{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T13:32:32Z","timestamp":1774445552813,"version":"3.50.1"},"reference-count":52,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clocks &amp; Sleep"],"abstract":"<jats:p>Insomnia symptoms are very common among psychiatric inpatients and can increase the risk of suicide in this population. However, little is known about how psychiatrists and nurses manage insomnia symptoms in psychiatric inpatients. This study aimed to investigate the views, opinions, and experiences of psychiatrists and nurses regarding inpatients\u2019 sleep complaints in a Swiss psychiatric hospital. This qualitative study used individual semi-structured interviews with a purposive sample of psychiatrists and nurses working in a Swiss psychiatric hospital. Interviews were audio-recorded, transcribed verbatim, and analysed manually using inductive thematic analysis. Ten participants (six psychiatrists and four nurses) were interviewed. Three overarching themes were identified: identifying and classifying sleep complaints, the decision-making process, and the actions taken to respond to the complaint. Insomnia symptoms were approached by psychiatrists and nurses in a highly heterogeneous, non-evidence-based manner, with a lack of adaptation of CBT-I leading to overmedication. This heterogeneity may be explained by the diversity of underlying problems associated with insomnia symptoms, the lack of hospital-specific guidelines, and the fact that current guidelines focus mainly on chronic insomnia and do not fully account for the complexity of psychiatric inpatients.<\/jats:p>","DOI":"10.3390\/clockssleep8010005","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T11:27:58Z","timestamp":1768908478000},"page":"5","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sleep Complaints in the Psychiatric Hospital: A Qualitative Study of Nurses and Psychiatrists\u2019 Approaches to Sleep Management in a Swiss Psychiatric Hospital"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5732-2540","authenticated-orcid":false,"given":"Maria","family":"Dalmau i Ribas","sequence":"first","affiliation":[{"name":"H\u00f4pital Psychiatrique de Prangins, Department of Psychiatry, Centre Hospitalier Universitaire Vaudois (CHUV), 1011 Lausanne, Switzerland"},{"name":"Centre D\u2019Investigation et de Recherche Sur le Sommeil (CIRS), Centre Hospitalier Universitaire Vaudois (CHUV), 1011 Lausanne, Switzerland"},{"name":"Faculty of Life Science & Medicine, King\u2019s College London, London WC2R 2LS, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7135-133X","authenticated-orcid":false,"given":"Geoffroy","family":"Solelhac","sequence":"additional","affiliation":[{"name":"Centre D\u2019Investigation et de Recherche Sur le Sommeil (CIRS), Centre Hospitalier Universitaire Vaudois (CHUV), 1011 Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Haba-Rubio","sequence":"additional","affiliation":[{"name":"Centre D\u2019Investigation et de Recherche Sur le Sommeil (CIRS), Centre Hospitalier Universitaire Vaudois (CHUV), 1011 Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9538-331X","authenticated-orcid":false,"given":"Julien","family":"Elowe","sequence":"additional","affiliation":[{"name":"H\u00f4pital Psychiatrique de Prangins, Department of Psychiatry, Centre Hospitalier Universitaire Vaudois (CHUV), 1011 Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V\u00e9ronique","family":"Griffith","sequence":"additional","affiliation":[{"name":"Faculty of Life Science & Medicine, King\u2019s College London, London WC2R 2LS, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"ref_1","unstructured":"Hafner, M., Romanelli, R.J., Yerushalmi, E., and Troxel, W.M. 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