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Defining existing practices to support the sleep of hospitalized patients: A mixed‐methods study of top‐ranked hospitals

The objective of this study was to understand the existing practices and attitudes regarding inpatient sleep at the 2020 US News and World Report (USNWR) Honor Roll pediatric (n = 10) and adult (n = 20) hospitals. Section chiefs of Hospital Medicine from these institutions were surveyed and intervie...

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Autores principales: Affini, Murtala I., Arora, Vineet M., Gulati, Jasmine, Mason, Noah, Klein, Aviva, Cho, Hyung J., Clarke, Karen, Lee, Vivian, McDaniel, Lauren M., Orlov, Nicola M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9544101/
https://www.ncbi.nlm.nih.gov/pubmed/35854665
http://dx.doi.org/10.1002/jhm.12917
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author Affini, Murtala I.
Arora, Vineet M.
Gulati, Jasmine
Mason, Noah
Klein, Aviva
Cho, Hyung J.
Clarke, Karen
Lee, Vivian
McDaniel, Lauren M.
Orlov, Nicola M.
author_facet Affini, Murtala I.
Arora, Vineet M.
Gulati, Jasmine
Mason, Noah
Klein, Aviva
Cho, Hyung J.
Clarke, Karen
Lee, Vivian
McDaniel, Lauren M.
Orlov, Nicola M.
author_sort Affini, Murtala I.
collection PubMed
description The objective of this study was to understand the existing practices and attitudes regarding inpatient sleep at the 2020 US News and World Report (USNWR) Honor Roll pediatric (n = 10) and adult (n = 20) hospitals. Section chiefs of Hospital Medicine from these institutions were surveyed and interviewed between June and August 2021. Among 23 of 30 surveyed physician leaders (response rate = 77%), 96% (n = 22) rated patient sleep as important, but only 43% (n = 10) were satisfied with their institutions' efforts. A total of 96% (n = 22) of institutions lack sleep equity practices. Fewer than half (48%) of top hospitals have sleep‐friendly practices, with the most common practices including reducing overnight vital sign monitoring (43%), decreasing ambient light in the wards (43%), adjusting lab and medication schedules (35%), and implementing quiet hours (30%). Major themes from qualitative interviews included: importance of universal sleep‐friendly cultures, environmental changes, and external incentives to improve patient sleep.
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spelling pubmed-95441012022-10-14 Defining existing practices to support the sleep of hospitalized patients: A mixed‐methods study of top‐ranked hospitals Affini, Murtala I. Arora, Vineet M. Gulati, Jasmine Mason, Noah Klein, Aviva Cho, Hyung J. Clarke, Karen Lee, Vivian McDaniel, Lauren M. Orlov, Nicola M. J Hosp Med Brief Report The objective of this study was to understand the existing practices and attitudes regarding inpatient sleep at the 2020 US News and World Report (USNWR) Honor Roll pediatric (n = 10) and adult (n = 20) hospitals. Section chiefs of Hospital Medicine from these institutions were surveyed and interviewed between June and August 2021. Among 23 of 30 surveyed physician leaders (response rate = 77%), 96% (n = 22) rated patient sleep as important, but only 43% (n = 10) were satisfied with their institutions' efforts. A total of 96% (n = 22) of institutions lack sleep equity practices. Fewer than half (48%) of top hospitals have sleep‐friendly practices, with the most common practices including reducing overnight vital sign monitoring (43%), decreasing ambient light in the wards (43%), adjusting lab and medication schedules (35%), and implementing quiet hours (30%). Major themes from qualitative interviews included: importance of universal sleep‐friendly cultures, environmental changes, and external incentives to improve patient sleep. John Wiley and Sons Inc. 2022-07-19 2022-08 /pmc/articles/PMC9544101/ /pubmed/35854665 http://dx.doi.org/10.1002/jhm.12917 Text en © 2022 The Authors. Journal of Hospital Medicine published by Wiley Periodicals LLC on behalf of Society of Hospital Medicine. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Brief Report
Affini, Murtala I.
Arora, Vineet M.
Gulati, Jasmine
Mason, Noah
Klein, Aviva
Cho, Hyung J.
Clarke, Karen
Lee, Vivian
McDaniel, Lauren M.
Orlov, Nicola M.
Defining existing practices to support the sleep of hospitalized patients: A mixed‐methods study of top‐ranked hospitals
title Defining existing practices to support the sleep of hospitalized patients: A mixed‐methods study of top‐ranked hospitals
title_full Defining existing practices to support the sleep of hospitalized patients: A mixed‐methods study of top‐ranked hospitals
title_fullStr Defining existing practices to support the sleep of hospitalized patients: A mixed‐methods study of top‐ranked hospitals
title_full_unstemmed Defining existing practices to support the sleep of hospitalized patients: A mixed‐methods study of top‐ranked hospitals
title_short Defining existing practices to support the sleep of hospitalized patients: A mixed‐methods study of top‐ranked hospitals
title_sort defining existing practices to support the sleep of hospitalized patients: a mixed‐methods study of top‐ranked hospitals
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9544101/
https://www.ncbi.nlm.nih.gov/pubmed/35854665
http://dx.doi.org/10.1002/jhm.12917
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