Effectiveness of sleep management strategies for residents of aged care facilities: findings of a systematic review

Koch, Susan; Haesler, Emily; Tiziani, Adriana; Wilson, Jacinda

doi:10.1111/j.1365-2702.2006.01385.x

Cited by 47 publications

(40 citation statements)

References 39 publications

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“…Or, one could test one of many behavioural economic approaches have been used to change physician behaviour, including randomising physicians to a peer-commitment letter about their Communication with Doctors score goal versus no such commitment 34. Another example might be implementing sleep hygiene environment practices for all patients on a floor,35 in which noise metres, red-spectrum lighting and white noise machines are introduced, and alerts, overhead paging systems and elective phlebotomy are minimised or eliminated. Units could be randomised in a stepped wedge design to test the rollout of such environmental changes to determine if the Cleanliness of Hospital Environment and Quietness of Hospital Environment domains are improved.…”

Section: Discussionmentioning

confidence: 99%

Interventions to improve hospital patient satisfaction with healthcare providers and systems: a systematic review

Davidson

Shaffer

et al. 2016

BMJ Qual Saf

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Background Many hospital systems seek to improve patient satisfaction as assessed by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. A systematic review of the current experimental evidence could inform these efforts and does not yet exist. Methods We conducted a systematic review of the literature by searching electronic databases, including MEDLINE and EMBASE, the six databases of the Cochrane Library, and grey literature databases. We included studies involving hospital patients with interventions targeting at least 1 of the 11 HCAHPS domains, and that met our quality filter score on the 27-item Downs and Black coding scale. We calculated post-hoc power when appropriate. Results A total of 59 studies met inclusion criteria, with with 44 of these did not meet the quality filter of 50% (average quality rating 27.8% ± 10.9%.) Of the 15 studies that met the quality filter (average quality rating 67.3% ± 10.7%), 8 targeted the Communication with Doctors HCAHPS domain, 6 targeted Overall Hospital Rating, 5 targeted Communication with Nurses, 5 targeted Pain Management, 5 targeted Communication about Medicines, 5 targeted Recommend the Hospital, 3 targeted Quietness of the Hospital Environment, 3 targeted Cleanliness of the Hospital Environment, and 3 targeted Discharge Information. Significant HCAHPS improvements were reported by 8 interventions, but their generalizability may be limited by narrowly focused patient populations, heterogeneity of approach, and other methodological concerns. Conclusions Although there are a few studies that show some improvement in HCAHPS score through various interventions, we conclude that more rigorous research is needed to identify effective and generalizable interventions to improve patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Interventions to improve hospital patient satisfaction with healthcare providers and systems: a systematic review

Davidson

Shaffer

et al. 2016

BMJ Qual Saf

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“…28,29 During the night and prior to bedtime, it is beneficial for increased quality of sleep to try to avoid too much light. 17,30 The effect of light on mood is controversial. Goel and Etwaroo 31 refer to nine studies showing a positive impact of light on mood and eight studies which were not able to show a relationship.…”

Section: Effects Of Light On Sleep Quality Mood Andmentioning

confidence: 99%

Office workers’ daily exposure to light and its influence on sleep quality and mood

Hubálek

Brink

Schierz

2010

Lighting Research & Technology

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"This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively." Hubalek, Sylvia; Brink, Mark; Schierz, Christoph: Office workers' daily exposure to light and its influence on sleep quality and mood URN:urn:nbn:de:gbv:ilm1-2014210273 To study the amount of light entering the eye and its effects on office workers, measurements were taken from 23 office workers over a period of seven consecutive days. Two parameters of visible light were recorded: (i) illuminance and (ii) irradiance of the blue spectral component. Every evening before going to bed, a questionnaire had to be filled out, containing scales relating to the mood dimensions of pleasure and arousal, questions about the previous night's sleep and a rough time table with information about the person's whereabouts during the day. The exposure to light on workdays is regular but it varies strongly on days off. No evidence could be provided for the influence of age, sex or seasonal affective disorder (SAD) scores on the daily exposure to light of office workers. The amount of light entering the eye during the day appears to have a positive impact on sleep quality the following night. Pleasure and arousal were not significantly associated with daily light exposure.

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“…There is a literature based around noise and sleep problems associated with hospitalization, acute/intensive care units and institutionalization particularly in homes for the elderly. Koch et al [24] report that adopting a multidisciplinary approach combining noise reduction, promotion of daytime activity and reduction of night time nursing care were the most effective means of promoting sleep; the long term use of sedatives is questionable practice and overuse reduces the quality of life of older people. As we all get older it is in our interest to help provide the knowledge to aid sleep and improve the quality of wakefulness in the elderly.…”

Section: Future Researchmentioning

confidence: 98%

Sleep disturbance due to noise:Current issues and future research

Hume

2010

Noise Health

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There is growing interest in carrying out further research to understand and reduce the impact of aircraft noise on airport neighborhood in anticipation of the projected substantial increase in global aviation. Soundscapes provide new analytical methods and a broader, more comprehensive appreciation of the aural environment, which may have a useful role in understanding noise-induced sleep disturbance and annoyance. Current noise metrics like Leq do not provide a common language to report noise environment to residents, which is a key obstacle to effective noise management and acceptance. Non-auditory effects complicate the production of consistent dose-response functions for aircraft noise affecting sleep and annoyance. There are various end-points that can be chosen to assess the degree of sleep disturbance, which has detracted from the clarity of results that has been communicated to wider audiences. The World Health Organization (WHO-Europe) has produced Night Noise Guidelines for Europe, which act as a clear guide for airports and planners to work towards. Methodological inadequacies and the need for simpler techniques to record sleep will be considered with the exciting potential to greatly increase cost-effective field data acquisition, which is needed for large scale epidemiological studies.

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Effectiveness of sleep management strategies for residents of aged care facilities: findings of a systematic review

Abstract: Lack of sleep, disturbed sleep and the overuse of medications especially sedations reduce the quality of life for older people. Effective, safe sleep interventions should be promoted and practised by nurses.

Cited by 47 publications

References 39 publications

Interventions to improve hospital patient satisfaction with healthcare providers and systems: a systematic review

Interventions to improve hospital patient satisfaction with healthcare providers and systems: a systematic review

Office workers’ daily exposure to light and its influence on sleep quality and mood

Sleep disturbance due to noise:Current issues and future research

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