The impact of the COVID-19 pandemic on nighttime room entries and sleep disruptions for pediatric patients

Riehm, Joseph; Arora, Vineet M.; Tatineni, Swetha; Erondu, Amarachi; Mozer, Christine; Cook, David J.; Byron, Maxx; Mordell, Lisa; Ye, Fanheng; Orlov, Nicola

doi:10.1016/j.sleep.2021.05.020

Cited by 6 publications

(3 citation statements)

References 15 publications

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“…For example, physician work areas may have been underrepresented in clinical units without standard offices, particularly some ICUs and oncology units. This study was conducted before the COVID-19 pandemic, which had a profound effect on hospital workflow and graduate medical education, 29 , 37 , 38 and may limit generalizability to the current training environment. Installation of an RTLS may be cost prohibitive.…”

Section: Discussionmentioning

confidence: 99%

Use of a Real-Time Locating System to Assess Internal Medicine Resident Location and Movement in the Hospital

et al. 2022

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Section: Discussionmentioning

confidence: 99%

Use of a Real-Time Locating System to Assess Internal Medicine Resident Location and Movement in the Hospital

et al. 2022

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“…Possible alternatives include automated hand hygiene monitoring systems (AHHMS), which use heat sensors to track the number of entries and exits from patient rooms. These systems have been used to track caregiving patterns (Arbogast et al, 2019; Riehm et al, 2021), but require that clinical settings have already installed the monitoring system. More detailed caregiving data could be provided by sociometric wearable devices, which combine multiple sources of data to track physical location, body movement, and conversation (Ito‐Masui et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Sleep disruption and delirium in critically ill children: Study protocol feasibility

Kalvas

Harrison

Solove

et al. 2022

Research in Nursing & Health

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Delirium is a serious complication of pediatric critical illness. Sleep disruption is frequently observed in children with delirium, and circadian rhythm dysregulation is one proposed cause of delirium. Children admitted to the pediatric intensive care unit (PICU) experience multiple environmental exposures with the potential to disrupt sleep. Although researchers have measured PICU light and sound exposure, sleep, and delirium, these variables have not yet been fully explored in a single study. Furthermore, caregiving patterns have not often been included as a component of the PICU environment. Measuring the light and sound exposure, caregiving patterns, and sleep of critically ill children requires continuous PICU bedside data collection. This presents multiple methodological challenges. In this paper, we describe the protocol for an observational pilot study of the PICU environment, sleep, and delirium experienced by a sample of 10 critically ill children 1-4 years of age. We also evaluate and discuss the feasibility (i.e., acceptability, implementation, practicality) of the study protocol. Light and sound exposure were measured with bedside sensors. Caregiving was quantified through video recording. Sleep was measured via actigraphy and confirmed by video recording. Delirium screening with the Cornell Assessment of Pediatric Delirium was conducted twice daily, either in person or via video review. This study provides a refined measurement framework to inform future, large-scale studies and the development of nurse-driven sleep promotion interventions.

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“…Caregivers attributed the poor sleep quality to increased stress and anxiety, and parents themselves also expressed feeling more sad, weary, and less calm during this time as compared with prepandemic. 27 The record levels of mental health issues facing youth and parents today are yet another pandemic byproduct that will need to be addressed going forward.…”

Section: Introductionmentioning

confidence: 99%

Sleep During the Pandemic

Catarozoli¹

2023

Sleep Medicine Clinics

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The impact of the COVID-19 pandemic on nighttime room entries and sleep disruptions for pediatric patients

Cited by 6 publications

References 15 publications

Use of a Real-Time Locating System to Assess Internal Medicine Resident Location and Movement in the Hospital

Use of a Real-Time Locating System to Assess Internal Medicine Resident Location and Movement in the Hospital

Sleep disruption and delirium in critically ill children: Study protocol feasibility

Sleep During the Pandemic

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