{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T19:47:03Z","timestamp":1780084023381,"version":"3.54.0"},"reference-count":40,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T00:00:00Z","timestamp":1664236800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016670","name":"Region \u00d6sterg\u00f6tland","doi-asserted-by":"publisher","award":["LIO\u2010820771"],"award-info":[{"award-number":["LIO\u2010820771"]}],"id":[{"id":"10.13039\/100016670","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010805","name":"Forskningsr\u00e5det i Syd\u00f6stra Sverige","doi-asserted-by":"publisher","award":["FORSS\u2010556481"],"award-info":[{"award-number":["FORSS\u2010556481"]}],"id":[{"id":"10.13039\/100010805","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Insomnia, sleep apnoea and sleep loss are risk factors for the development of cardiovascular diseases. Most research on sleep disturbances includes patients with heart failure, while the role of sleep in sudden cardiac arrest survivors (SCA) has been only partially investigated and understood. Sleep\u2010related breathing disorders and obstructive sleep apnoea increase illness and mortality in the aftermath of SCA. Also, post\u2010traumatic stress is evident in SCA survivors, where sleep disruptions are some of the main symptoms of the condition. Consequently, it is important to identify sleep problems in SCA survivors at an early stage to avoid unnecessary suffering.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to investigate registered nurses' perceptions of SCA survivors' sleep, both in hospital and after discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>This was an explorative interview study with a phenomenographic approach. Nineteen registered nurses (RNs) varying in age, sex and years in the profession participated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>The nurses' perceptions of SCA survivors' sleep were categorized as: \u201cThe observer \u2013 noticing behaviours, emotions and habits of the patient that affect sleep\u201d, \u201cThe oblivious witness \u2013 attitudes that hinder the ability to recognise sleep behaviours\u201d, and \u201cThe practitioner \u2013 advising and medicating for sleep\u201d. The outcome space showed that the nurses detected both obvious and subtle signs relating to patients' sleep. However, attitudes hindering the recognition of sleep behaviours were independent of acting as an observer or practitioner. If nothing unforeseen was observed, or if the patient did not spontaneously raise the subject, sleep was considered less important than other health problems in SCA survivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although the nurses knew that SCA survivors suffered from poor sleep, they failed to reflect on the consequences for the patient. Nurses' feelings of insufficient knowledge about sleep, as well as their omittance of sleep in the follow\u2010up documentation could leave sleep issues unaddressed and cause unnecessary patient suffering.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Nurses need increased knowledge and training to enable them to detect subtle signs of sleep problems in SCA survivors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nicc.12843","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T06:19:28Z","timestamp":1664345968000},"page":"870-877","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Sleep in cardiac arrest survivors"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8398-9552","authenticated-orcid":false,"given":"Amanda","family":"Hellstr\u00f6m","sequence":"first","affiliation":[{"name":"Faculty of Health and Life Sciences Linnaeus University  Kalmar\/V\u00e4xj\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7865-3480","authenticated-orcid":false,"given":"Anders","family":"Bremer","sequence":"additional","affiliation":[{"name":"Faculty of Health and Life Sciences Linnaeus University  Kalmar\/V\u00e4xj\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lise\u2010Lotte","family":"Gunnarsson","sequence":"additional","affiliation":[{"name":"Faculty of Health and Life Sciences Linnaeus University  Kalmar\/V\u00e4xj\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0227-6794","authenticated-orcid":false,"given":"Carina","family":"Hjelm","sequence":"additional","affiliation":[{"name":"Department of Health, Medicine and Care Nursing and Reproductive Health Link\u00f6ping University  Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,27]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.1696"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-020-2773-2"},{"key":"e_1_2_10_4_1","unstructured":"RawshaniA HerlitzJ.The Swedish national register for cardiopulmonary resuscitation.2020. 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