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Updated: Mar 24, 2026

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
Pilot study aiming to support sleep quality and duration during hospitalizations
Evelyn Gathecha1, Rebeca Rios2, Luis F Buenaver3
1Division of Hospital Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Hospitalized patients experienced improved sleep quality and duration with nurse-led interventions. These sleep-promoting initiatives, including sleep hygiene education, enhanced patient recovery during hospital stays.
Area of Science:
- Healthcare Research
- Sleep Medicine
- Patient Recovery
Background:
- Poor sleep during hospitalization is detrimental to patient healing and recovery.
- Few studies have investigated interventions to improve sleep in hospitalized patients.
Purpose of the Study:
- To evaluate the impact of sleep-promoting interventions on sleep quality and duration in hospitalized patients.
Main Methods:
- A quasi-experimental prospective study was conducted at an academic medical center.
- Adult general medicine patients received nurse-delivered interventions, including sleep hygiene education and environmental adjustments.
- Sleep parameters were measured using questionnaires, sleep diaries, and actigraphy.
Main Results:
- Total sleep time significantly increased by 49.6 minutes in the intervention group.
- Subjective ratings of sleep quality and refreshing sleep improved, while sleep interruptions decreased over hospitalization.
- Improvements in sleep outcomes were observed in intervention patients compared to controls.
Conclusions:
- Sleep-promoting initiatives can enhance sleep quality and duration for hospitalized patients.
- Identifying and addressing poor sleep in hospitals is crucial for patient well-being.
- Both unit-level and individualized interventions show promise for improving in-hospital sleep.
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