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Challenges of Implementing the Choosing Wisely Guideline to Promote Sleep and Rest at Night for Hospitalized Patients

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Supplemental Digital Content is Available in the Text. Background: Evidence suggests that a lack of sleep among patients during hospitalization can impact their health and well-being. Local Problem: On inpatient… Click to show full abstract

Supplemental Digital Content is Available in the Text. Background: Evidence suggests that a lack of sleep among patients during hospitalization can impact their health and well-being. Local Problem: On inpatient units, patients experience lack of sleep due to noise and multiple interruptions at night. Methods: A pilot intervention to support the initiative, “Don't wake the patient for routine care unless the patient's condition or care specifically requires it,” was implemented on 3 units in 3 hospitals. All the 3 units had experienced patient concerns about lack of sleep at night. Interventions: Nurses implemented the project using a purposeful strategy of sleep masks, earplugs, noise detectors, and bundling care. Results: Positive experiences of those patients who participated in the sleep intervention. Conclusions: There was multidisciplinary support to promote a better patient experience of nighttime sleep. The experiences across the 3 hospital units were positive for providers, patients, and patients' families.

Keywords: care; sleep; lack sleep; implementing choosing; night; challenges implementing

Journal Title: Journal of Nursing Care Quality
Year Published: 2020

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