To assess the efficacy of digital and mobile interventions on sleep and associated psychological consequences in nurses.
Key Findings:
Digital interventions significantly improved sleep quality (PSQI: MD = −2.94, 95% CI −5.22 to −0.66).
Insomnia severity was reduced (ISI: MD = −3.32, 95% CI −5.19 to −1.45).
Daytime sleepiness scores decreased in the intervention group.
Interventions reduced depression (SMD = −0.46, 95% CI −0.80 to −0.13), anxiety (SMD = −0.29, 95% CI −0.44 to −0.14), and fatigue (SMD = −0.41, 95% CI −0.75 to −0.07).
No significant effect was found for work-related stress.
Interpretation:
Digital and mobile interventions appear effective in enhancing sleep quality and psychological well-being among nurses, although variability in study designs and limited number of studies necessitate further research.
Limitations:
Significant variability in study designs and types of interventions.
Limited number of studies included in the analysis.
Potential bias due to subjective sleep metrics.
Conclusion:
Digital and mobile-based interventions show promise in improving sleep quality and psychological health in nurses, warranting further high-quality trials for validation.
In a target-trial emulation of more than 600,000 veterans, GLP-1 RA initiators saw fewer new substance use disorders—and patients with existing SUDs had fewer overdoses, hospitalizations, and deaths.
