促进住院儿童的睡眠和休息:最佳实践实施项目。

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
{"title":"促进住院儿童的睡眠和休息:最佳实践实施项目。","authors":"Carolina Lechosa-Muñiz, Laura Ruiz-Azcona, Elena Pérez Belmonte, Marina Gallego-Jiménez, María Jesús Cabero-Pérez","doi":"10.1097/XEB.0000000000000456","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The objective of this project was to implement scientific evidence to promote sleep and rest in pediatric patients during hospitalization.</p><p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%.</p><p><strong>Conclusions: </strong>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.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A252.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7000,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Promoting sleep and rest in hospitalized children: a best practice implementation project.\",\"authors\":\"Carolina Lechosa-Muñiz, Laura Ruiz-Azcona, Elena Pérez Belmonte, Marina Gallego-Jiménez, María Jesús Cabero-Pérez\",\"doi\":\"10.1097/XEB.0000000000000456\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The objective of this project was to implement scientific evidence to promote sleep and rest in pediatric patients during hospitalization.</p><p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%.</p><p><strong>Conclusions: </strong>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.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A252.</p>\",\"PeriodicalId\":48473,\"journal\":{\"name\":\"Jbi Evidence Implementation\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2024-08-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Jbi Evidence Implementation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/XEB.0000000000000456\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Jbi Evidence Implementation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/XEB.0000000000000456","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

摘要

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。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Promoting sleep and rest in hospitalized children: a best practice implementation project.

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.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
期刊最新文献
Comparison of two audit and feedback approaches: descriptive analysis of personal and contextual dynamics. Collaborative implementation science: a Can-SOLVE CKD case example. Improving communication among nursing staff at a children's hospital in the southern United States: a best practice implementation project. Improving the quality of medication administration practices in a tertiary Australian hospital: a best practice implementation project. Cross-disciplinary advance care planning in oncology and palliative care amidst a pandemic: a best practice implementation project.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1