Importance: Hospital wards are often not conducive to patient sleep, negatively affecting patient health and experience.
Objectives: To assess determinants of in-hospital restfulness and to design and test rest-promoting interventions on the wards in partnership with clinicians, staff, and patients.
Design, Setting, And Participants: This rapid-sequential mixed-methods quality improvement study was performed at a large urban academic hospital in St Louis, Missouri, from May 1, 2021, to December 31, 2022, with follow-up through hospitalization.