Exploring the Sleep Experience of Hospitalized Adult Patients

Massachusetts General Hospital, Boston, Massachusetts, USA.
Creative Nursing 08/2012; 18(3):135-9. DOI: 10.1891/1078-4535.18.3.135
Source: PubMed


Interruptions in sleep for hospitalized patients have been correlated with decreases in immune function, changes in mental status, and increased stress levels. The purpose of this study was to explore patients' perceptions of their sleep experiences during hospitalization. Structured
interviews were conducted with a convenience sample of patients who had spent three consecutive nights in the hospital. Data was analyzed by content analysis; three themes emerged from the data. The findings from this pilot study will lead to further research in nursing practice as it relates
to supporting sleep and rest in hospitalized patients.

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Available from: Amanda Bulette Coakley, Oct 22, 2015
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    • "Sleep disruption in the acute hospital setting has been reported widely in the literature (Humphries, 2008; Missildine et al., 2010; Tranmer et al., 2003; Yilmaz et al., 2012). Patients have attributed sleep disruption to environmental factors, symptom management and nursing interventions (Hultman et al., 2012). Around 30% of patients are dissatisfied with their night's rest; which nurses often fail to recognise (Johansson et al., 2005). "
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    ABSTRACT: Sleep is a dynamic and essential part of human life and health. In healthcare settings, nurses are strategically placed to promote sleep and sleep health. In this regard, nursing actions should be based upon effective methods of assessment of patient sleep. Standardised sleep assessment does not currently occur in the care of acute hospitalised patients. Use of an appropriate measurement tool would help evaluate inpatient sleep. An effective, efficient sleep assessment tool is needed to aid clinicians. Such assessment would enable specific nursing intervention to be tailored to individual patients.
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    ABSTRACT: Hospital rooms may exacerbate or reduce patients' stress. According to Ulrich's (1991) theory of supportive design, the hospital environment will reduce stress if it fosters perceptions of control (PC), social support (SS), and positive distraction (PD). An experimental study was conducted to test this theory. Participants were asked to imagine a hospitalization scenario and were exposed to one of 8 lists of elements that the hospital room would provide selected to facilitate PC, SS, PD, or 1 of all the possible combinations of these elements. Results confirmed Ulrich's theory. Participants expected significantly less stress in the situations where all (or only PD and SS) elements were present. Meditational analyses confirmed that the number of elements in the hospital room affects expected stress through the perceptions of how much positive distraction and social support it is perceived to provide, but not through the perception of the level of perceived control available.
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