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

NCT07265713 | Enrolling By Invitation DMC

• 1 other identifier: Dnr 2023-04670-01
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

Many patients complain of poor sleep during their hospital stay. Therefore, we want to investigate how we can improve the staff's (nurses and assistant nurses) knowledge about sleep and which nursing interventions can lead to improved sleep during their hospital stay. The intervention are in three parts: a clinical guideline introduction of sleep nursing champions a web-based educational course

Conditions

Nurse Based Care Management; Patient Care; Intervention; Education, Professional; Guideline Implementation

Keywords

Sleep; Sleep promotion; Education; Inpatient; In-real life study

Outcome Measures

Primary Outcomes (3)

• Description of the role of a sleep nurse champions (SNC)

  Individual semi-structured interviews with sleep nursing champions (SNC) to investigate their experience about the role as SNC: * Description of the tasks as a SNC. * Identify characteristics that are important for being a SNC * Identify success factors in the assignment * Identify obstacles or setbacks in the assignment * Identify the areas of nursing that are important to develop to promote patients' sleep * Need for sleep as an area of nursing * Existence of support from your immediate manager, colleagues, other professional groups or the project group. * Changes in how you think patients' sleep is affected by the introduction of a SNC in your department * Perceptions of patients' sleep in connection with hospital care * SNC knowledge of sleep and health-related quality of life linked and how. We also collect demographic data: age of participants, number of years as a nurse, employed at department and orks: day or three shifts or night only.

  Individual interviews on one occasion. Time required max. 60 minutes. Total 13 SNC.

• Web-based survey on sleep knowledge and awareness of online sleep training and sleep guidelines

  The survey consists of questions about: Intervention units: * General knowledge about sleep and factors that affect patients' sleep in hospitals * Specific sleep questions about sleep and sleep-promoting measures according to the online training program and guideline * If sleep is prioritized in the clinic and for the individual. Control units: • General questions about sleep and sleep-promoting measures in acute care. There is also the possibility to develop the answers given in the survey through so-called free text answers. We also collect demographic data: professional title/profession, number of years in the profession, age, gender, and which theme/department you work in. At the intervention units we also collect data about whether you have completed sleep training, and whether you have read the sleep guideline.

  The survey is completed once. It takes approximately 15 minutes.

• Inpatients' experiences of sleeping in hospital

  Web-based or printed paper questionnaire survey: * Increase knowledge about patients' experiences of sleep in hospitals. * Investigate patients' experiences of staff's work to promote patients' sleep. There is also the possibility to develop the answers given in the survey through so-called free text answers. We also collect demographic data as: date of birth, gender, marital status, education level, use of sleep medication, hospital ward, single or multi-bed room.

  The questionnaire is completed once during the hospitalisation. Time required is a maximum of 20-30 minutes.

Study Arms (3)

Introduction of sleep nursing champions (SNCs)

OTHER

To describe sleep nurses' experiences of working with sleep-promoting nursing and to describe their experiences of having sleep as an area of responsibility within nursing.

Other: Knowledge about sleep guideline; Other: Introduction of web-based sleep education

Sleep guideline and web-based sleep training education

OTHER

On-line survey to evaluate the introduction of a sleep guideline and a web-based sleep training aimed at staff in nursing wards.

Other: Knowledge about sleep guideline; Other: Introduction of web-based sleep education

Patients experience

NO INTERVENTION

On-line survey description from patients' perspectives about sleep in connection with hospital care.

Interventions

Introduction of web-based sleep education OTHER

The web-based interactive sleep training course to increase knowledge about sleep for hospital staff.

Introduction of sleep nursing champions (SNCs); Sleep guideline and web-based sleep training education

Knowledge about sleep guideline OTHER

The sleep guideline has been available since 2021, but it is unknown whether healthcare professionals are aware of this guideline. And whether it is used in clinical practice.

Introduction of sleep nursing champions (SNCs); Sleep guideline and web-based sleep training education

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Registered nurse with area responsibility for sleep
• Held the assignment for responsibility for sleep at least six months.
• Working at Theme Heart, Vascular and Neurology in Karolinska University Hospital
• On-line survey staff:
• Clinically active staff (nurse, assistant nurse) at the intervention departments within Theme Heart, Vascular and Neurology
• Control group:
• Clinically active staff (nurse, assistant nurse) at Theme Cancer Karolinska University Hospital
• No access to the guideline for sleep, and digital sleep education programme
• Patients´ experiences:
• Hospitalized for at least one night in the intervention departments
• Understand the Swedish language both spoken and written
• Age over 18 years

You may not qualify if:

• Diagnosis of cognitive impairment
• Delirium
• Failing vital parameters as low blood pressure
• Severe visual impairment that makes it impossible to complete the questionnaire

Sponsors & Collaborators

• Karolinska University Hospital: lead

Study Sites (1)

Karolinska University Hospital

Stockholm, 141 86, Sweden

Location

Study Officials

• Linda Gellerstedt, RN, PhD

  Karolinska Institutet

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Registered nurse, Doctor of Philosophy

Model Details: Guideline, on-line education

Study Record Dates

• First Submitted: November 17, 2025
• First Posted: December 5, 2025
• Study Start: April 15, 2024
• Primary Completion: March 1, 2026
• Study Completion: May 1, 2026
• Last Updated: December 5, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: 2026 January - 2027 December
• Access Criteria: Everyone who asked for supporting information.

Locations

SE (1)