Evidence map›Paper›PMID 42650375›Full record

ArticleChildren (Basel, Switzerland)2026

Exploring Nursing Team Perceptions of Sleep in Critically Ill Pediatric Patients: A Mixed-Methods Study.

Alicia Gomez-Merino, Paloma M Núñez-Yebra, Rafael Lobato-López, Natalia González-Martínez, Elena García-González, Pedro Piqueras-Rodríguez, Desiree Alcaraz-Blanco, Marta Romeral-Jiménez, Marta Martín-Velasco, Patricia Luna-Castaño

Abstract read
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Article in Children (Basel, Switzerland), 2026. 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

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Alicia Gomez-MerinoPediatric Intensive Care Unit, La Paz University Hospital, 28046 Madrid, Spain.
Paloma M Núñez-YebraPediatric Intensive Care Unit, La Paz University Hospital, 28046 Madrid, Spain.
Rafael Lobato-LópezPediatric Intensive Care Unit, La Paz University Hospital, 28046 Madrid, Spain.
Natalia González-MartínezPediatric Intensive Care Unit, La Paz University Hospital, 28046 Madrid, Spain.
Elena García-GonzálezPediatric Intensive Care Unit, La Paz University Hospital, 28046 Madrid, Spain.
Pedro Piqueras-RodríguezPediatric Intensive Care Unit, La Paz University Hospital, 28046 Madrid, Spain.
Desiree Alcaraz-BlancoPediatric Intensive Care Unit, La Paz University Hospital, 28046 Madrid, Spain.
Marta Romeral-JiménezPediatric Intensive Care Unit, La Paz University Hospital, 28046 Madrid, Spain.
Marta Martín-VelascoPediatric Intensive Care Unit, La Paz University Hospital, 28046 Madrid, Spain.
Patricia Luna-CastañoDepartment of Nursing, Villanueva de la Cañada Campus, Alfonso X el Sabio University, 28691 Madrid, Spain.ORCID 0000-0002-5317-5811

Funding

Institute of Health Research at La Paz University Hospital - IdiPAZ (La Paz University Hospital - Autonomous University of Madrid) 2023.198Institute of Health Research at La Paz University Hospital - IdiPAZ (La Paz University Hospital - Autonomous University of Madrid) 2023.198.
6 · The paper itself

Abstract

objectiveTo explore nursing team perceptions of sleep and sleep-disrupting factors in critically ill pediatric patients. METHODOLOGY: Convergent mixed-methods study comprising an exploratory qualitative and descriptive cross-sectional quantitative. For the qualitative component, the population consisted of the PICU nursing team with ≥3 years of experience until theoretical saturation was reached. Semi-structured interviews were conducted regarding their perceptions of sleep in critically ill children. Data were analyzed using transcription, immersive reading, and coding. For the quantitative component, the population was selected using convenience sampling without exclusion. The variables were years of experience, professional category, and factors affecting rest. Data were collected using an ad hoc Likert-type questionnaire. For the analysis, the median and interquartile range were calculated for quantitative variables, and frequencies and percentages were calculated for categorical variables. Bivariate analysis was performed using the Mann-Whitney U test.

resultsTen interviews were conducted, revealing three main categories: "Factors Affecting Sleep," with noise, nighttime interventions, and light as the most frequent codes; "Consequences of Sleep Disturbances," with delirium and recovery as the most frequent codes; and "Perception of Sleep in the PICU and Need for Professional Awareness". For the quantitative results, 78.3% (n = 65) of the nursing team participated. Among the factors affecting rest, the most relevant were "Inadequately controlled pain," identified as "Highly relevant" by 84.6%, and "Delirium," "Withdrawal syndrome," "Light," "Nocturnal environmental noise," and "Nighttime interventions/procedures," identified as "Highly relevant" by over 70%. In contrast, "Continuous nocturnal glucose administration" was identified as "Slightly/Not relevant" by almost 40%. Differences between nurses and nursing assistants were observed regarding the perceived relevance of nocturnal environmental noise, delirium, physical restraints and continuous nocturnal glucose administration (

conclusionsQualitative and quantitative results concur in identifying, from the perspective of nursing professionals in a single PICU, noise, light, interventions, and delirium as negative factors for rest.

Indexed as

nursingpediatric intensive care unitspediatricssleep disorderssleep quality

Identifiers

PMID42650375
PMCPMC13510434

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