Participatory action research intervention for improving sleep in inpatients with cancer
Cabrera Jaime, Sandra (Institut d'Investigació Biomèdica de Bellvitge)
Martinez, Cristina (Institut d'Investigació Biomèdica de Bellvitge)
Gonzalo Bachiller, Verónica (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Zarza Arnau, Nuria (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Martin Maldonado, Luis (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Belén Manrique Palles, Ana (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Artiga Sarrion, Inmaculada (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Tierno Sanchez, Noelia (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Julià Torras, Joaquim (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Sancho, Juan Manuel (Institut Germans Trias i Pujol. Institut de Recerca contra la Leucèmia Josep Carreras)
Cabrera Jaime, Laura (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)

Data:	2023
Resum:	Aim: To design and implement a plan to improve oncohaematological patients' sleep. Background: The hospital environment can compromise inpatients' sleep, negatively impacting on health outcomes and patient satisfaction. Design and Method: The improvement plan was designed in collaboration with 18 professionals, 3 patients and 3 accompanying relatives. The study designed followed the SQUIRE 2. 0 guidelines. Outcome variables were self-reported patient satisfaction regarding sleep, measured using a 30-item, ad hoc questionnaire and a 10-point visual analogue scale, completed by 318 oncohaematological inpatients (pre-intervention n = 120, post-intervention, n = 198) in a comprehensive cancer centre in Spain from 2017 to 2019. Results: Overall, 61. 5% (n = 190) of the inpatients reported sleep alterations, and 92. 6% reported interruptions in their nightly sleep. Half slept less than 6 h/night, but 58. 0% said they felt rested upon waking, despite the interruptions. These outcomes were similar before and after the intervention. The improvement plan identified four domains for work (professionals, care procedures, instruments/environment and patients/relatives), 10 areas for improvement and 35 actions for implementation. However, overall sleep worsened significantly, from 6. 73 to 6. 06 on the 10-point scale. The intervention significantly improved variables related to professionals' behaviour, including noise during the shift change, conversations at the control desk and the use of corridor lights. Sleep disturbances were mainly caused by pain/discomfort and infuser alarms, and collectively they decreased significantly after the intervention (p =. 008). However, overall sleep worsened significantly, from 6. 73 to 6. 06 on the 10-point scale. Conclusions: Pain, clinical devices and noise made by professionals are the main causes of sleep disturbances. Involving professionals in decision-making to improve patients' sleep have a positive impact on noise levels. Relevance to clinical practice: This study proposes new strategies for improving sleep by increasing staff awareness and changing attitudes towards patients' sleep. Nurses should be involved in addressing sleep disturbances during hospitalization.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Cancer ; Decision-making ; Health care quality ; Hospital care ; Intervention ; Noise in hospitals ; Patient participation ; Sleep disturbance
Publicat a:	Journal of clinical nursing, Vol. 32 Núm. 7-8 (april 2023) , p. 1218-1229, ISSN 1365-2702

DOI: 10.1111/jocn.16279

12 p, 945.0 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP) > Institut de Recerca contra la Leucèmia Josep Carreras
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