<![CDATA[Sleep quality among nurses is an important aspect of patient safety, quality of care, and nursing workforce well-being, particularly among nurses working night shifts. This activity aimed to analyze the strategic role of nursing management in optimizing nurses’ sleep quality through the development of a strategic napping program in the inpatient wards of Hospital X. The activity used a case report approach based on nursing management practices and was conducted from April 21 to May 21, 2026. Data were collected through in-depth interviews with five Nurse Unit Managers (NUMs), workplace observations, and a researcher-developed assessment questionnaire administered to inpatient nurses. The questionnaire was developed to assess nursing management functions and the need for a strategic napping program. A total of 18 nurses participated from a population of 146 nurses across five inpatient wards. Data were analyzed descriptively and further examined using SWOT and fishbone analyses. The findings showed that 72.2% of respondents perceived nursing management functions supporting sleep quality as less effective, while all respondents reported a need for a strategic napping program. The main challenges included high workload, an imbalance in the nurse-to-patient ratio, limited rest time and facilities, and suboptimal fatigue management. The program was developed using Kotter’s Eight-Step Change Model, with interventions including sleep hygiene education, scheduled rest periods, and strengthened nursing management roles. Initial evaluation indicated staff acceptance and participation in the program, providing a foundation for continued development of sustainable fatigue management.]]>
