Evidence map›Paper›PMID 41491189›Full record

ArticleBMC nursing2026

Evidence-based sleep promotion in acute care from the perspective of nursing staff: a cross-sectional study.

Olga Nilsson, Arja Vehkala-Höglund, Linda Gellerstedt

Registry-linked trialAbstract read
In one paragraph

Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07265713 (Bring Sleep to Life - Evaluation and Description of a Sleep Intervention in Emergency Care), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT07265713 naenrolling by invitationnot on this map

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

TypeinterventionalSponsorKarolinska University HospitalRan2024 to 2026Enrolled300ConditionsNurse Based Care Management, Patient Care, Intervention, Education, ProfessionalArmsKnowledge about sleep guideline, Introduction of web-based sleep education
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

3 authors.

Olga NilssonDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden. olga.nilsson@ki.se.
Arja Vehkala-HöglundDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Linda GellerstedtDivision of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhen hospitalised, patients’ sleep affects their ability to cope with the physiological and psychological strains of illness, and poor sleep negatively affects their recovery. Nursing staff have an important role in promoting patients’ sleep, yet little is known about their knowledge and attitudes towards sleep promotion. The aim was to describe knowledge and values of evidence-based sleep promotion among nursing staff in acute care. A secondary aim was to assess the attention given to sleep promotion and the implementation of a sleep-promoting intervention.

methodsA cross-sectional cohort study using web-based questionnaires distributed from April to May, 2024. The questionnaires were sent to nurses and nursing assistants at the intervention units (cardiovascular and neurology departments), where an intervention has been introduced. The intervention is designed to enhance the knowledge and competence regarding in-hospital sleep among nursing staff and comprises three parts; a web-based course, evidence-based clinical guidelines and sleep nursing champions who function as sleep advocates at their respective units. Questionnaires were also distributed to control units at the oncology department, where the intervention is yet to be implemented.

resultsIn total, 179 questionnaires were completed, 129/389 (33%) from the intervention units and 50/175 (29%) from the control units. Sleep was rated as highly important, and no statistical differences were seen between the groups regarding knowledge of or attention given to sleep promotion, nor the use of non-pharmacological methods to promote sleep. In the intervention group, only 53% were familiar with the web-based course and half of those had completed the course. The clinical guideline was known to 33% of the intervention group, and corresponding numbers regarding the sleep nursing champions were 36%.

conclusionNursing staff are dedicated to sleep promotion and wish to increase their knowledge of non-pharmacological methods to promote sleep during hospitalization. However, the uptake of a sleep-promoting intervention in an acute care setting was limited and the staff did not utilize the available tools and resources. For successful dissemination of evidence-based sleep-promotion, active implementation strategies utilizing the engagement of patients, healthcare staff and policy makers are crucial.

trial registrationRetrospectively registered at clinicaltrials.gov, registration number NCT07265713.

Indexed as

Acute careCross-sectionalEducational needsInpatientsNursingSleep

Identifiers

PMID41491189
PMCPMC12797770

What OpenQuestion holds

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Registered trials

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.