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The Mediating Role of Sleep Quality in the Relationship Between Quick-Return Shift Work Schedules and Work–Family Conflict: A Cross-Sectional Study

Sawsan Safieh, T. Shochat, E. Srulovici

Journal of Nursing Research, 2025

6 citations

Abstract

ABSTRACT Background Nursing is a highly demanding profession involving shift-work schedules around the clock. Rest time between shifts is an issue that has gained increasing research attention in recent years, with brief rest periods (< 11 hours) between shifts coined “quick-return.” Quick-return work schedules have been linked to negative health outcomes such as poor sleep quality and stress, which may create a vicious cycle that can contribute to work–family conflict. Purpose This study aimed to investigate mediation models exploring the role of sleep quality in mediating the relationship between quick-return work shift schedules and work–family conflict among female nurses with children. Methods A cross-sectional approach was used, and data were collected from 131 female nurses with children under the age of 18 years between October 2020 and February 2021 in three hospitals. The participants completed a set of questionnaires to evaluate quick-return frequency within the past week, sleep quality between different types of shifts (morning [07:00–15:00]–night [23:00–07:00], evening [15:00–23:00]–morning, night–evening, morning–morning, evening–evening, night–night, and 2 days off), work–family conflict, workload, and sociodemographic factors. Seven mediation models were conducted using the SPSS PROCESS macro. Results Only one mediation model was supported. In the supported model, sleep quality between morning–night shifts mediates the relationship between quick-returns…

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Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.

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