Bring Sleep to Life - Evaluation and Description of a Sleep Intervention in Emergency Care

Karolinska University Hospital

Status: Invitation-only

Conditions: Nurse Based Care Management; Education, Professional; Intervention; Patient Care; Guideline Implementation

Treatments: Other: Knowledge about sleep guideline; Other: Introduction of web-based sleep education

Study type: Interventional

Funder types: Other

Identifiers

NCT07265713

Dnr 2023-04670-01

Details and patient eligibility

About

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

Full description

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.

Enrollment: 300 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Sleep nursing champions (SNCs):

Inclusion Criteria:

• Registered nurse with area responsibility for sleep
• Held the assignment for responsibility for sleep at least six months.
• Working at Theme Heart, Vascular and Neurology in Karolinska University Hospital

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:

• Clinically active staff (nurse, assistant nurse) at Theme Cancer Karolinska University Hospital
• No access to the guideline for sleep, and digital sleep education programme

Patients´ experiences:

Inclusion Criteria:

• Hospitalized for at least one night in the intervention departments
• Understand the Swedish language both spoken and written
• Age over 18 years

Exclusion Criteria:

• Diagnosis of cognitive impairment
• Delirium
• Failing vital parameters as low blood pressure
• Severe visual impairment that makes it impossible to complete the questionnaire

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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300 participants in 3 patient groups

Introduction of sleep nursing champions (SNCs)

Other group

Description:

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.

Treatment:

Other: Introduction of web-based sleep education

Other: Knowledge about sleep guideline

Sleep guideline and web-based sleep training education

Other group

Description:

On-line survey to evaluate the introduction of a sleep guideline and a web-based sleep training aimed at staff in nursing wards.

Treatment:

Other: Introduction of web-based sleep education

Other: Knowledge about sleep guideline

Patients experience

No Intervention group

Description:

On-line survey description from patients' perspectives about sleep in connection with hospital care.