Improving sleep for patients in acute hospitals

Norton, Christine; Flood, David; Brittin, Andy; Miles, Jane J.

doi:10.7748/ns.29.28.35.e8947

Cited by 24 publications

(33 citation statements)

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“…The included studies were all published in English and used a variety of study designs to test the noise reduction intervention. Most studies were designated as "quality improvement" initiatives (Haddock, 1994, Hinkulow, 2014, Murphy et al, 2013, Norton et al, 2015, Wilson, 2017; however, these studies included pre-and post-test evaluations formatted in a standard manner and comparable to those found in other included papers. Hence there was no systematic design difference between those studies designated as quality improvement and those designated using other means.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The scores of the included studies range from 4 to 22. The majority of included studies were quality improvements with audit data (Wilson et al, 2017, Norton et al, 2015, Hinkulow, 2014, Murphy et al, 2013, Thomas et al, 2012, Richardson et al, 2009, and Haddock, 1994 although some had a pre-post design. Two studies (Gathecha et al, 2016 andLareau et al, 2008) described as, respectively, a pilot randomised controlled trial (RCT) and feasibility study, compared findings from experimental and control groups.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…A range of noise-reduction interventions were implemented in the nine included studies that aimed to reduce night-time noise levels in ward settings. One study implemented a single intervention (Haddock, 1994), whilst the remainder were complex, multi-faceted interventions (Gatchecha et al, 2017;Wilson et al, 2017;Norton et al, 2015, Hinkulow 2014, Thomas et al, 2012Richardson et al, 2009 andLareau et al, 2008).…”

Section: Noise-reduction Interventionsmentioning

confidence: 99%

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Are noise reduction interventions effective in adult ward settings? A systematic review and meta analysis

Garside

Stephenson

Curtis

et al. 2018

Applied Nursing Research

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International studies show that high levels of environmental noise in hospitals disturb sleep. We know little about effective interventions to address this problem. We aimed to review primary research that tested noise-reduction interventions in ward-settings. Design: Systematic review and meta-analysis in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Data Sources: Health-related and acoustic databases searched from inception to 2017 with no language restrictions. Review methods: Experimental, quasi-experimental and observational studies assessing the effect of interventions on patient outcomes and/or environmental noise were included. Results: 834 records were identified with 9 meeting inclusion criteria. Data from 6 studies were pooled. Quality appraisal showed that the level of evidence was generally weak. A random effects meta-analysis determined that a synthesised estimate for the standardised mean difference in total hours sleep (no intervention -intervention) was -0.11 hours (95% CI -0.46 to 0.25 hours; p=0.556), with moderate statistical heterogeneity. A synthesised estimate for the standardised mean difference in awakenings (no intervention -intervention) was 0.05 (95% CI -0.20 to 0.29; p=0.715), with negligible statistical heterogeneity. A random effects meta-analysis determined that a synthesised estimate for the odds ratio for disturbed nights (no intervention: intervention) was 0.75 (95% CI 0.55 to 1.01; p=0.059), with low statistical heterogeneity. Conclusions: Individual studies show that noise reduction interventions are feasible and have the potential to improve patients' sleep experiences. However meta-analyses show insufficient evidence to support their use. Robust studies are required to identify effective interventions to address this significant and ubiquitous problem. AbstractObjective: High levels of environmental noise in hospitals disturbs sleep. We aimed to identify, critically appraise and summarise primary research that reports studies that tested interventions to reduce night-time noise levels in ward-settings. Design: Systematic review and meta-analysis in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. with no language restrictions. Review methods: Experimental, quasi-experimental and observational study designs assessing the effect of noise reduction interventions on patient outcomes and/or environmental noise levels were included. Two reviewers independently conducted a quality appraisal using a published framework. Results: In total, 834 records were identified with nine studies meeting inclusion criteria. Quality appraisal showed that the level of evidence was generally weak. A range of noise reduction interventions were identified: one study implemented a single intervention, whilst the remainder were complex, multi-faceted interventions. Findings from individual studies showed mixed results but preliminary evidence suggests that noise reduction interventions can reduce environmental noise leve...

