Evidence map›Paper›PMID 36168674›Full record

ArticleNursing in critical care2023

Sleep in cardiac arrest survivors.

Amanda Hellström, Anders Bremer, Lise-Lotte Gunnarsson, Carina Hjelm

Open access · hybridAbstract read
In one paragraph

Article in Nursing in critical care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

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  5. Sleep in cardiac arrest survivors.Nursing in critical care · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Amanda HellströmFaculty of Health and Life Sciences, Linnaeus University, Kalmar/Växjö, Sweden.ORCID 0000-0001-8398-9552
Anders BremerFaculty of Health and Life Sciences, Linnaeus University, Kalmar/Växjö, Sweden.ORCID 0000-0001-7865-3480
Lise-Lotte GunnarssonFaculty of Health and Life Sciences, Linnaeus University, Kalmar/Växjö, Sweden.
Carina HjelmDepartment of Health, Medicine and Care, Nursing and Reproductive Health Linköping University, Linköping, Sweden.ORCID 0000-0002-0227-6794
Linnaeus University · SELinköping University · SE

Funding

Medical Research Council of Southeast Sweden FORSS-556481Region Östergötland, Linköping University LIO-820771
6 · The paper itself

Abstract

backgroundInsomnia, sleep apnoea and sleep loss are risk factors for the development of cardiovascular diseases. Most research on sleep disturbances includes patients with heart failure, while the role of sleep in sudden cardiac arrest survivors (SCA) has been only partially investigated and understood. Sleep-related breathing disorders and obstructive sleep apnoea increase illness and mortality in the aftermath of SCA. Also, post-traumatic stress is evident in SCA survivors, where sleep disruptions are some of the main symptoms of the condition. Consequently, it is important to identify sleep problems in SCA survivors at an early stage to avoid unnecessary suffering.

aimThe aim of this study was to investigate registered nurses' perceptions of SCA survivors' sleep, both in hospital and after discharge. STUDY

designThis was an explorative interview study with a phenomenographic approach. Nineteen registered nurses (RNs) varying in age, sex and years in the profession participated.

findingsThe nurses' perceptions of SCA survivors' sleep were categorized as: "The observer - noticing behaviours, emotions and habits of the patient that affect sleep", "The oblivious witness - attitudes that hinder the ability to recognise sleep behaviours", and "The practitioner - advising and medicating for sleep". The outcome space showed that the nurses detected both obvious and subtle signs relating to patients' sleep. However, attitudes hindering the recognition of sleep behaviours were independent of acting as an observer or practitioner. If nothing unforeseen was observed, or if the patient did not spontaneously raise the subject, sleep was considered less important than other health problems in SCA survivors.

conclusionsAlthough the nurses knew that SCA survivors suffered from poor sleep, they failed to reflect on the consequences for the patient. Nurses' feelings of insufficient knowledge about sleep, as well as their omittance of sleep in the follow-up documentation could leave sleep issues unaddressed and cause unnecessary patient suffering. RELEVANCE TO CLINICAL PRACTICE: Nurses need increased knowledge and training to enable them to detect subtle signs of sleep problems in SCA survivors.

Indexed as

Heart ArrestSleep Wake DisordersDeath, Sudden, CardiacHumansSleepSurvivorscardiac arrest patientsnursesphenomenographyqualitative researchsleep

Identifiers

PMID36168674
PMCPMC10947339
OpenAlexW4297457269

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.