Evidence map›Paper›PMID 41960442›Full record

ArticleSAGE open nursing

Sleep Quality and Academic Performance Among Nursing Students: Palestinian Perspective - A Cross-Sectional Study.

Ahmad Ayed, Ibrahim Aqtam, Manwa Ayed, Murad Ayed, Mustafa Shouli

Abstract read
In one paragraph

Article in SAGE open nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Ahmad AyedFaculty of Nursing, Arab American University, Jenin, Palestine.ORCID https://orcid.org/0000-0003-2164-8183
Ibrahim AqtamDepartment of Nursing, Ibn Sina College for Health Professions, Nablus University for Vocational and Technical Education, Nablus, Palestine.ORCID https://orcid.org/0000-0001-6339-9176
Manwa AyedFaculty of Dentistry, Al-Mansoura University, Mansoura, Egypt.
Murad AyedFaculty of Dentistry, Arab American University, Jenin, Palestine.
Mustafa ShouliDepartment of Nursing, Ibn Sina College for Health Professions, Nablus University for Vocational and Technical Education, Nablus, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Sleep is essential to health and vital for learning, especially for college students. This study investigated relationships between sleep quality and academic performance in Palestinian nursing institutions. This study's focus on the Palestinian context is analytically important, as it highlights how socio-political and resource-related stressors may uniquely shape sleep and academic outcomes in nursing education. Method: A cross-sectional study using convenience sampling was conducted from November to December 2024 on 230 4th-year nursing students. Sleep quality was measured using the Pittsburgh sleep quality index (PSQI), and academic performance was measured using self-reported grade point average (GPA). The PSQI demonstrated acceptable internal consistency (Cronbach's α = 0.78). Results: The average global PSQI score was 6.8 ± 1.6, with 96.5% of respondents classified as having 'poor sleep quality' (PSQI ≥ 5). A component-level analysis revealed that the most elevated PSQI sub-scores were for sleep latency (1.6 ± 0.7), daytime dysfunction (1.5 ± 0.6), and subjective sleep quality (1.4 ± 0.6). The mean GPA was 2.6 ± 0.5. A significant negative correlation was found between PSQI and GPA (Pearson's r = -0.639, p < 0.001), indicating lower sleep quality is associated with declining academic performance. Females reported slightly poorer sleep quality (mean PSQI = 6.9 ± 1.7) than males (mean PSQI = 6.7 ± 1.5). Participants with GPA ≥3.0 had significantly lower PSQI scores (5.4 ± 1.3) than those with GPA <3.0 (7.1 ± 1.5, p < 0.01, Cohen's d = 1.23). However, the cross-sectional design and self-reported nature of GPA limit causal inference and precision of estimates. Conclusion: The study revealed a high prevalence of poor sleep quality among nursing students and its negative association with academic performance. The findings suggest contextualized, hypothesis-generating recommendations including sleep hygiene education, stress management, and flexible scheduling, though these require further empirical testing through intervention studies.

Indexed as

academic performanceflexible schedulingnursing students < other- zero levelsleep hygienesleep quality

Identifiers

PMID41960442
PMCPMC13058180

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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.