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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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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. |
format | Online Article Text |
id | pubmed-9097718 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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