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Rizvi M, Alotaibi J, Dharmarajan B. Influence of nursing care intervention on quality of sleep in hospitalized patients at Riyadh, Saudi Arabia. SAUDI JOURNAL FOR HEALTH SCIENCES 2022. [DOI: 10.4103/sjhs.sjhs_7_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Ritmala-Castren M, Salanterä S, Holm A, Heino M, Lundgrén-Laine H, Koivunen M. Sleep improvement intervention and its effect on patients' sleep on the ward. J Clin Nurs 2021; 31:275-282. [PMID: 34114280 DOI: 10.1111/jocn.15906] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 04/22/2021] [Accepted: 05/17/2021] [Indexed: 12/01/2022]
Abstract
AIM AND OBJECTIVE The aim of the study was to investigate how the sleep improvement interventions developed for the wards were associated with patients' sleep. The objective was to promote patients' sleep. BACKGROUND The quality of sleep is vital for patients' health and recovery from illness. However, patients generally sleep poorly during hospitalisation. Sleep-disturbing factors are connected to the hospital environment, patients' physical illness, emotional state and the activities of the staff. Many sleep-disturbing factors can be influenced by appropriate nursing interventions. DESIGN A two-group intervention study including the development of nursing interventions aimed at supporting patients' sleep. One group received a sleep promotion intervention and the other received standard care. Both groups evaluated their sleep in the morning. METHODS A survey of participants' sleep evaluations was collected with the five-item Richards-Campbell Sleep Questionnaire. The data were analysed statistically. The STROBE checklist was used to report the study. RESULTS From the participants' perspective, sleep was better in the intervention group, even though statistically significantly only among men. The pain intensity correlated with sleep quality. The number of patients in the room or whether participants had had an operation had no effect on their sleep evaluations. CONCLUSIONS Interventions targeted at supporting and promoting the sleep quality of hospital inpatients may be effective. They should be developed in collaboration with patients and nurses. Several nursing interventions can be proposed to promote better sleep among patients; however, more research is needed to confirm the results. Sleep promotion should include both standardised protocols and individualised sleep support. RELEVANCE TO CLINICAL PRACTICE Investing in nursing interventions to promote patients' sleep is important. Patients' individual sleep-related needs should be part of their care plan. Training programmes that support nurses' knowledge and skills of patients' sleep promotion should be part of nursing education in healthcare organisations.
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Affiliation(s)
- Marita Ritmala-Castren
- Department of Nursing Science, University of Turku, Turku, Finland.,Helsinki University Hospital, Nursing Administration, Helsinki, Finland
| | - Sanna Salanterä
- Department of Nursing Science, University of Turku, Turku, Finland.,Turku University Hospital, Turku, Finland
| | - Anu Holm
- Unit of Clinical Neurophysiology, Satakunta Hospital District, Pori, Finland.,Faculty of Health and Welfare, Satakunta University of Applied Sciences, Pori, Finland
| | | | - Heljä Lundgrén-Laine
- Department of Nursing Science, University of Turku, Turku, Finland.,Central Finland Hospital Nova, Central Finland Health Care District, Jyvaskyla, Finland
| | - Marita Koivunen
- Department of Nursing Science, University of Turku, Turku, Finland.,Satakunta Hospital District, Pori, Finland
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Bellon F, Mora-Noya V, Pastells-Peiró R, Abad-Corpa E, Gea-Sánchez M, Moreno-Casbas T. The efficacy of nursing interventions on sleep quality in hospitalized patients: A systematic review of randomized controlled trials. Int J Nurs Stud 2020; 115:103855. [PMID: 33383270 DOI: 10.1016/j.ijnurstu.2020.103855] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 11/04/2020] [Accepted: 12/04/2020] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To determine the effect of interventions that could be performed by nurses to improve the sleep quality of hospitalized patients in acute and semi-acute units. DESIGN A systematic review of randomized controlled trials and narrative synthesis. DATA SOURCES Seven electronic databases (PubMed, CINAHL Plus, Scopus, ISI WoS, CENTRAL, PsycInfo, and Embase) were accessed on 20 May 2019 with a temporal limit of 10 years prior. REVIEW METHODS Original research studies of interventions that could be delivered by nurses to improve sleep quality during hospitalization in acute and semi-acute units were included. Study selection, data extraction, and risk of bias assessment were performed by two independent reviewers. RESULTS Seventeen studies met the inclusion criteria and were included in this review. The interventions carried out in the trials were classified into four categories of measurement: environmental, physical, behavioural, and combined. Fourteen studies obtained statistically significant improvements; two showed a blend of significant and non-significant improvements; and one reported non-significant results. However, only four trials of the seventeen were judged as having a low risk of bias. CONCLUSIONS Overall evidence about interventions that could be performed by nurses to improve perceived sleep quality in hospitalized patients was found to be positive, and no negative effects were reported. However, higher quality research using both subjective and objective measures is needed, in order to strengthen the evidence.