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Noise-reduction Interventionsmentioning

confidence: 99%

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Are noise reduction interventions effective in adult ward settings? A systematic review and meta analysis

Garside

Stephenson

Curtis

et al. 2018

Applied Nursing Research

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“…The environmental factors comprise noise, light and nursing interventions (Pisani et Rittayamai et al, 2016;Tembo and Parker, 2009). In order to achieve and maintain a maximum level of sleep quality, effort is made to implement organisational measures -sleep promoting strategies (Elliott and McKinley, 2014;Hu et al, 2015;Norton et al, 2015;Poongkunran et al, 2015). The method of its evaluation in critically ill patients is an important limitation in the evaluation of the effectiveness of these measures.…”

Section: Introductionmentioning

confidence: 99%

The reliability of the Czech version of the Richards-Campbell Sleep Questionnaire

Locihová¹,

Žiaková²,

Šerková³

et al. 2019

Kontakt

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Background: Sleep disorders are very frequent among all intensive care unit patients, and disturbed sleep quality has clear and straightforward negative consequences for patients' recovery and level of distress. To promote sleep, nurses must have instruments for observing and evaluating patients' sleep. Objective: The objective of the research was to determine the internal consistency of the Richards-Campbell Sleep Questionnaire (RCSQ) and to compare the selected relationships between the variables (gender, age, type of admission) in the Czech clinical environment of the intensive care unit. Design: Cross-sectional study. Methods: The RCSQ has been translated according to the translation and cultural adaptation manual. The quality of sleep was assessed using the Czech version of the RCSQ. The sample consisted of 105 patients hospitalised in an interdisciplinary intensive care unit. The quality of sleep was measured using a visual analogue scale (0-100). Results: The internal consistency (Cronbach's α) of the Czech version of the RCSQ is 0.89. The average RCSQ score in the sample was 53.2 (SD 20.1). Return to sleep was the lowest rated item at 51 (SD 24.2), while sleep quality was the highest rated item at 55.6 (SD 26.4). There was no statistically significant relationship (p < 0.05) between sleep quality and selected variables: age (F = 0.1; p = 0.736), gender (F = 0; p = 0.929), type of admission (F = 1.8; p = 0.183). Conclusions:The study demonstrates that the Czech version of the RCSQ is rated as a reliable tool and can be used to subjectively assess sleep quality in critically ill patients. The association between sleep quality and selected variables has not been statistically proven and its perception is very individual. Original research article Reliabilita české verze Richards-Campbell Sleep dotazníku SouhrnCíl: Cílem výzkumu bylo určit míru vnitřní konzistence Richards-Campbell Sleep Questionnaire (RCSQ) a porovnat vytipované vztahy mezi proměnnými (pohlaví, věk, druh přijetí) v českém klinickém prostředí jednotky intenzivní péče. Design: průřezová studie. Metodika: RCSQ byl přeložen podle manuálu pro překlad a kulturní adaptaci. Hodnocení kvality spánku bylo zjišťováno pomocí české verze RCSQ. Soubor tvořilo 105 pacientů hospitalizovaných na mezioborové jednotce intenzivní péče. Hodnocení kvality spánku bylo měřeno pomocí vizuální analogové škály (0-100). Výsledky: Průměrné skóre RCSQ v souboru bylo 53.2 (SD 20.1). Nejníže hodnocenou položkou bylo opětovné usínání po probuzení -51 (SD 24.2), naopak nejlépe hodnocenou položkou byla kvalita spánku -55.6 (SD 26.4). Vnitřní konzistence (Cronbachova α) české verze RCSQ je 0.89. Nebyl potvrzen statisticky signifikantní vztah (p < 0.05) mezi kvalitou spánku a vytipovanými proměnnými: věk (F = 0.1, p = 0.736), pohlaví (F = 0, p = 0.929), druh přijetí (F = 1.8, p = 0.183). Závěr: Studie demonstruje, že RCSQ v české verzi je hodnocen jako spolehlivý nástroj a může být používán k subjektivnímu hodnocení kvality spánku u kriticky nemocných. Asociace mezi kvalitou sp...

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“…The most cited factors include noise, light, nursing interventions, underlying disease and physical condition of the patient, pain and discomfort, psychosocial factors, medication and mechanical ventilation [10,22,23]. In order to achieve and maintain a maximum level of sleep quality, it is necessary to implement organisational interventionssleep promoting strategies [24][25][26][27]. At present, some attention is directed to the effects and importance of mechanical ventilation on the quality of sleep [28,29].…”

Section: Introductionmentioning

confidence: 99%

The effects of mechanical ventilation on the quality of sleep of hospitalised patients in the Intensive Care Unit

Locihová

Žiaková

2018

Rom J Anaesth Int Care

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Improving sleep for patients in acute hospitals

Cited by 24 publications

References 0 publications

Are noise reduction interventions effective in adult ward settings? A systematic review and meta analysis

Are noise reduction interventions effective in adult ward settings? A systematic review and meta analysis

The reliability of the Czech version of the Richards-Campbell Sleep Questionnaire

The effects of mechanical ventilation on the quality of sleep of hospitalised patients in the Intensive Care Unit

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