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Challenges of Implementing the Choosing Wisely Guideline to Promote Sleep and Rest at Night for Hospitalized Patients. | LitMetric

Challenges of Implementing the Choosing Wisely Guideline to Promote Sleep and Rest at Night for Hospitalized Patients.

J Nurs Care Qual

Emory Healthcare, Atlanta, Georgia (Drs Graham, Oster, and Gullatte); Emory University Hospital Midtown, Atlanta, Georgia (Mss Ogbuji and Williams); Emory University Hospital, Magnet Designated, Atlanta, Georgia (Mss Crain and Larbi); Emory Johns Creek Hospital, Magnet Designated, Atlanta, Georgia (Mss Rolin and Juala); UCHealth Longs Peak Hospital, Longmont, Colorado (Dr Bernard); and Emory Decatur Hospitals, Atlanta, Georgia (Ms Baird).

Published: August 2021

AI Article Synopsis

  • Lack of sleep during hospitalization negatively affects patients' health due to noise and frequent interruptions at night.
  • A pilot intervention was launched in three hospital units to minimize nighttime disturbances by encouraging healthcare staff not to wake patients for non-essential care.
  • The intervention, which included sleep masks, earplugs, noise detectors, and coordinated care, resulted in positive feedback from patients and demonstrated support from various healthcare teams for improving patients' nighttime sleep experiences.

Article Abstract

Background: Evidence suggests that a lack of sleep among patients during hospitalization can impact their health and well-being.

Local Problem: On inpatient units, patients experience lack of sleep due to noise and multiple interruptions at night.

Methods: A pilot intervention to support the initiative, "Don't wake the patient for routine care unless the patient's condition or care specifically requires it," was implemented on 3 units in 3 hospitals. All the 3 units had experienced patient concerns about lack of sleep at night.

Interventions: Nurses implemented the project using a purposeful strategy of sleep masks, earplugs, noise detectors, and bundling care.

Results: Positive experiences of those patients who participated in the sleep intervention.

Conclusions: There was multidisciplinary support to promote a better patient experience of nighttime sleep. The experiences across the 3 hospital units were positive for providers, patients, and patients' families.

Download full-text PDF

Source
http://dx.doi.org/10.1097/NCQ.0000000000000494DOI Listing

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