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Affiliation(s)
- Filip Bellon
- GESEC group, Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida. Montserrat Roig, 25198 Lleida, Spain; Healthcare Research Group (GRECS), Institute of Biomedical Research in Lleida (IRBLleida), Av. Alcalde Rovira Roure, 80, 25198 Lleida, Spain.
| | - Veronica Mora-Noya
- Department of formation and research, Foundation "Hospital de Campdevànol", Ctra, de Gombrèn, s/n, 17530 Campdevànol, Girona, Spain
| | - Roland Pastells-Peiró
- GESEC group, Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida. Montserrat Roig, 25198 Lleida, Spain; Healthcare Research Group (GRECS), Institute of Biomedical Research in Lleida (IRBLleida), Av. Alcalde Rovira Roure, 80, 25198 Lleida, Spain.
| | - Eva Abad-Corpa
- University of Murcia-Murcia Health Service (IMIB-Arrixaca), Campus Universitario, 1, 30100 Murcia, Spain; Biomedical Research Center for Fragility and Healthy Aging (CIBERFES), Av. Monforte de Lemos, 5. Pabellón 11, 28029 Madrid, Spain.
| | - Montserrat Gea-Sánchez
- GESEC group, Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida. Montserrat Roig, 25198 Lleida, Spain; Healthcare Research Group (GRECS), Institute of Biomedical Research in Lleida (IRBLleida), Av. Alcalde Rovira Roure, 80, 25198 Lleida, Spain; Biomedical Research Center for Fragility and Healthy Aging (CIBERFES), Av. Monforte de Lemos, 5. Pabellón 11, 28029 Madrid, Spain.
| | - Teresa Moreno-Casbas
- Nursing and Healthcare Research Unit (Investén-isciii), Av. Monforte de Lemos, 5. Pabellón 13, 28029 Madrid, Spain; Biomedical Research Center for Fragility and Healthy Aging (CIBERFES), Av. Monforte de Lemos, 5. Pabellón 11, 28029 Madrid, Spain.
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Jensen PS, Specht K, Mainz H. Sleep quality among orthopaedic patients in Denmark - A nationwide cross-sectional study. Int J Orthop Trauma Nurs 2020; 40:100812. [PMID: 33495139 DOI: 10.1016/j.ijotn.2020.100812] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Revised: 06/16/2020] [Accepted: 06/29/2020] [Indexed: 02/06/2023]
Abstract
BACKGROUND Hospitalised patients sleep less and have a lower quality of sleep compared to patients who recover in their own home. Low sleep quality is associated with complications such as increased pain sensation, delirium and reduced rehabilitation capacity. PURPOSE To investigate patients' self-reported sleep quality and factors related to sleep quality during admission to a department of Orthopaedic Surgery. METHODS The Richard-Campbell Sleep Questionnaire was used to assess patients' sleep quality, measured using a VAS 0-100 scale, (a higher score indicating good sleep quality). The moderated Pittsburgh Sleep Quality Index assessed the most severe and frequent barriers to high sleep quality. RESULTS A total of 533 patients undergoing orthopaedic surgery participated. There was an overall mean sleep quality score of 54. The most common and severe factors impacting sleep quality were; waking during the night, difficulties falling asleep, waking early, waking for toileting or pain. The intensity of the pain was found to be proportional to the quality of sleep. CONCLUSION Patients reported their overall quality of sleep to be moderately good due to difficulties falling asleep, waking up during the night or early morning and having pain. The results call for better pain management and non-pharmacological nursing interventions to optimise sleep quality.
