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Many patients complain of poor sleep during their hospital stay. Therefore, we want to investigate how we can improve the staff's (nurses and assistant nurses) knowledge about sleep and which nursing interventions can lead to improved sleep during their hospital stay.
The intervention are in three parts:
a clinical guideline introduction of sleep nursing champions a web-based educational course
A majority of hospitalised have reported being awakened due to external factors, of which being disturbed by hospital staff was the most common. It is therefore essential to provide nursing staff with the knowledge and tools to promote patients' sleep during hospitalisation. For this purpose, an intervention was developed to aid nursing staff in adopting evidence-based, non-pharmacological methods to promote sleep. The intervention comprises three parts: a web-based educational course, a clinical guideline and the introduction of sleep nursing champions (SNCs) at the intervention units.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Introduction of sleep nursing champions (SNCs) | Other | To describe sleep nurses' experiences of working with sleep-promoting nursing and to describe their experiences of having sleep as an area of responsibility within nursing. |
|
| Sleep guideline and web-based sleep training education | Other | On-line survey to evaluate the introduction of a sleep guideline and a web-based sleep training aimed at staff in nursing wards. |
|
| Patients experience | No Intervention | On-line survey description from patients' perspectives about sleep in connection with hospital care. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Knowledge about sleep guideline | Other | The sleep guideline has been available since 2021, but it is unknown whether healthcare professionals are aware of this guideline. And whether it is used in clinical practice. |
| Measure | Description | Time Frame |
|---|---|---|
| Description of the role of a sleep nurse champions (SNC) | Individual semi-structured interviews with sleep nursing champions (SNC) to investigate their experience about the role as SNC:
We also collect demographic data: age of participants, number of years as a nurse, employed at department and orks: day or three shifts or night only. | Individual interviews on one occasion. Time required max. 60 minutes. Total 13 SNC. |
| Web-based survey on sleep knowledge and awareness of online sleep training and sleep guidelines | The survey consists of questions about: Intervention units:
Control units: • General questions about sleep and sleep-promoting measures in acute care. There is also the possibility to develop the answers given in the survey through so-called free text answers. We also collect demographic data: professional title/profession, number of years in the profession, age, gender, and which theme/department you work in. At the intervention units we also collect data about whether you have completed sleep training, and whether you have read the sleep guideline. | The survey is completed once. It takes approximately 15 minutes. |
| Inpatients' experiences of sleeping in hospital | Web-based or printed paper questionnaire survey:
There is also the possibility to develop the answers given in the survey through so-called free text answers. We also collect demographic data as: date of birth, gender, marital status, education level, use of sleep medication, hospital ward, single or multi-bed room. |
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Sleep nursing champions (SNCs):
Inclusion Criteria:
On-line survey staff:
Inclusion Criteria:
• Clinically active staff (nurse, assistant nurse) at the intervention departments within Theme Heart, Vascular and Neurology
Control group:
Inclusion Criteria:
Patients´ experiences:
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Linda Gellerstedt, RN, PhD | Karolinska Institutet | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska University Hospital | Stockholm | 141 86 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41491189 | Derived | Nilsson O, Vehkala-Hoglund A, Gellerstedt L. Evidence-based sleep promotion in acute care from the perspective of nursing staff: a cross-sectional study. BMC Nurs. 2026 Jan 5;25(1):32. doi: 10.1186/s12912-025-04259-3. |
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All IPD that underlie results in a publication
2026 January - 2027 December
Everyone who asked for supporting information.
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Guideline, on-line education
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| Introduction of web-based sleep education | Other | The web-based interactive sleep training course to increase knowledge about sleep for hospital staff. |
|
| The questionnaire is completed once during the hospitalisation. Time required is a maximum of 20-30 minutes. |