title: The impact of work schedules, home, and work demands on self-reported sleep in registered nurses.
abstract: OBJECTIVE
  To explore the relationship of work schedules to self-reported restless and inadequate sleep in a large population-based sample of registered nurses.
  
  
  METHODS
  Cross-sectional mailed survey (n = 2246). Work schedule measures included hours worked per day and per week, weekends per month, shift, frequency of quick returns, mandatory overtime or on-call hours, and circadian mismatch, with indexing to reflect overall schedule adversity. Odds of restless and inadequate sleep related to work schedule components are reported, adjusted for age, childcare, and other domestic responsibilities and physical and psychosocial work demands.
  
  
  RESULTS
  Odds of inadequate and restless sleep showed a clear dose effect for adversity of work schedule, even when adjusted for age and home demands. Odds were attenuated after adjustment for work demands.
  
  
  CONCLUSIONS
  Current scheduling practices and high work demands negatively impact nurses' sleep and may be partially explained by exposure to work demands.
authors.affiliation: Work and Health Research Center, School of Nursing, University of Maryland, Baltimore, MD 21201, USA. jgeiger@son.umaryland.edu
authors.forename: Jeanne
authors.initials: J
authors.lastname: Geiger-Brown
authors.forename: Alison
authors.initials: A
authors.lastname: Trinkoff
authors.forename: Valerie E
authors.initials: VE
authors.lastname: Rogers
mesh_terms: D002648:Child; D002654:Child Care / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D020920:Dyssomnias / Q000453:epidemiology; D006796:Household Work / Q000706:statistics & numerical data; D006801:Humans; D008875:Middle Aged; D009726:Nurses; D016272:Occupational Health / Q000706:statistics & numerical data*; D016017:Odds Ratio; D011595:Psychomotor Agitation / Q000453:epidemiology; D057566:Self Report; D012893:Sleep Wake Disorders / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D016526:Workload