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Affiliation(s)
- Pia Søe Jensen
- Department of Orthopaedic Surgery, Copenhagen University Hospital, Hvidovre, Denmark; Clinical Research Centre, Copenhagen University Hospital, Hvidovre, Denmark.
| | - Kirsten Specht
- Department of Orthopaedic Surgery, Zealand University Hospital, Køge, Denmark; Department of Orthopaedic Surgery, Hospital Sønderjylland, Aabenraa, Denmark; Department of Regional Health Research, Faculty of Health Science, University of Southern Denmark, Odense, Denmark
| | - Hanne Mainz
- Department of Orthopaedic Surgery, Aarhus University Hospital, Denmark; Danish Orthopaedic Nursing Knowledge and Science Centre (VIDOKS), Denmark
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Astin F, Stephenson J, Wakefield J, Evans B, Rob P, Joanna G, Harris E. Night-time Noise Levels and Patients’ Sleep Experiences in a Medical Assessment Unit in Northern England. Open Nurs J 2020. [DOI: 10.2174/1874434602014010080] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background:
Hospital in-patients need sleep so that restorative process and healing can take place. However, over one third of in-patients experience sleep disturbance, often caused by noise. This can compromise patients’ perceptions of care quality and cause physical and psychological ill health.
Aims:
To assess 1) in-patients sleep quality, quantity, reported sources of sleep disturbance and their suggestions for improvement 2) objectively measure decibel levels recorded at night.
Methods:
This descriptive study conducted in a Medical Assessment Unit used multi-methods; a semi-structured ‘sleep experience’ questionnaire administered to a purposive sample of in-patients; recording of night-time noise levels, on 52 consecutive nights, using two calibrated Casella sound level meters.
Results:
Patient ratings of ‘in-hospital’ sleep quantity (3.25; 2.72 SD) and quality (2.91; 2.56 SD) was poorer compared to ‘home’ sleep quantity (5.07; 2.81 SD) and quality (5.52; 2.79 SD). The difference in sleep quality (p<0.001) and quantity (p<0.001) ratings whilst in hospital, compared to at home, was statistically significant. Care processes, noise from other patients and the built environment were common sources of sleep disturbance. Participants’ suggestions for improvement were similar to interventions identified in current research. The constant noise level ranged from 38-57 decibels (equivalent to an office environment), whilst peak levels reached a maximum of 116 decibels, (equivalent to banging a car door one metre away).
Conclusion:
The self-rated patient sleep experience was significantly poorer in hospital, compared to home. Noise at night contributed to sleep disturbance. Decibel levels were equivalent to those reported in other international studies. Data informed the development of a ‘Sleep Smart’ toolkit designed to improve the in-patient sleep experience.
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Kim H, Zhou ES, Chevalier L, Lun P, Davidson RD, Pariseau EM, Long KA. Parental Behaviors, Emotions at Bedtime, and Sleep Disturbances in Children with Cancer. J Pediatr Psychol 2020; 45:550-560. [DOI: 10.1093/jpepsy/jsaa018] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Revised: 03/03/2020] [Accepted: 03/12/2020] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Poor sleep is common for children during cancer treatment, but there is limited understanding of the nature of children’s sleep throughout the treatment trajectory. The current exploratory study used an explanatory sequential mixed method approach to examine quantitative associations among sleep problems in children with cancer, parental behavior, and children’s sleep hygiene, with follow-up qualitative characterizations of children’s sleep across cancer treatment stages.
Procedure
Eighty parents of children with cancer (aged 2–10 years; in active treatment, maintenance treatment, or off treatment) completed an online survey querying the child’s sleep quality (Sleep Disturbance Scale for Children—Disorders of Initiating and Maintaining Sleep subscale) and behaviors (Child Sleep Hygiene Scale) and sleep-related parenting behaviors (Parental Sleep Strategies). A subsample (n = 17 parents) participated in qualitative interviews to better characterize the processes of children’s sleep and parents’ sleep-related behaviors.
