Challenges of Implementing the Choosing Wisely Guideline to Promote Sleep and Rest at Night for Hospitalized Patients. Issue 1 (January 2021)

• Record Type: Journal Article
• Authors: Graham, Kimberly; Ogbuji, Grace; Williams, Zainab; Crain, Maria; Rolin, Barbara; Juala, Jeremy; Larbi, Ida; Bernard, Noreen; Oster, Cynthia A.; Baird, Marianne; Gullatte, Mary Magee
• Is Part Of: Journal of nursing care quality. Volume 36:Issue 1(2021)
• Publication Date: 2021-01
• Subjects: Choosing Wisely -- hospitalized patients -- rest -- sleep deprivation -- sleep interventions; Nursing -- Standards -- Periodicals; Nursing audit -- Periodicals; Health facilities -- Safety measures -- Periodicals; Nurse administrators -- Periodicals; 610.73
• DOI: 10.1097/NCQ.0000000000000494
• Languages: English
• ISSNs: 1057-3631

Abstract

Abstract : Background: Evidence suggests that a lack of sleep among patients during hospitalization can impact their health and well-being. Local Problem: On inpatient units, patients experience lack of sleep due to noise and multiple interruptions at night. Methods: A pilot intervention to support the initiative, "Don't wake the patient for routine care unless the patient's condition or care specifically requires it, " was implemented on 3 units in 3 hospitals. All the 3 units had experienced patient concerns about lack of sleep at night. Interventions: Nurses implemented the project using a purposeful strategy of sleep masks, earplugs, noise detectors, and bundling care. Results: Positive experiences of those patients who participated in the sleep intervention. Conclusions: There was multidisciplinary support to promote a better patient experience of nighttime sleep. The experiences across the 3 hospital units were positive for providers, patients, and patients' families. Abstract : Supplemental Digital Content is Available in the Text.