Effects of Migraine on the Performance of Nursing Professionals

Abstract

Background: Migraine is a highly prevalent and disabling neurological condition, particularly among healthcare professionals exposed to chronic occupational stress. Nurses are disproportionately affected due to shift work, high emotional labor, and demanding clinical responsibilities, yet limited research exists on migraine’s impact on their job performance and coping strategies in resource-constrained settings like Pakistan. Objective: This study aimed to assess the effects of migraine on the clinical performance of nursing professionals by evaluating symptom burden, workplace stressors, and adopted coping strategies, while identifying gaps for targeted healthcare interventions. Methods: A cross-sectional descriptive study was conducted among registered nurses (n = 155) working in medical, surgical, and gastroenterology wards of a tertiary care hospital in Lahore. Participants were recruited via convenience sampling based on predefined inclusion/exclusion criteria, including self-reported migraine history. Data were collected using a validated 31-item self-administered questionnaire assessing demographic characteristics, migraine symptoms, stressors, and coping mechanisms. Ethical principles were upheld in accordance with the Declaration of Helsinki, and informed consent was obtained. Descriptive statistics were analyzed using SPSS v27. Results: Among participants, 57% reported migraine symptoms, with 48.4% experiencing sleep disturbances and 45.2% reporting forgetfulness or confusion. Significant workplace stressors included pressure from superiors (43.9% always) and lack of coworker support (47.1% very often). Coping strategies such as prayer (27.1%) and exercise (43.2% very often) were commonly adopted. These findings are clinically relevant given the cognitive and emotional disruptions affecting patient care quality. Conclusion: Migraine substantially impairs the performance and well-being of nurses, driven by occupational stress and limited structured coping strategies. Integrating institutional support systems and culturally sensitive stress management programs is crucial to enhance nurse health and optimize healthcare delivery.