Effectiveness of SIESTA on Objective and Subjective Metrics of Nighttime Hospital Sleep Disruptors. Issue 1 (1st January 2019)

• Record Type: Journal Article
• Authors: Arora, Vineet M; Machado, Nolan; Anderson, Samantha L.; Desai, Nimit; Marsack, William; Blossomgame, Stephenie; Tuvilleja, Ambrosio; Ramos, Jacqueline; Francisco, Mary Ann; LaFond, Cynthia; Leung, Edward KY; Valencia, Andres; Martin, Shannon K; Meltzer, David O; Farnan, Jeanne M; Balachandran, Jay; Knutson, Kristen L; Mokhlesi, Babak
• Is Part Of: Journal of hospital medicine. Volume 14:Issue 1(2019)
• Page Start: 38
• Page End: 41
• Publication Date: 2019-01-01
• Subjects: Hospital care -- Periodicals; Clinical medicine -- Periodicals; 610
• DOI: 10.12788/jhm.3091
• Languages: English
• ISSNs: 1553-5592

Abstract

Abstract : We created Sleep for Inpatients: Empowering Staff to Act (SIESTA), which combines electronic "nudges" to forgo nocturnal vitals and medications with interprofessional education on improving patient sleep. In one "SIESTA‐enhanced unit, " nurses received coaching and integrated SIESTA into daily huddles; a standard unit did not. Six months pre‐ and post‐SIESTA, sleep‐friendly orders rose in both units (foregoing vital signs: SIESTA unit, 4% to 34%; standard, 3% to 22%, P < .001 both; sleep‐promoting VTE prophylaxis: SIESTA, 15% to 42%; standard, 12% to 28%, P < .001 both). In the SIESTA‐enhanced unit, nighttime room entries dropped by 44% (‐6.3 disruptions/room, P < .001), and patients were more likely to report no disruptions for nighttime vital signs (70% vs 41%, P = .05) or medications (84% vs 57%, P = .031) than those in the standard unit. The standard unit was not changed. Although sleep‐friendly orders were adopted in both units, a unit‐based nursing empowerment approach was associated with fewer nighttime room entries and improved patient experience.