Results
Children’s sleep quality, sleep hygiene, or parental sleep strategies were not significantly different by cancer treatment groups. Greater sleep disturbance in children was associated with their parents’ tendency to accommodate the child’s bedtime requests. Qualitatively, cancer treatment-related anxiety in both children and parents influence the onset of these disruptive sleep behaviors.
Conclusion
Parents’ sleep-related behaviors affect children’s sleep during cancer treatment. Parents’ accommodation may start during active treatment to alleviate cancer-related challenges, and these behaviors may continue into maintenance therapy and off treatment to reinforce sleep disturbance. Behavioral interventions targeting unhelpful parental behaviors may improve sleep in children with cancer during and after cancer treatment.
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Affiliation(s)
- Hyun Kim
- Department of Psychological and Brain Sciences, Boston University
| | - Eric S Zhou
- Perini Family Survivors’ Center, Department of Pediatric Oncology, Dana-Farber Cancer Institute
- Division of Sleep Medicine, Harvard Medical School
| | - Lydia Chevalier
- Department of Psychological and Brain Sciences, Boston University
| | - Phyllis Lun
- School of Public Health, LKS Faculty of Medicine, The University of Hong Kong
| | - Ryan D Davidson
- Department of Gastroenterology and Nutrition, Boston Children’s Hospital
| | - Emily M Pariseau
- Department of Psychological and Brain Sciences, Boston University
| | - Kristin A Long
- Department of Psychological and Brain Sciences, Boston University
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Gulam S, Xyrichis A, Lee GA. Still too noisy - An audit of sleep quality in trauma and orthopaedic patients. Int Emerg Nurs 2020; 49:100812. [PMID: 32007403 DOI: 10.1016/j.ienj.2019.100812] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2019] [Revised: 09/18/2019] [Accepted: 10/30/2019] [Indexed: 11/24/2022]
Abstract
INTRODUCTION An adequate amount of sleep is fundamental to health and well-being, especially for individuals recovering from an illness or injury. Trauma patients sustain musculoskeletal and tissue injuries and require a sufficient amount of sleep to promote recovery. However, it is known that patients can face difficulties sleeping in hospitals which impacts on their recovery. AIM To determine the quality of sleep, influence of sleep quality and the impact of sleep quality on recovery in trauma and orthopaedic patients. METHODOLOGY An exploratory descriptive design was applied using a clinical audit. As no standardised sleep assessment tool was identified, a sleep audit tool was developed. FINDINGS A total of 40 patients were recruited from two trauma and orthopaedic wards from a London Hospital in the United Kingdom. Of these 17 patients (43%) rated the quality of sleep as 'poor' and nearly half (n = 19, 46%) reported that the quality of their night-time sleep had affected their recovery. Two-thirds of patients reported noise was the main factor that disrupted their sleep, making it the highest contributing sleep disruptor (n = 26, 65%). CONCLUSION A significant association between poor quality of sleep and patient recovery was identified in this small sample of trauma and orthopaedic patients. The findings suggest that nurses should try to create a suitable sleeping environment to enhance patient recovery. There is a need for a standardised sleep assessment tool and sleep audit tool so that the quality of patients' sleep can be accurately assessed and documented.
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Affiliation(s)
- Sumeya Gulam
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, James Clerk Maxwell Building, King's College London, 57 Waterloo Road, London SE1 8WA, UK
| | - Andreas Xyrichis
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, James Clerk Maxwell Building, King's College London, 57 Waterloo Road, London SE1 8WA, UK
| | - Geraldine A Lee
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, James Clerk Maxwell Building, King's College London, 57 Waterloo Road, London SE1 8WA, UK.
