Defining existing practices to support the sleep of hospitalized patients: A mixed‐methods study of top‐ranked hospitals. Issue 8 (19th July 2022)

• Record Type: Journal Article
• Authors: Affini, Murtala I.; Arora, Vineet M.; Gulati, Jasmine; Mason, Noah; Klein, Aviva; Cho, Hyung J.; Clarke, Karen; Lee, Vivian; McDaniel, Lauren M.; Orlov, Nicola M.
• Is Part Of: Journal of hospital medicine. Volume 17:Issue 8(2022)
• Page Start: 633
• Page End: 638
• Publication Date: 2022-07-19
• Subjects: Hospital care -- Periodicals; Clinical medicine -- Periodicals; 610
• DOI: 10.1002/jhm.12917
• Languages: English
• ISSNs: 1553-5592

Abstract

Abstract: The objective of this study was to understand the existing practices and attitudes regarding inpatient sleep at the 2020 US News and World Report (USNWR) Honor Roll pediatric ( n = 10) and adult ( n = 20) hospitals. Section chiefs of Hospital Medicine from these institutions were surveyed and interviewed between June and August 2021. Among 23 of 30 surveyed physician leaders (response rate = 77%), 96% ( n = 22) rated patient sleep as important, but only 43% ( n = 10) were satisfied with their institutions' efforts. A total of 96% ( n = 22) of institutions lack sleep equity practices. Fewer than half (48%) of top hospitals have sleep‐friendly practices, with the most common practices including reducing overnight vital sign monitoring (43%), decreasing ambient light in the wards (43%), adjusting lab and medication schedules (35%), and implementing quiet hours (30%). Major themes from qualitative interviews included: importance of universal sleep‐friendly cultures, environmental changes, and external incentives to improve patient sleep.