Holistic sleep improvement strategies for frontline nurses served during a public health emergency (<scp>COVID</scp>‐19) in Wuhan, China: A quasi‐experimental study

Zhang, Yanli; Tang, Minjin; Zhou, Yanrong

doi:10.1002/nop2.1397

Cited by 3 publications

(2 citation statements)

References 52 publications

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“…One quasi‐experimental study reported that a 1 h fatigue education intervention coupled with institutional changes such as increasing staffing, providing completely relieved breaks and meal periods, and use of strategic naps during breaks significantly improved nurses' sleep quality as assessed by PSQI and sleep duration at 4‐ and/or 12‐week follow‐up (Scott et al, 2010b). Similarly, another study reported significantly improved sleep quality as assessed by PSQI in nurses after implementing holistic sleep improvement strategies including institutional and environmental changes and self‐relaxation training (Zhang et al, 2023).…”

Section: Resultsmentioning

confidence: 96%

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Interventions to improve the sleep of nurses: A systematic review

Zhang,

Murphy,

Lammers‐van der Holst

et al. 2023

Research in Nursing & Health

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Nurses are at a high risk for short sleep duration and poor sleep quality due to irregular work schedules and high occupational stress. Considering the effect of nurses' sleep on the safety and health of themselves and their patients, it is important to promote healthy sleep for nurses. We sought to synthesize the published experimental and quasi‐experimental studies that address interventions to improve sleep in nurses. A systematic search was conducted for studies published in English up until May 15, 2023, using the databases PubMed, CINAHL, Academic Search Ultimate, and PsycINFO. In total, 38 articles were included, covering 22 experimental and 16 quasi‐experimental studies with sample sizes ranging from 9 to 207. Studies were assessed using the Cochrane Risk of Bias tool and considered as low to medium quality. Thirty‐six of the 38 studies reported positive findings for at least one sleep outcome. Intervention types included aroma therapy, dietary supplements, cognitive behavioral therapy, light therapy, mind‐body therapy, sleep education, exercise, napping, shift schedule modification, and multicomponent intervention, all of which showed moderate effectiveness in promoting sleep outcomes of nurses. Comparing and contrasting studies on specific interventions for improving sleep in nurses is sparse and often equivocal. With the variations of research methodology and outcome measures, it is difficult to make a conclusion about each intervention's effectiveness on specific sleep outcomes. Additional high‐quality research, including randomized controlled trials, is needed to evaluate strategies for improving sleep in this unique, safety‐sensitive occupational group.

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Section: Resultsmentioning

confidence: 96%

“…Similarly, another study reported significantly improved sleep quality as assessed by PSQI in nurses after implementing holistic sleep improvement strategies including institutional and environmental changes and self-relaxation training (Zhang et al, 2023).…”

Section: Multicomponent Interventionmentioning

confidence: 86%

Interventions to improve the sleep of nurses: A systematic review

Zhang,

Murphy,

Lammers‐van der Holst

et al. 2023

Research in Nursing & Health

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Sleep disorders among frontline nurses after the COVID-19 outbreak: a large-scale cross-sectional study

Yang,

Zhang,

et al. 2024

J Neural Transm

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Managing the work stress of inpatient nurses during the COVID-19 pandemic: a systematic review of organizational interventions

Zink,

Pischke,

Wendsche

et al. 2024

BMC Nurs

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Background During the coronavirus disease 2019 (COVID-19) pandemic, inpatient nurses faced various work stressors. Little is known about organizational interventions that can mitigate the negative consequences of pandemic-related stressors. Objective The aim was to provide a synopsis of the literature concerning the types and outcomes of organizational interventions performed during the COVID-19 pandemic that directly (re)organized the work structures of inpatient nurses to address pandemic-related work stressors or to increase nurses’ ability to cope. Methods Within this preregistered systematic literature review, we searched four databases (PubMed, PsycINFO, PsycARTICLES, CINAHL) and two preprint databases (MedRxiv, PsyArXiv) for interventional studies of organizational interventions published between 01/2020 and 03/2023 (k = 990 records). We included 12 primary studies after title-abstract and full-text screening. A synthesis of results without meta-analysis was conducted. Risk of bias was assessed with the Cochrane risk-of-bias tool for randomized trials – version 2 (RoB-2) and Risk Of Bias In Non-randomized Studies - of Interventions (ROBINS-I) tool. Results All interventions were implemented in hospitals. The reasons given for implementation included pandemic-related work stressors such as a high workload, understaffing, and a lack of medical resources. To respond to the various work stressors, half of the studies took a multilevel approach combining organizational and person-oriented interventions (k = 6). Most studies (k = 8) took a secondary prevention approach, focusing on the organization of rest breaks (k = 5). With respect to outcomes, the studies examined nurse-related stress and resilience, turnover intention, job satisfaction, and other factors. Risk-of-bias analyses revealed that conclusions about the effectiveness of the interventions are limited due to confounding factors and self-selection. Conclusions The identified interventions provide a basis for future research to draw conclusions on the effectiveness of organizational interventions during pandemics. The promotion of adequate work breaks could be useful if the work stressors associated with strain and negative consequences cannot be changed directly. However, the same stressors (e.g., high workload) can hinder nurses from participating in offered interventions. This emphasizes the importance of directly addressing inpatient nurses’ work stressors. Registration Prospero-ID CRD42023364807 (March 2023).

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Holistic sleep improvement strategies for frontline nurses served during a public health emergency (COVID‐19) in Wuhan, China: A quasi‐experimental study

Cited by 3 publications

References 52 publications

Interventions to improve the sleep of nurses: A systematic review

Interventions to improve the sleep of nurses: A systematic review

Sleep disorders among frontline nurses after the COVID-19 outbreak: a large-scale cross-sectional study

Managing the work stress of inpatient nurses during the COVID-19 pandemic: a systematic review of organizational interventions

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