. Covariates included previous night's sleep, sociodemographics,
work shift, workday (vs. nonworkday), and weekend (vs. weekday).
Results
Multilevel modeling revealed that, at the within-person level, after nights with greater
sleep sufficiency, better sleep quality, lower efficiency, and longer sleep duration,
daily mindful attention was greater than usual. Daily mindful attention was inversely
associated with sleepiness, but not predictive of other sleep characteristics. At
the between-person level, participants with greater sleep sufficiency, higher sleep
quality, and fewer insomnia symptoms reported greater mindful attention overall.
Conclusion
Findings show that optimal sleep health is an antecedent of daily mindful attention
in nurses. Improving sleep may provide important benefits to their well-being and
to the quality of patient care.
Keywords
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Article info
Publication history
Published online: October 01, 2020
Identification
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© 2020 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
