Sleep-enhancing nursing interventions in hospital wards: A systematic review.

Autor: Mendonça SC; Lisbon Center for Research, Innovation, and Development in Nursing (CIDNUR-ESEL), Lisboa, Portugal.; Barreiro Montijo Hospitalar Center, R. Machado dos Santos 54, Montijo, Portugal., Martins DMS; Lisbon Center for Research, Innovation, and Development in Nursing (CIDNUR-ESEL), Lisboa, Portugal., Durão C; Lisbon Center for Research, Innovation, and Development in Nursing (CIDNUR-ESEL), Lisboa, Portugal., Teixeira JMF; Lisbon Center for Research, Innovation, and Development in Nursing (CIDNUR-ESEL), Lisboa, Portugal., da Silva Rafael Henriques HM; Lisbon Center for Research, Innovation, and Development in Nursing (CIDNUR-ESEL), Lisboa, Portugal.
Jazyk: angličtina
Zdroj: International nursing review [Int Nurs Rev] 2025 Mar; Vol. 72 (1), pp. e13062.
DOI: 10.1111/inr.13062
Abstrakt: Aim: To identify sleep-promoting nursing interventions in hospitalized adults and older people.
Background: Sleep is necessary for maintaining good physical and mental health, as well as a high quality of life. Hospitalization can significantly disrupt sleep patterns, which is an often-overlooked issue. Nurses are the main participants in promoting sleep in hospitalized patients.
Methods: Systematic literature review based on the question: "What interventions can nurses implement to promote sleep in hospitalized adults and older people?". The research was conducted on April 4, 2023, in CINAHL Complete, MEDLINE, Cochrane, Scopus, and Web of Science, filtering the articles published in the last 10 years. For a study to be included, it must feature adult or older participants, an intervention that aims to enhance sleep, and the research should have been conducted within a hospital setting. We followed the PRISMA flow diagram and analyzed the quality of the articles according to the Joanna Briggs Institute criteria for quality assessment. The results were subjected to a narrative synthesis.
Results or Findings: Of the 712 articles found, 13 were selected. The sample encompasses 1975 participants. These selected articles emphasize educational and communicative interventions, dietary and sensory interventions, symptomatic and environmental control, daily activity planning, sleep assessment and documentation, and individualized nursing care.
Discussion: There is a need for a systematic approach incorporating physical, psychosocial, and relational dimensions within the care context.
Conclusion: It is necessary to raise the nurses' awareness of the factors that affect sleep experience and empower them to promote sleep in partnership with hospitalized patients.
Implications for Nursing and Health Policy: Sleep interventions can be promoted by implementing hospital policies, including environmental modifications in the design and refurbishment of facilities and restricting nighttime patient transfers to reduce noise and disturbances. Encouraging research studies that explore the effectiveness of these interventions will further support the development of evidence-based policies aimed at improving sleep quality in hospitalized patients.
(© 2024 The Author(s). International Nursing Review published by John Wiley & Sons Ltd on behalf of International Council of Nurses.)
Databáze: MEDLINE
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