RNSystematic ReviewInternational journal of mental health nursing2026

Mental Health Promotion Through Nursing Interventions Focused on Anxiety, Sleep and Well-Being: A Scoping Review.

Louise Constancia de Melo Alves Silva, Samia Valeria Ozorio Dutra, Barbara Fernandes Ferreira and 7 others

PMID 41951553

WHAT IT FOUND

Nursing anxiety and sleep interventions were mapped across 64 studies.

Sleep improvement appeared in 32 included studies and anxiety reduction in 25 included studies, but this scoping review cannot show effectiveness.

Key findings

01The review mapped 64 studies, and 38 were clinical trials while 14 were quasi-experimental studies.

02Among included studies, sleep improvement was reported in 32 studies (50%) and anxiety reduction in 25 studies (39%).

03The review identified 31 intervention occurrences implementable by nursing, but few studies assessed well-being.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

It is a scoping review, so it maps what has been studied but cannot establish whether an intervention works. The authors did not assess the methodological quality of the included studies. The included studies came from many settings, designs and outcome measures. Comparison is difficult. Most studies addressed situational anxiety rather than diagnosed anxiety disorders. Well-being was rarely measured, and no care plans using the nursing process were found. Some full texts were unavailable, so relevant evidence may have been missed.

Declared interests

This work was funded by CAPES through the Postgraduate Programme in Nursing at the Federal University of Rio Grande do Norte. The authors declared no conflicts of interest.

The easy way to misread this

Do not read the reported sleep improvement in 32 studies as proof that nursing interventions improve sleep. This scoping review did not assess study quality or test effectiveness across studies, so it cannot tell you which intervention works.

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