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Bagnasco A, Dasso N, Rossi S, Galanti C, Varone G, Catania G, Zanini M, Aleo G, Watson R, Hayter M, Sasso L. Unmet nursing care needs on medical and surgical wards: A scoping review of patients’ perspectives. J Clin Nurs 2019; 29:347-369. [DOI: 10.1111/jocn.15089] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Revised: 09/13/2019] [Accepted: 10/20/2019] [Indexed: 11/30/2022]
Affiliation(s)
| | - Nicoletta Dasso
- Department of Health Sciences University of Genoa Genoa Italy
| | - Silvia Rossi
- Department of Health Sciences University of Genoa Genoa Italy
| | | | - Gloria Varone
- Department of Interventional Radiology IRCCS Ospedale Policlinico San Martino Genoa Italy
| | | | - Milko Zanini
- Department of Health Sciences University of Genoa Genoa Italy
| | - Giuseppe Aleo
- Department of Health Sciences University of Genoa Genoa Italy
| | - Roger Watson
- Faculty of Health and Social Care University of Hull Hull UK
| | - Mark Hayter
- Faculty of Health and Social Care University of Hull Hull UK
| | - Loredana Sasso
- Department of Health Sciences University of Genoa Genoa Italy
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Gellerstedt L, Medin J, Kumlin M, Rydell Karlsson M. Sleep as a topic in nursing education programs? A mixed method study of syllabuses and nursing students' perceptions. NURSE EDUCATION TODAY 2019; 79:168-174. [PMID: 31132729 DOI: 10.1016/j.nedt.2019.05.030] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2018] [Revised: 04/17/2019] [Accepted: 05/19/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND Sleep is a basic human need and is considered important for maintaining health. It is even more important during illness due to its impact for example on our immune system. Nurses have an important role in identifying sleep deprivation. They are also in a unique position to promote and address sleep among patients. However, it is essential that they are provided with the appropriate knowledge during training. AIM To explore and describe nursing students' perceptions of preparedness to adress and support patients' sleep during hospitalization and to apply sleep-promoting interventions in a clinical context. Furthermore, the aim was to investigate if, and how, the topic of sleep is explicitly incorporated in nursing education programs. DESIGN A descriptive study based on a mixed method approach. METHODS Quantitative and qualitative data were collected from program and course syllabuses and intended learning outcomes from three universities. Twenty-one nursing students from the same universities were interviewed during their final year of education. RESULTS The results of both quantitative and qualitative data consistently show that education regarding sleep and patients' sleep is limited and, in some respects, absent in the Bachelor of Science Nursing programs investigated. CONCLUSION This study indicates that education about sleep and patients' sleep in the nursing programs studied is insufficient and limited. This gap in knowledge may lead to prospective registered nurses using their own experiences instead of evidence-based knowledge when assessing, supporting and applying sleep-promoting interventions.
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Affiliation(s)
- Linda Gellerstedt
- Department of Health Promoting Science, Sophiahemmet University, P.O. Box 5605, 114 86 Stockholm, Sweden; Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Sweden.
| | - Jörgen Medin
- Department of Health Promoting Science, Sophiahemmet University, P.O. Box 5605, 114 86 Stockholm, Sweden; Swedish Red Cross University, P.O. Box 1059, 141 21 Huddinge, Sweden.
| | - Maria Kumlin
- Department of Health Promoting Science, Sophiahemmet University, P.O. Box 5605, 114 86 Stockholm, Sweden; Unit for Experimental Asthma and Allergy Research, Institute of Environmental Medicine, Karolinska Institutet, Sweden.
| | - Monica Rydell Karlsson
- Ersta Skondal Bracke University College, Stigbergsgatan 30, P.O. Box 11189, SE-100 61 Stockholm, Sweden; Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Sweden.
