Practices and Provisions for Parents Sleeping Overnight with a Hospitalized Child

Stremler, Robyn; Wong, Lily; Parshuram, Christopher S.

doi:10.1093/jpepsy/jsm096

Cited by 27 publications

(23 citation statements)

References 14 publications

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“…During the last 40 years, in the Nordic countries, but also in other western countries, practice has changed from parents being almost absent to the expectation that the parents be together with the child 24/7 during the entire hospital stay (McLoone, Wakefield, Yoong, & Cohn, ; Strembler et. al., ). The argument is primarily that having a parent together with the child will improve the child's experiences and their ability to cope during the hospitalisation.…”

Section: Introductionmentioning

confidence: 97%

“…In the Nordic countries, children have the right to have at least one of their parents with them during a hospital stay (Davies, 2010). Taking the parents into the hospitals during the child's admission has been encouraged both by family interest groups and by professionals over the last decades (Stremler, Wong, & Parshuram, 2008). During the last 40 years, in the Nordic countries, but also in other western countries, practice has changed from parents being almost absent to the expectation that the parents be together with the child 24/7 during the entire hospital stay (McLoone, Wakefield, Yoong, & Cohn, 2013;Strembler et.…”

Section: Introductionmentioning

confidence: 99%

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A systematic integrative review of parents' experience and perception of sleep when they stay overnight in the hospital together with their sick children

Løyland

Angelhoff

Kristjánsdóttir

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To elucidate knowledge available on parents' experience and perception of sleep when they stay overnight in hospital together with their sick children. Background In Nordic countries, children are entitled to have at least one parent with them during hospitalisation. Parents' sleep, when accommodated at the hospital during the child's admission, may be a challenge. Design A systematic literature search was conducted in EMBASE, MEDLINE and PsycINFO; period is restricted from 1 January 2007 to 1 April 2019. Studies included were those in which parents were accommodated in hospital with their child, 0–18 years of age, for at least one night. Original peer‐reviewed scientific research papers conducting qualitative, quantitative or mixed designs were included. Systematic reviews were not included. This systematic integrative review was registered in PROSPERO and performed according to the PRISMA guidelines. All authors participated in study selection, data extraction and quality assessment of the literature. Results Fifteen studies were included, and they varied in terms of origin, aims, design, methods used and sample size. Three overall main themes appeared: sleep quality, factors affecting sleep and consequences of sleep loss. Combined psychological factors were found to affect parents' sleep, as well as isolated psychological factors, for example, stress, anxiety, worries and difficult thoughts. Environmental and social factors were also identified, for example, privacy and caring for family. Conclusion Study of this subject is still in its exploratory phase. There is a need for the development of theory of substance in the clarification of the meaning of sleep among parents during difficult times such as children's hospitalisation. Relevance to clinical practice Understanding risk factors associated with sleep and sleep deprivation in parents staying overnight in the hospital with their sick child is important, since lack of sleep may lead to serious stress‐related outcomes for the parents.

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Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

A systematic integrative review of parents' experience and perception of sleep when they stay overnight in the hospital together with their sick children

Løyland

Angelhoff

Kristjánsdóttir

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Nurses described the hospital space as belonging to nurses, as reflected in their reluctance for parents and family members to interact with the child and nurse at night and their suggestions that parents leave the hospital at night, either due to lack of sleep space or based on the presumption that parents will sleep better elsewhere. Furthermore, as in our previous survey of pediatric hospital administrators (Stremler et al, 2008), nurses revealed that families often are separated at night, particularly in higheracuity settings, calling into question whether family-centered care can truly exist in such a context.…”

Section: Discussionmentioning

confidence: 76%

“…In a third study, hospital administrators described practices and provisions related to sleep in pediatric hospitals in North America. The administrators described limits to parents' ability to stay overnight with their child based on child or unit acuity, and many expected involvement of the parent in the child's care at night if they did stay (Stremler, Wong, & Parshuram, 2008).…”

Section: Evidence To Date On Sleep In Pediatric Acute Carementioning

confidence: 99%

“…Future researchers should leverage what we have learned from previous studies in children and their parents in hospital (Stremler et al, 2009(Stremler et al, , 2011, and in hospital administrators (Stremler et al, 2008) and nurses to develop interventions. While it may be simpler to test single approaches to improving sleep, such as noise reduction strategies, they have limited power to effect change, given the multiple and conflicting influences on sleep in hospital.…”

Section: Research Recommendationsmentioning

confidence: 99%

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Nurses’ views of factors affecting sleep for hospitalized children and their families: A focus group study

2015

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Light, noise, and interruptions from hospital staff lead to frequent awakenings and detrimental changes to sleep quantity and quality for children who are hospitalized and their parents who stay with them overnight. An understanding of nurses' views on how care affects sleep for the hospitalized child and parent is crucial to the development of strategies to decrease sleep disturbance in hospital. The purpose of this descriptive qualitative study was to gain an understanding of nurses' views on their role in and influence on sleep for families; perceived barriers and facilitators of patient and parent sleep at night; strategies nurses use to preserve sleep; the distribution, between parent and nurse, of care for the child at night; views of the parent as a recipient of nursing care at night; and the nature of interactions between nurses and families at night. Thirty registered nurses from general pediatric and critical care units participated in one of four semi-structured focus groups. Four main influences on sleep were identified: child factors; environmental factors; nurse-parent interaction factors; and nursing care factors. Some of these restricted nurses' ability to optimize sleep, but many factors were amenable to intervention. Balancing strategies to preserve sleep with the provision of nursing assessment and intervention was challenging and complicated by the difficult nature of work outside of usual waking hours. Nurses highlighted the need for formal policy and mentoring related to provision of nursing care at night in pediatric settings.

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A mixed method approach to describe the out‐of‐pocket expenses incurred by families of children with cancer

Tsimicalis

Stevens

Ungar

et al. 2012

Pediatric Blood & Cancer

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Practices and Provisions for Parents Sleeping Overnight with a Hospitalized Child

Abstract: In general, parents are given the opportunity to stay at the bedside overnight, but barriers exist that limit opportunities for sleep during their child's hospitalization, and serve to separate families who have a hospitalized child.

Cited by 27 publications

References 14 publications

A systematic integrative review of parents' experience and perception of sleep when they stay overnight in the hospital together with their sick children

A systematic integrative review of parents' experience and perception of sleep when they stay overnight in the hospital together with their sick children

Nurses’ views of factors affecting sleep for hospitalized children and their families: A focus group study

A mixed method approach to describe the out‐of‐pocket expenses incurred by families of children with cancer

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