A qualitative study of sleep quality in children and their resident parents when in hospital

Stickland, Alice; Clayton, Esther; Sankey, Ruth; Hill, Catherine M.

doi:10.1136/archdischild-2015-309458

Cited by 51 publications

(65 citation statements)

References 31 publications

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“…10,11 All participants had been previously nominated as experts in providing care to CMC to participate in an expert elicitation process to prioritize quality improvement interventions for CMC. 36 Ten potential participants were contacted by e-mail to request participation; all agreed to participate. Participants were provided with the study abstract and the summary of domains, themes, and representative quotes from parents and health care providers ( Table 3).…”

Section: Methodsmentioning

confidence: 99%

Families’ Priorities Regarding Hospital-to-Home Transitions for Children With Medical Complexity

et al. 2017

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BACKGROUND: National health care policy recommends that patients and families be actively involved in discharge planning. Although children with medical complexity (CMC) account for more than half of pediatric readmissions, scalable, family-centered methods to effectively engage families of CMC in discharge planning are lacking. We aimed to systematically examine the scope of preferences, priorities, and goals of parents of CMC regarding planning for hospital-to-home transitions and to ascertain health care providers' perceptions of families' transitional care goals and needs.

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Section: Methodsmentioning

confidence: 99%

Families’ Priorities Regarding Hospital-to-Home Transitions for Children With Medical Complexity

et al. 2017

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“…It is psychological factors, for example stress, anxiety, worries and difficult thoughts, as well as poor accommodation facilities, noise, bright lights and ward activity that hinder parents’ sleep in hospital (Edéll‐Gustafsson, Angelhoff, Johnsson, Karlsson, & Mörelius, ; Nassery & Landgren, ; Stickland, Clayton, Sankey, & Hill, ; Stremler, Dhukai, Wong, & Parshuram, ). In addition, participation in care may increase the number of disturbances during the night.…”

Section: Introductionmentioning

confidence: 99%

“…Good sleep is necessary for the parents’ and the child's health and well‐being. The disruption of parental sleep during the night for a long period, with frequent awakenings and poor sleep quality, affect and limit the parents' resources to meet the child's needs and maintain parental wellbeing (Angelhoff, Edéll‐Gustafsson, & Mörelius, ; Lee, Chai, & Ismail, ; Meltzer, Davis, & Mindell, ; Meltzer & Mindell, ; Stickland et al, ). To find interventions that could improve parents’ sleep when staying overnight with their child in hospital it is important to get a deeper knowledge of the subject.…”

Section: Introductionmentioning

confidence: 99%

“Like Walking in a Fog”—Parents' perceptions of sleep and consequences of sleep loss when staying overnight with their child in hospital

Angelhoff

Sjølie

Mörelius

et al. 2019

Journal of Sleep Research

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Summary Disruption of parental sleep in hospital, with frequent awakenings and poor sleep quality, limits the parents' resources to meet the child's needs and maintain parental wellbeing. The aim of the study was to explore and describe how parents perceive their sleep when staying overnight with their sick child in hospital. A further aim was to explore and describe parents’ perception of what circumstances influence their sleep in the hospital. Twenty‐two parents who were accommodated with their sick child (0–17 years) in paediatric wards in Norway and Sweden participated. Interviews were conducted during the hospital stay to elicit their perspectives. Phenomenography was used to analyse data. Two descriptive categories were found: (a) “Perceptions of sleep”, with two sub‐categories: “Sleep in the paediatric ward” and “Consequences of sleep loss”; and (b) “Circumstances influencing sleep in the paediatric ward” with three sub‐categories: “The importance of the family”, “Information and routines at the paediatric ward”, and “Accommodation facilities”. Parents’ sleep and needs must be acknowledged in paediatric wards. An individual plan of care for the upcoming night could be a valuable tool for both the parents and nurses. The child's medical needs must be met with respect to the parents’ willingness to take part in the child's care during the night, and the need for rest and sleep for both parent and child.

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“…However, there are an increasing number of studies that also explore the impact of noise in general children's services. For example, Stickland, Clayton, Sankey, and Hill () in the United Kingdom found that parents and their children experienced reduced sleep quality during hospitalisation. This was attributed to noise and light and ward schedules; parents stated that it challenged their emotional regulation and parent–child relationships.…”

Section: Discussionmentioning

confidence: 99%

Development of a suite of metrics and indicators for children’s nursing using consensus methodology

Brenner

Browne

Gallen³

et al. 2019

Journal of Clinical Nursing

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Aim and objectives To develop a suite of metrics and indicators to measure the quality of children's nursing care processes. The objectives were to identify available metrics and indicators and to develop consensus on the metrics and indicators to be measured. Background The Office of Nursing and Midwifery Services Director, Health Service Executive, in Ireland established seven workstreams aligned to the following care areas: acute, older persons, children's, mental health, intellectual disability, public health nursing and midwifery. Design A comprehensive design included stakeholder consultation and a survey with embedded open‐ended questions. Methods A two‐round online Delphi survey was conducted to identify metrics to be measured in practice, followed by a two‐round online Delphi survey to identify the associated indicators for these metrics. A face‐to‐face consensus meeting was held with key stakeholders to review the findings and build consensus on the final metrics and indicators for use. A STROBE checklist was completed. Results A suite of eight nursing quality care process metrics and 67 associated process indicators was developed for children's nursing. Conclusions By creating a national suite of metrics and indicators, more robust measurement and monitoring of nursing care processes can be achieved. This will enable the provision of evidence for any local and/or national level changes to policy and practice to enhance care delivery. Relevance to clinical practice The roll‐out of the metrics and indicators in clinical practice has commenced. This national suite of metrics and indicators will ensure that a robust system of measurement for improvement is in place to provide assurance to Directors of Nursing of the quality of nursing care being provided to children and their families. It supports the value of nursing sensitive data to inform change and improvement in healthcare delivery and to demonstrate the contribution of the nursing workforce to safe patient care.

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A qualitative study of sleep quality in children and their resident parents when in hospital

Cited by 51 publications

References 31 publications

Families’ Priorities Regarding Hospital-to-Home Transitions for Children With Medical Complexity

Families’ Priorities Regarding Hospital-to-Home Transitions for Children With Medical Complexity

“Like Walking in a Fog”—Parents' perceptions of sleep and consequences of sleep loss when staying overnight with their child in hospital

Development of a suite of metrics and indicators for children’s nursing using consensus methodology

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