Interventions to Improve the Sleep of Nurses: A Systematic Review

Details

• Personal Author:
  Barger LK ; Duffy JF ; Lai Y-J ; Lammers-van der Holst HM ; Murphy J ; Zhang Y
• Description:
  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. [Description provided by NIOSH]
• Subjects:
  Fatigue Health Personnel Occupational Health Safety Sleep Sleep Initiation And Maintenance Disorders Stress, Psychological
• Keywords:
  Author Keywords: Nurses Intervention Job Stress Long Work Hours Nurses Sleep Deprivation Sleep Intervention Sleep Promotion Systematic Review Systematic Reviews Work Schedules

  More +
• ISSN:
  0160-6891
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  462-484
• Volume:
  46
• Issue:
  5
• NIOSHTIC Number:
  nn:20069008
• Citation:
  Res Nurs Health 2023 Oct; 46(5):462-484
• Contact Point Address:
  Yuan Zhang, Solomont School of Nursing, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA 01854, USA
• Email:
  yuan_zhang@uml.edu
• Federal Fiscal Year:
  2024
• Performing Organization:
  Brigham and Women's Hospital, Boston, Massachusetts
• Peer Reviewed:
  True
• Start Date:
  20190901
• Source Full Name:
  Research in Nursing and Health
• End Date:
  20230831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:5412159a2a3ae6798147e0485f2fea75b2a98f4d65189a6ad7ad3a849381aae5ff2a6e4c157bd251b8e20c5ed5ee7526df39fef122b40d470f8a82ac588f6570
• Download URL:
  https://stacks.cdc.gov/view/cdc/207564/cdc_207564_DS1.pdf
• File Type:
  [PDF - 1.76 MB ]