title: Work-Family Conflict, Sleep, and Mental Health of Nursing Assistants Working in Nursing Homes.
abstract: Work-family conflict is challenging for workers and may lead to depression, anxiety, and overall poor health. Sleep plays an important role in the maintenance of mental health; however, the role of sleep in the association between work-family conflict and mental health is not well-studied. Questionnaires were collected from 650 nursing assistants in 15 nursing homes. Multivariate linear regression modeling demonstrated that increased work-family conflict was associated with lower mental health scores (β = -2.56, p < .01). More work-family conflict was correlated with more job demands, less job control, less social support, and longer work hours. Poor sleep quality, but not short sleep duration, mediated the association between work-family conflict and mental health. Workplace interventions to improve nursing assistants' mental health should increase their control over work schedules and responsibilities, provide support to meet their work and family needs, and address healthy sleep practices.
authors: 1 University of Massachusetts Lowell.
authors: Yuan
authors: Y
authors: Zhang
authors: 1 University of Massachusetts Lowell.
authors: Laura
authors: L
authors: Punnett
authors: 1 University of Massachusetts Lowell.
authors: Angela
authors: A
authors: Nannini
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D001007:Anxiety / Q000209:etiology; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology; D005190:Family; D006801:Humans; D016014:Linear Models; D008875:Middle Aged; D009728:Nursing Assistants / Q000523:psychology*; D009735:Nursing Homes; D000073397:Occupational Stress / Q000523:psychology*; D012890:Sleep / Q000502:physiology*; D011795:Surveys and Questionnaires; D000072358:Work-Life Balance; D000078329:Workforce
keywords: long-term care; nursing assistants; sleep quality; sleep quantity; working conditions