P124 Modifying overnight patient care to improve sleep: nurses’ perspectives on barriers and enablers to changing delivery of care

Abstract Background Studies demonstrate sleep loss during hospitalisation is common, with patients averaging 5.7 hours of sleep per night. This is well short of the recommended 7 to 9 hours for optimal recovery. Preceding an intervention to improve sleep through modifying the physical environment and delivery of care, we first need to understand nurses’ perspectives on changing delivery of overnight care, to identify behaviour change techniques that will best support change in practice. Methods This exploratory, cross-sectional study will survey respiratory ward nurses (n=42) in a tertiary hospital. Nurses will be invited to complete a voluntary electronic survey, comprising participant characteristics (e.g., sex, age, years of experience) and 35 5-point Likert scale items informed by the Theoretical Domains Framework (TDF). Results, reported as descriptive statistics, will be mapped to domains of the TDF and the Behaviour Change Wheel to determine the behaviour change techniques that will enable implementation of the practice change. Progress to date The draft “Sleep in Hospital: A Survey of Nurses’ Perspectives” has been completed, incorporating nursing co-design and will undergo pilot-testing and finalisation during June. Following ethical approval, surveys will be distributed, data collected, and analysed prior to SDU 2024. Intended outcome and impact To our knowledge, this is the first Australian study to investigate enablers and barriers to implementing changes in nursing care to sleep in hospital. The results will inform our understanding of how to enable change in care delivery to improve patients’ sleep, with the potential to enhance patient experience and healthcare outcomes.