ArticleBMC nursing2025
Prevalence of insomnia, fatigue and symptoms of mental health problems among emergency medical service nurses: a cross-sectional study.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of insomnia in nurses: a meta-analysis of observational studies using the insomnia severity index.Frontiers in public health · 2026Pooled it
- Psychosocial work environment and health among ambulance clinicians in northern Sweden.Discover mental health · 2026Article
- Too Demanding to Stay? Fatigue and Depressive Symptoms as Mediators of Turnover Intention in Romanian Anaesthesia and Intensive Care Nurses: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2026Article
- Evaluating an Abbreviated Internet-Delivered Stress Recovery Intervention for Health Care Workers: Pre-Post Feasibility Study of Outcomes, Usability, and Acceptability.JMIR formative research · 2026Article
- Psychosocial health risks among nursing staff working in shifts.Frontiers in public health · 2026Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency medical service nurses worldwide face continuous high-stress situations caused by critical incidents that can overwhelm them emotionally and affect their daily functioning and sustainable employability. Repeated exposure to these incidents negatively impacts their mental health. The COVID-19 pandemic has further exacerbated these issues, with high prevalence rates of insomnia and fatigue among emergency medical service nurses serving as key predictors of mental health problems. Until now little is known about the mental consequences of the COVID-19 pandemic on EMS nurses. This study, the first of its kind in the Netherlands, aims to assess the prevalence of insomnia, fatigue, and symptoms of mental health problems and identify associated risk factors.
methodsA national cross-sectional study was conducted in the Netherlands in spring 2022. Data were collected through an online survey among emergency medical service nurses covering personal characteristics as well as validated scales on insomnia, fatigue, anxiety, depression, and Post Traumatic Stress Disorder.
resultsPrevalence rates were 39.2% for insomnia, 32.5% for fatigue, 18.4% for anxiety, 16.2% for depression and 10% for Post Traumatic Stress Disorder. Not recovering from COVID-19 was linked to higher odds of fatigue, while living alone was associated with insomnia. Working as an emergency medical dispatcher and more work experience were linked to increased fatigue. Regional differences in emergency medical services organizations and full recovery of COVID-19 showed to result in lower odds of insomnia in ambulance professionals.
conclusionsInsomnia and fatigue are prevalent among emergency medical service nurses. These conditions heighten the risk of severe mental health problems and potential sickness leave. Further research is needed to explore factors contributing to these issues and to develop targeted interventions supporting professionals sustainability. CLINICAL TRIAL NUMBER: Not applicable.
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