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Patient-nurse agreement on inpatient sleep and sleep disturbing factors

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 pati...

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Autores principales: van den Ende, Eva S., Burger, Pia, Keesenberg, Marjolein, Merten, Hanneke, Gemke, Reinoud J.B.J., Nanayakkara, Prabath W.B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097718/
https://www.ncbi.nlm.nih.gov/pubmed/35572156
http://dx.doi.org/10.1016/j.sleepx.2022.100047
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author van den Ende, Eva S.
Burger, Pia
Keesenberg, Marjolein
Merten, Hanneke
Gemke, Reinoud J.B.J.
Nanayakkara, Prabath W.B.
author_facet van den Ende, Eva S.
Burger, Pia
Keesenberg, Marjolein
Merten, Hanneke
Gemke, Reinoud J.B.J.
Nanayakkara, Prabath W.B.
author_sort van den Ende, Eva S.
collection PubMed
description 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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spelling pubmed-90977182022-05-13 Patient-nurse agreement on inpatient sleep and sleep disturbing factors van den Ende, Eva S. Burger, Pia Keesenberg, Marjolein Merten, Hanneke Gemke, Reinoud J.B.J. Nanayakkara, Prabath W.B. Sleep Med X Article 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. Elsevier 2022-04-30 /pmc/articles/PMC9097718/ /pubmed/35572156 http://dx.doi.org/10.1016/j.sleepx.2022.100047 Text en © 2022 The Authors. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
van den Ende, Eva S.
Burger, Pia
Keesenberg, Marjolein
Merten, Hanneke
Gemke, Reinoud J.B.J.
Nanayakkara, Prabath W.B.
Patient-nurse agreement on inpatient sleep and sleep disturbing factors
title Patient-nurse agreement on inpatient sleep and sleep disturbing factors
title_full Patient-nurse agreement on inpatient sleep and sleep disturbing factors
title_fullStr Patient-nurse agreement on inpatient sleep and sleep disturbing factors
title_full_unstemmed Patient-nurse agreement on inpatient sleep and sleep disturbing factors
title_short Patient-nurse agreement on inpatient sleep and sleep disturbing factors
title_sort patient-nurse agreement on inpatient sleep and sleep disturbing factors
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097718/
https://www.ncbi.nlm.nih.gov/pubmed/35572156
http://dx.doi.org/10.1016/j.sleepx.2022.100047
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