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. 2022 Oct 9;10(3):1471–1481. doi: 10.1002/nop2.1397

TABLE 1.

Specific measures of the sleep improvement strategies

Strategy Specific measures
1. Scientific human resource management to balance labour intensity
  • Arrange shifts scientifically and rationally: increase shift numbers, reduce the working hours of each shift.

  • Establish reserved human resources and rotation plan of frontline nurses, reserve multiple batches of nurses for rotation.

  • Set up systematic training courses about COVID‐19 pandemic and ensure that all frontline nurses receive the standardized pre‐service training.

2. Establish independent rest areas and create a good sleep environment
  • Arrange for the frontline nurses to live in quiet and comfortable hotels near the workplace to ensure that each staff member can have a comfortable sleep environment after shift.

  • Provide electric blankets and hot water bags products to help maintain warmth in bed in winter.

  • Provide goggles and earplugs to reduce light and noise interference to help nurses improve the sleep efficiency.

3. Encourage self‐relaxation and self‐adjustment training
  • Provide white noise and light music packages available for frontline nurses to download and encourage them to listen to white noise or light music they preferred to relax before sleep.

  • Rehabilitation therapists offer respiratory relaxation and progressive muscle relaxation courses every Tuesday and Thursday night, and frontline nurses can choose any time to study and training their relaxation skills.

  • Set up a sleep department specialized for frontline medical staff, organizing professional therapists and equipping with different therapy and relaxation apparatuses. Frontline nurses can get help here for free.

4. Strengthen humanistic care and take care of nurses' mental health
  • Organize psychiatrists and psychological counsellors to carry out psychological assessment at the beginning and end of frontline work and arrange for psychiatrists to be on duty every day to provide free counselling and assistance.

  • Psychiatrists carry out online courses to guide frontline nurse's self‐adjustment. The courses include several following key points: (a) express thoughts and concerns at any time; (b) face up to failures and accept imperfections; (c) release their negative feelings in an appropriate way; (d) avoid frequently browsing unreliable or negative information about the epidemic on internet.

  • Positive feedback: give timely affirmation and encouragement to their work and sacrifices. Compared with material rewards, verbal affirmation is more recommended.

  • Use the power of family support: encourage nurses to keep in touch with families and friends. Unite social forces and take the initiative to solve the living difficulties and worries of their families, for example, providing with food, books and surgical masks, especially for nurses' children.