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Defining existing practices to support the sleep of hospitalized patients: A mixed-methods study of top-ranked hospitals.
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.
Afiliação
  • Affini MI; Division of Biological Sciences, Pritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.
  • Arora VM; Division of Biological Sciences, Pritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.
  • Gulati J; Department of Medicine, Section of General Internal Medicine, University of Chicago Medical Center, Chicago, Illinois, USA.
  • Mason N; Georgetown University School of Medicine, Georgetown University Medical Center, Washington, District of Columbia, USA.
  • Klein A; Division of Biological Sciences, Pritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.
  • Cho HJ; Department of Pediatrics, University of Colorado, Denver, Colorado, USA.
  • Clarke K; Division of Biological Sciences, Pritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.
  • Lee V; Department of Medicine, Grossman School of Medicine, New York University, New York City, New York, USA.
  • McDaniel LM; Division of Hospital Medicine | Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
  • Orlov NM; Division of Hospital Medicine, Children's Hospital of Los Angeles, Los Angeles, California, USA.
J Hosp Med ; 17(8): 633-638, 2022 08.
Article em En | MEDLINE | ID: mdl-35854665
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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Qualitative_research Limite: Adult / Child / Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Qualitative_research Limite: Adult / Child / Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article