Sleep quality and noise: comparisons between hospital and home settings

Bevan, Rosanna; Grantham-Hill, Sarah; Bowen, Ruth; Clayton, Esther; Grice, Helen; Venditti, Holly Caroline; Stickland, Alice; Hill, Catherine M.

doi:10.1136/archdischild-2018-315168

Cited by 55 publications

(56 citation statements)

References 34 publications

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“…There are some conflicting findings about parents' sleep quality in the hospitals (Table ). In six of the studies, the parents reported poor sleep quality and disrupted and fragmented sleep during the hospitalisation (Bevan et al, ; Franck et al, ; McCann, ; McLoone et al, ; Meltzer, Davis, et al, ; Nassery & Landgren, ; Stickland et al, ; Stremler et al, ). In one study, more than half of the parents reported good sleep quality in the paediatric ward despite nocturnal awakenings (Angelhoff et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…Also included in the aims of the studies was the documentation of physiological, psychological and situational factors affecting fatigue among mothers (Kim et al, 2017). Other aims were as follows: prevalence estimates of self-report sleep quantity and quality among parents accommodated on the paediatric oncology ward (McLoone et al, 2013), and descriptions and measurement of sleep quantity and sleep patterns (Bevan et al, 2019;Nassery & Landgren, 2018), and additionally, factors affecting the sleep of parents with critically ill children (Stremler et al, 2014;Stremler, Haddad, Pullenayegum, & Parshuram, 2017) as well as strategies used to improve parents' sleep (Stremler, Dhukai, Wong, & Parshuram, 2011). Finally, aims also included comparisons of sleep quality and quantity among the parents who were accommodated bedside at the hospital and those who slept at a Ronald McDonald House (Franck et al, 2014).…”

Section: Aimsmentioning

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: Discussionmentioning

confidence: 99%

Section: Aimsmentioning

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

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“…This was attributed to noise and light and ward schedules; parents stated that it challenged their emotional regulation and parent–child relationships. This was supported in 2018 in a study by Bevan et al () who examined total sleep time, sleep efficiency, median sound levels overnight in a children's hospital and compared them with those of a child's home environment. They found that children had on average 62.9 min, and parents 72.8 min, per night less sleep in hospital than at home; children and parents reported poorer sleep quality in hospital than at home; and the median sound levels measured for eight of 40 children both at home (34.7 dBA) and in hospital (48.6 dBA) exceeded World Health Organization recommendations of 30 dB.…”

Section: Discussionmentioning

confidence: 90%

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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“…Previous studies in oncology and intensive care wards show that children and parents sleep poorly in hospital. A Southampton study compared the sleep of children and their parents in hospital with sleep at home . Total sleep time and sleep efficiency (percentage of minutes asleep from onset to waking) were assessed using an actigraph wrist watch worn for up to five consecutive days both at home and in hospital.…”

mentioning

confidence: 99%

Can you sleep in hospital?

2019

J Paediatrics Child Health

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Sleep quality and noise: comparisons between hospital and home settings

Cited by 55 publications

References 34 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

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

Can you sleep in hospital?

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