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Nursing Intervention Promotes Better Sleep for Inpatients

WEDNESDAY, Jan. 9, 2019 -- A Sleep for Inpatients: Empowering Staff to Act (SIESTA) intervention can improve patient sleep with fewer nighttime room entries, according to a study published in the January issue of the Journal of Hospital Medicine.

Vineet M. Arora, M.D., from the University of Chicago Medicine, and colleagues created a sleep program (SIESTA) combining electronic "nudges" to forgo nocturnal vitals and medications with interprofessional education on improving patient sleep. Nurses received coaching and integrated SIESTA into daily huddles in one unit, but did not do so in a standard unit.

The researchers found that sleep-friendly orders increased in both units from six months pre-SIESTA to post-SIESTA (foregoing vital signs: SIESTA unit, 4 to 34 percent; standard unit, 3 to 22 percent; sleep-promoting venous thromboembolism prophylaxis: SIESTA unit, 15 to 42 percent; standard unit, 12 to 28 percent). Nighttime room entries dropped by 44 percent in the SIESTA-enhanced unit (−6.3 disruptions/room). Patients in the SIESTA-enhanced unit were more likely to report no disruptions for nighttime vital signs (70 versus 41 percent) or medications (84 versus 57 percent) compared with the standard unit. No changes were seen in the standard unit.

"Our study also finds that, even when sleep-friendly orders are present, creating a sleep-friendly environment likely depends on the unit-based nurses championing the cause," the authors write.

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Posted: January 2019

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