Among 201 inpatient oncology nurses, greater sleep knowledge significantly predicted sleep promotion behaviors, more positive attitudes, and greater perceived control over improving patients' sleep, while nurses' own sleep hygiene also affected perceived control; nurses held positive attitudes but reported various barriers.
Key Findings
Results
Nurses' sleep knowledge significantly predicted their behaviors to promote oncology inpatients' sleep.
Multivariable linear regression was used on survey data from 201 bedside registered nurses in inpatient oncology settings.
The abstract reports sleep knowledge as a significant predictor of sleep promotion behaviors (P < .05).
The design was exploratory, descriptive, and correlational, using an online survey.
Significance was reported at P < .05 in the multivariable analysis.
The sample consisted of 201 oncology nurses completing self-reported questionnaires.
Results
Nurses' sleep knowledge significantly predicted their perceived control over improving inpatients' sleep.
The association was significant at P < .05.
Perceived control was measured using self-reported questionnaires.
Results
Nurses' own sleep hygiene practices were associated with their perceived control over enhancing patients' sleep.
The abstract reports that nurses' sleep hygiene practices affected perceived control (P < .05).
This was identified through bivariate tests and multivariable linear regression.
Results
Qualitative responses reflected positive nurse attitudes toward improving patients' sleep, but also revealed various barriers.
Open-ended survey questions were analyzed using qualitative and quantitative content analysis.
Nurses also provided recommendations to facilitate enhancing patients' sleep in hospitals.
Conclusions
The authors conclude that increasing nurses' sleep knowledge and sleep hygiene is important for effective sleep promotion practice.
Nurse educators are advised to incorporate sleep-related topics, including sleep hygiene practices, into nursing education.
Nurse leaders are advised to adopt strategies that empower nurses to implement sleep promotion interventions.
Background
Sleep disturbances are prevalent among cancer patients and can persist or worsen during hospital stays, yet nurses' sleep-promotion practices and influencing factors were poorly understood.
This gap motivated the study of nurses' behaviors and associated factors in inpatient oncology settings.
What This Means
This study surveyed 201 nurses who care for hospitalized cancer patients to learn what influences whether they take steps to help patients sleep. Sleep problems are common in people with cancer and can get worse in the hospital, but little was known about what nurses do about it or what shapes their efforts.
The survey found that nurses who knew more about sleep were more likely to carry out sleep-promoting behaviors, had more positive attitudes about improving patients' sleep, and felt more able to make a difference. Nurses' own sleep habits were also linked to how much control they felt they had over helping patients sleep. In written comments, nurses expressed positive attitudes but also described barriers in the hospital environment and suggested ways to improve patients' sleep.
This research suggests that teaching nurses more about sleep, including healthy sleep habits, and supporting them with workplace strategies could help hospitals do a better job of protecting patients' sleep. Because the study was a survey that looked at associations, it cannot prove that more knowledge directly causes better sleep care or better patient sleep.
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Mohedat H, Dickerson S, Lorenz R, Li C, Storer A, Somayaji D. (2026). Enhancing Inpatients' Sleep in Oncology Care Settings: Examining Factors Impacting Nurses' Practices.. Cancer nursing. https://doi.org/10.1097/NCC.0000000000001489