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Gellerstedt L, Medin J, Kumlin M, Rydell Karlsson M. Nursing care and management of patients' sleep during hospitalisation: A cross-sectional study. J Clin Nurs 2019; 28:3400-3407. [PMID: 31091343 DOI: 10.1111/jocn.14915] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Revised: 04/16/2019] [Accepted: 05/02/2019] [Indexed: 01/19/2023]
Abstract
AIM To explore and describe how patients' sleep is addressed at acute-care hospitals in Sweden with regard to nursing care, management and the development of knowledge in this area. BACKGROUND Sleep is a basic human need and thus important for health and health maintenance. Patients describe sleeping in hospital as a stressor, and research shows that nurses tend to underestimate patients' perceived problems with sleep during hospitalisation. How do nursing staff at acute hospitals address patients' sleep and the development of knowledge in this area? DESIGN/METHOD A cross-sectional descriptive study was conducted based on data collected through a web survey. Head nurses, registered nurses, nursing care developers and local training supervisors at 36 randomised acute-care hospitals in Sweden were invited to participate. This study was executed and reported in accordance with SQUIRE 2.0. RESULTS The results of the survey (53 responses from 19 wards at 15 acute-care hospitals) showed that no policy documents exist and no current training addresses sleep during hospital stay. All participants agreed that sleep should be considered a nursing topic and that it is important for hospitalised patients. CONCLUSION Patients' sleep during hospitalisation is undermanaged at acute-care hospitals. Nurses, health care managers and organisations face challenges if they are to achieve better outcomes. RELEVANCE TO CLINICAL PRACTICE This study shows that nurses do consider patients' sleep important and addressing sleep as part of nursing care. Future studies in the area should focus on what kinds of support and education are needed in the clinical context.
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Affiliation(s)
- Linda Gellerstedt
- Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden.,Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden
| | - Jörgen Medin
- Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden.,Swedish Red Cross University, Huddinge, Sweden
| | - Maria Kumlin
- Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden.,Unit for Experimental Asthma and Allergy Research, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Monica Rydell Karlsson
- Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.,Ersta Sköndal Bräcke University College, Stockholm, Sweden
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Factors associated with the teaching of sleep hygiene to patients in nursing students. Nurse Educ Pract 2018; 28:150-155. [DOI: 10.1016/j.nepr.2017.10.029] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2016] [Revised: 03/22/2017] [Accepted: 10/25/2017] [Indexed: 11/18/2022]
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Kemple M, O'Toole S, O'Toole C. Sleep quality in patients with chronic illness. J Clin Nurs 2016; 25:3363-3372. [PMID: 27378192 DOI: 10.1111/jocn.13462] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/30/2016] [Indexed: 12/17/2022]
Abstract
AIMS AND OBJECTIVES To explore sleep quality in patients with chronic illness in primary care. BACKGROUND Many people suffer from chronic illness with the numbers increasing. One common issue arises from problems that people have with their quality of sleep: a largely under-researched topic. This study exploring poor quality sleep allowed patients to describe their daily struggles with poor sleep in their own lives. This allowed the development of a deeper understanding of what it means to sleep poorly and find out how participants cope with not sleeping well. DESIGN A qualitative approach enabling a deep exploration of patient's experiences of sleep quality was used. Interviews were conducted with a purposive sample of nine participants from a primary care clinic. Analysis utilised an interpretative approach. RESULTS Data analysed produced four recurrent themes that were grouped into two categories. First, themes that identified the recognition by participants that 'something was wrong' were abrupt beginning and impact on their life. Second, themes that identified that the participants considered there was 'nothing wrong' were I am fine and I just carry on. CONCLUSION Data revealed that poor quality sleep can have a profound effect on quality of life. Participants lived without good quality sleep for years. They had come to accept two seemingly irreconcilable ideas that not being able to sleep is an enduring problem with a distinct starting point, and paradoxically, this is not a problem that deserves much professional attention. RELEVANCE TO CLINICAL PRACTICE Important original data were generated on the impact of poor quality sleep indicating that chronically disturbed sleep can increase the disease burden on patients with chronic illness. The results of this study suggest healthcare professionals need to understand how sleep quality issues impact on patient's experience of chronic illness. Data from this study will help nurses and other health professionals to deepen their understanding of the profound impact of poor quality sleep on patients with chronic illness. A programme of education highlighting the important role of sleep quality in chronic illness is suggested by the issues raised in this study. Nurses are ideally placed to assess sleep quality in patients and tailor intervention to positively affect the quality of life for this group.
