Promoting sleep and rest in hospitalized children: a best practice implementation project.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-08-23 DOI:10.1097/XEB.0000000000000456
Carolina Lechosa-Muñiz, Laura Ruiz-Azcona, Elena Pérez Belmonte, Marina Gallego-Jiménez, María Jesús Cabero-Pérez
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Abstract

Objective: The objective of this project was to implement scientific evidence to promote sleep and rest in pediatric patients during hospitalization.

Introduction: Hospitals are not conducive to quality sleep, as external factors such as light, noise, and interruptions from health care staff can disturb patients. Being hospitalized has a detrimental impact on children's sleep because it reduces how much sleep they get and the quality of that sleep. It has been reported that up to 20% to 30% of hospitalized children experience sleep problems.

Methods: This project was conducted at the Marqués de Valdecilla University Hospital in Cantabria, northern Spain. The project used the JBI Evidence Implementation Framework, which is grounded in an audit, feedback, and re-audit process, together with a structured approach to identifying and managing barriers to change. The study subjects were 100 children aged 2 to 16 years, who were admitted to the hospital's pediatric unit from November to December 2021, and 27 multi-disciplinary health care staff.

Results: Implementing the evidence-based strategies improved our care practices, with the follow-up audit results showing a marked improvement in compliance. Thus, training health care staff on pediatric sleep increased from 4% to 80%; using a multi-faceted approach to sleep promotion increased from 21% to 87%; and promoting relaxation techniques to promote sleep increased from 0% to 80%.

Conclusions: The project met its objectives. Areas for improving children's sleep and rest during hospitalization were identified. To avoid resistance to change, it was necessary to involve the entire team and maintain training. We recommend follow-up audits once a year, to ensure the sustainability of the project.

Spanish abstract: http://links.lww.com/IJEBH/A252.

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促进住院儿童的睡眠和休息:最佳实践实施项目。
项目目标本项目旨在通过科学证据促进儿科患者在住院期间的睡眠和休息:医院不利于提高睡眠质量,因为光线、噪音和医护人员的打扰等外部因素都会干扰患者。住院对儿童的睡眠有不利影响,因为这会减少他们的睡眠时间和睡眠质量。据报道,多达 20% 至 30% 的住院儿童有睡眠问题:该项目在西班牙北部坎塔布里亚的马尔凯斯-德-瓦尔德西利亚大学医院进行。该项目采用了JBI证据实施框架,该框架以审计、反馈和再审计流程为基础,并采用结构化方法来识别和管理变革的障碍。研究对象为 2021 年 11 月至 12 月期间在医院儿科住院的 100 名 2 至 16 岁儿童,以及 27 名跨学科医护人员:结果:实施循证策略后,我们的护理实践得到了改善,后续审计结果显示,依从性明显提高。因此,对医护人员进行儿科睡眠培训的比例从 4% 提高到 80%;采用多方位方法促进睡眠的比例从 21% 提高到 87%;推广放松技巧促进睡眠的比例从 0% 提高到 80%:结论:该项目达到了预期目标。结论:该项目达到了预期目标,确定了改善儿童住院期间睡眠和休息的领域。为避免变革阻力,有必要让整个团队参与进来并保持培训。我们建议每年进行一次跟踪审计,以确保项目的可持续性。西班牙文摘要:http://links.lww.com/IJEBH/A252。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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自引率
13.00%
发文量
23
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