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上夜班护士改善睡眠质量的策略:良好和睡眠不佳的睡眠者的定性研究。

Strategies that nurses working irregular night shifts use to improve sleep quality: A qualitative study among good and poor sleepers.

机构信息

Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, and Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, Limburg, the Netherlands.

Department of Public Health, Faculty of Applied Medical Sciences, Albaha University, Albaha, Albaha, Saudi Arabia.

出版信息

J Adv Nurs. 2024 May;80(5):2038-2050. doi: 10.1111/jan.15962. Epub 2023 Nov 14.

DOI:10.1111/jan.15962
PMID:37964484
Abstract

AIMS

To assess the sleep strategies that nurses working irregular night shifts use to improve their sleep quality, and to compare the strategies of good and poor sleepers to determine whether the differences between the two groups could provide insights into possible effective strategies.

DESIGN

A qualitative descriptive study.

METHODS

The study was conducted from September 2019 to January 2020. Thirty-four nurses working irregular night shifts participated; 17 were classified as good sleepers and 17 as poor sleepers based on the Sleep-Wake Experience List, a validated self-report instrument that measures one's sleep quality. Interviews were conducted using open questions to explore strategies around the night-shift set. The interviews were analysed using thematic analysis.

FINDINGS

Both groups described similar and different strategies that help them work and sleep well during and after night shifts. However, good sleepers mentioned a greater number of strategies and seemed to have thought about them more than poor sleepers. The most common strategies were having a clear structure, being organized-especially regarding sleeping time-maintaining a daily routine and adjusting their sleep environment.

CONCLUSION

Healthcare institutions should consider offering education and training programs aimed at empowering nurses who work irregular night shifts. These programs should provide nurses with various sleep strategies to enhance their sleep quality and overall well-being.

IMPLICATIONS FOR THE PROFESSION

Nurses working irregular night shifts can possibly enhance their sleep quality by making personalized plans, for example, including a clear day structure, or an optimized sleep environment.

IMPACT

The study focused on how nurses working night shifts could possibly enhance their sleep quality. The findings highlight the importance of providing nurses with diverse sleep strategies to improve sleep quality, helping them to identify what works best for them and consistently apply these strategies.

REPORTING METHOD

The Consolidated Criteria for Reporting Qualitative Research guidelines were followed.

PATIENT OR PUBLIC CONTRIBUTION

Nurses working irregular night shifts at Maastricht University Medical Center in Maastricht, the Netherlands, who agreed to participate in the study, engaged in a discussion to assess the relevance of sleep quality to their work. They were also encouraged to share their perspectives during the interviews.

摘要

目的

评估从事不规则夜班工作的护士改善睡眠质量的睡眠策略,并比较睡眠质量好的和差的护士的策略,以确定两组之间的差异是否能为可能有效的策略提供一些见解。

设计

定性描述性研究。

方法

该研究于 2019 年 9 月至 2020 年 1 月进行。34 名从事不规则夜班工作的护士参与了研究;根据经过验证的自我报告工具《睡眠-觉醒体验清单》,将 17 名睡眠质量好的护士和 17 名睡眠质量差的护士分为两组。采用开放式问题进行访谈,以探讨夜班期间和之后的睡眠策略。采用主题分析法对访谈进行分析。

结果

两组护士都描述了类似和不同的策略,这些策略有助于他们在夜班期间和之后工作和睡眠良好。然而,睡眠质量好的护士提到的策略更多,而且似乎比睡眠质量差的护士更深入地思考了这些策略。最常见的策略包括:保持清晰的结构,有组织性-特别是在睡眠时间方面-保持日常作息和调整睡眠环境。

结论

医疗机构应该考虑提供旨在增强从事不规则夜班工作的护士能力的教育和培训计划。这些计划应为护士提供各种睡眠策略,以提高他们的睡眠质量和整体幸福感。

对专业的启示

从事不规则夜班工作的护士可以通过制定个性化计划来提高睡眠质量,例如,包括清晰的白天结构或优化的睡眠环境。

影响

该研究重点关注夜班护士如何提高睡眠质量。研究结果强调了为护士提供多样化的睡眠策略的重要性,以提高睡眠质量,帮助他们确定最适合自己的策略,并始终如一地应用这些策略。

报告方法

遵循《定性研究的整合标准报告指南》。

患者或公众贡献

荷兰马斯特里赫特大学医学中心从事不规则夜班工作的护士同意参与研究,他们在讨论中评估了睡眠质量对他们工作的重要性。他们还被鼓励在访谈中分享自己的观点。

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