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Affiliation(s)
- Mary Kemple
- School of Nursing, Midwifery and Health Systems, UCD Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.
| | - Sinead O'Toole
- School of Nursing, Midwifery and Health Systems, UCD Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland
| | - Conor O'Toole
- Slievemore General Practice, Slivemore Cliniccal, Stillorgan, Co. Dublin, Ireland
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Gellerstedt L, Medin J, Kumlin M, Rydell Karlsson M. Nurses' experiences of hospitalised patients' sleep in Sweden: a qualitative study. J Clin Nurs 2015; 24:3664-73. [PMID: 26373981 DOI: 10.1111/jocn.12985] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/08/2015] [Indexed: 12/22/2022]
Abstract
AIMS AND OBJECTIVES The aim was to describe nurses' experiences of patients' sleep at an emergency hospital and their perceptions of sleep-promoting interventions. BACKGROUND Promotion of patients' sleep during hospital care is an important intervention for the nursing profession. To promote sleep and to initiate sleep-promoting interventions, nurses need basic knowledge about sleep and its physiology. Therefore, it is of importance to explore and expand knowledge about how nurses experience patients' sleep and how they perceive working with it while providing care. DESIGN A qualitative descriptive design was used. METHODS Data were collected from four focus groups and seven individual interviews. A total of twenty-two registered nurses participated. Data were analysed using a qualitative content analysis. RESULTS Nurses expressed a desire and an ambition to work in ways that promote patients' sleep during hospitalisation. Nurses reported that health care services and emergency hospitals were not organised according to patients' perspective and needs. Furthermore, they did not have opportunities to work effectively to promote sleep according to the patients' wishes. Several nurses stated that they did not have sufficient knowledge about sleep and that they did the best they could under prevailing circumstances. Nurses emphasised the importance of sleep for patients and that it was an area that should be given far greater priority. CONCLUSIONS The results indicate that nurses currently have insufficient knowledge about sleep and sleep-promoting interventions. These aspects of nursing is based on personal experience and common sense rather than being evidence based. Furthermore, sleep as a nursing topic needs to be developed and given more focus in order for nurses to be able to deliver high quality care at emergency hospitals. RELEVANCE TO CLINICAL PRACTICE Nurses require more knowledge and education to gain deeper understanding of sleep and to deliver evidence-based, high quality care.
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Affiliation(s)
- Linda Gellerstedt
- Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet and Sophiahemmet University, Stockholm, Sweden
| | - Jörgen Medin
- Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet and Sophiahemmet University, Stockholm, Sweden
| | - Maria Kumlin
- Unit for Experimental Asthma and Allergy Research, Institute of Environmental Medicine, Karolinska Institutet and Sophiahemmet University, Stockholm, Sweden
| | - Monica Rydell Karlsson
- Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet and Sophiahemmet University, Stockholm, Sweden
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Salzmann-Erikson M, Lagerqvist L, Pousette S. Keep calm and have a good night: nurses' strategies to promote inpatients' sleep in the hospital environment. Scand J Caring Sci 2015; 30:356-64. [DOI: 10.1111/scs.12255] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2015] [Accepted: 06/12/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Martin Salzmann-Erikson
- Faculty of Health and Occupational Studies; University of Gävle; Högskolan i Gävle Gävle Sweden
| | - Linda Lagerqvist
- Department of Health and Caring Science; Faculty of Health and Occupational Studies; University of Gävle; Högskolan i Gävle Gävle Sweden
| | - Sandra Pousette
- Department of Health and Caring Science; Faculty of Health and Occupational Studies; University of Gävle; Högskolan i Gävle Gävle Sweden
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15
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Fillary J, Chaplin H, Jones G, Thompson A, Holme A, Wilson P. Noise at night in hospital general wards: a mapping of the literature. ACTA ACUST UNITED AC 2015; 24:536-40. [DOI: 10.12968/bjon.2015.24.10.536] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- Julie Fillary
- Senior Research Nurse, Borthwick Diabetes & Research Centre, East and North Herts NHS Trust, Stevenage
| | - Hema Chaplin
- Previously Research Assistant, Centre for Lifespan and Chronic Illness Research, University of Hertfordshire
| | - Gill Jones
- Information Skills Librarian, East and North Herts NHS Trust, Stevenage
| | - Angela Thompson
- Director of Nursing, East and North Herts NHS Trust, Stevenage
| | - Anita Holme
- Lead Research Nurse, Borthwick Diabetes & Research Centre, East and North Herts NHS Trust, Stevenage
| | - Patricia Wilson
- Previously Reader in Patient Experience, University of Hertfordshire
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