AI Article Synopsis
- Sleep is really important for patients in the hospital to recover, but nurses often think their patients are sleeping better than they actually are.
- The study looked at how well nurses and patients agreed on the quality of the patient's sleep and what was bothering it.
- Results showed that nurses rated patients' sleep higher than the patients did, meaning nurses might not fully understand how much trouble patients have sleeping.
Article Abstract
Background: Sleep is vital for recovery during hospital stay. Many sleep-promoting interventions have been investigated in the past. Nurses seem to overestimate their patients sleep and their perspective is needed for these interventions to be successfully implemented.
Objectives: To assess the patient's and nurse's agreement on the patient's sleep and factors disturbing sleep.
Methods: The instruments used included 1) five Richard-Campbell Sleep Questionnaire (RCSQ) items plus a rating of nighttime noise and 2) the Consensus Sleep Diary (CSD). The mean of the five RCSQ items comprised a total score, which reflects sleep quality. Once a week, unannounced, nurses and patients were asked to fill in questionnaires concerning last night's sleep. Neither nurses nor patients knew the others' ratings. Patient-nurse agreement was evaluated by using median differences and Bland-Altman plots. Reliability was evaluated by using intraclass correlation coefficients.
Results: Fifty-five paired patient-nurse assessments have been completed. For all RCSQ subitems, nurses' scores were higher (indicating "better" sleep) than patients' scores, with a significantly higher rating for sleep depth (median [IQR], 70 [40] vs 50 [40], P = .012). The Bland-Altman plots for the RSCQ Total Score (r = 0.0593, P = .008) revealed a significant amount of variation (bias). The intra-class correlation coefficient (ICC) indicated poor reliability for all 7 measures (range -0.278 - 0.435). Nurses were relatively overestimating their own role in causing sleep disturbances and underestimating patient-related factors.
Conclusions: Nurses tend to overestimate patients' sleep quality as well as their own role in causing sleep disturbances.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097718 | PMC |
| http://dx.doi.org/10.1016/j.sleepx.2022.100047 | DOI Listing |
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