Online Program

Work-family conflict and health among caregivers in skilled nursing facilities: The role of sleep

Monday, November 4, 2013

Yuan Zhang, Ph.D., Department of Nursing, University of Massachusetts Lowell, Lowell, MA
Laura Punnett, ScD, Department of Work Environment, University of Massachusetts Lowell, Lowell, MA
Background and Objective: Managing work and family responsibilities is often difficult and impacts employees' health. In particular, work-family conflict is associated with sleep disorders. In addition, sleep quantity and quality are associated with employee physical health and psychosocial well-being. However, little is known about the role of sleep in the relationship between work-family conflict and health. This cross-sectional study examined work-family conflict, sleep, and health in clinical caregivers in U.S. skilled nursing facilities. Methods: Self-administered questionnaires were collected from NAs, LPNs, and RNs in 15 nursing facilities located in Maryland and the New England area between January, 2008, and October, 2009. Work-family conflict was assessed with three items derived from the Work Interference with Family Scale. Health was assessed by the Short Form-12 Health Survey (possible range 0-100). Sleep quantity and quality were assessed. Results: Linear regression modeling produced decreases in both physical health (β=-2.7, 95% CI=-3.5 – -1.9) and mental health (β=-3.5, 95% CI=-4.4 – -2.6) with every unit increase in work-family conflict, after controlling for age, gender, race, marital status, and shift work. Both sleep quantity and quality were associated with work-family conflict and with health. Sleep quantity and quality each partially mediated the association between work-family conflict and mental health (by 11.3% and by 19.3%, respectively). Conclusions: This study suggests that work-family conflict greatly impacts health and that sleep plays a significant role in translating work-family conflict into adverse mental health effects. Future workplace interventions must address work-family conflict and improve the sleep of formal caregivers.

Learning Areas:

Occupational health and safety

Learning Objectives:
Explain the role of sleep in the relationship between work-family conflict and health of formal caregivers. Discuss the suggestions for possible workplace interventions to reduce work-family conflict and to improve caregivers’ sleep quantity and quality.

Keyword(s): Workplace Stressors, Long-Term Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I participated in the data collection and had first-hand contact experience with the study subjects; I developed the study question and analyzed the data.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.