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Patient's experiences of sleep in hospital: a qualitative interview study
Sophiahemmet University.ORCID iD: 0000-0002-1372-7757
Sophiahemmet University.ORCID iD: 0000-0002-9512-3374
Sophiahemmet University.ORCID iD: 0000-0002-3883-468X
2014 (English)In: Journal of Research in Nursing, ISSN 1744-9871, E-ISSN 1744-988X, Vol. 19, no 3, p. 176-188Article in journal (Refereed) Published
Abstract [en]

Many patients experience sleep disturbances and a reduced quality of sleep while hospitalised. Studies have shown that a person with a disease and/or a bodily injury has an increased need for sleep. Patients' experiences of sleep should govern how sleep disturbances should be managed. It is thus necessary to focus upon and describe patients’ needs and experiences. The aim of this study was to explore and describe patients’ experiences of sleeping in hospital. This study is based on qualitative semi-structured interviews with 10 consecutively included patients. The interviews were conducted between October 2010 and March 2011 and were audio recorded and transcribed verbatim. Collected data were analysed by qualitative content analysis. The participants reported physical and psychological experiences that had affected their sleep. Their experiences were categorised using four themes: bedside manner, physical factors, being involved and integrity. Patients considered that experiencing some degree of control, feeling involved and preserving one’s integrity affect sleep during hospitalisation. Several factors have an impact on patients’ sleep. It is not only physical factors but also psychological factors such as bedside manner and having the opportunity to influence and be involved. The patients’ accounts provide a new perspective and open the door to changes in nursing care regarding patients’ sleep.

Place, publisher, year, edition, pages
2014. Vol. 19, no 3, p. 176-188
Keywords [en]
Bedside manner, Experiences, Nursing care, Patient, Person-centred, Sleep
National Category
Nursing
Identifiers
URN: urn:nbn:se:shh:diva-1379DOI: 10.1177/1744987113490415OAI: oai:DiVA.org:shh-1379DiVA, id: diva2:633043
Available from: 2013-06-26 Created: 2013-06-26 Last updated: 2019-06-03Bibliographically approved
In thesis
1. Nursing perspectives on patients' sleep during hospital care
Open this publication in new window or tab >>Nursing perspectives on patients' sleep during hospital care
2019 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Sleep is crucial for all humans in terms of health, daily functioning and well-being. Previous research has shown that sleep is considered a stressor for patients during hospital care. The general aim of this thesis was to explore and describe, from a nursing perspective, patients’ sleep and how sleep is addressed, promoted and assessed during hospital care.

Methods: To cover the general aim of this thesis, various designs were chosen, and diverse methods of data collection were employed. In Study I, data were collected through qualitative interviews of ten consecutively recruited patients at an acute hospital. In Study II, data were collected through qualitative individual interviews and four focus groups, with a total of twenty-two registered nurses at four acute hospitals in an urban region. Study III was designed as a mixed method study and data were collected through twenty-one qualitative individual interviews as well as from program and course syllabuses and intended learning outcomes at three universities. Data from Studies I-II were analysed by qualitative content analysis with an inductive, latent approach. Data in Study III were analysed by qualitative content analysis with an inductive, manifest approach and collected documents were read word-for-word and scanned for the pre-set word, sleep. Study IV was a cross-sectional study and data were collected through a web-based survey. Acute hospitals in Sweden were subjected to stratified randomized sampling. Registered nurses, head nurses, nursing care developers and local training staff were included in the study. Data were analysed using descriptive statistics, and free-text answers were analysed by a thematic text analysis. Study V was performed as a non-experimental prospective study. Data from a group of twenty-five patients at two hospitals were collected by using the Richards-Campbell Sleep Questionnaire and actigraphy by Vivago® and were analysed with correlation and regression analysis.

Findings: Patients’ sleep during hospital care is affected by several different factors and patients’ sleep is described as an important but undermanaged area. Limited knowledge and education within the area and insufficient support from the organization can be seen as barriers. Study III reveals that several student nurses lack evidence-based knowledge about sleep and sleep-promotion and consider themselves only to be prepared to address and promote sleep to a limited extent. Furthermore, the word, sleep, occurred explicitly only three times in two different learning outcomes at one of three included universities. Study IV shows that the area of sleep is not highlighted in a clinical context; for example, there is an absence of training days and education about sleep, only a few departments actively address patients’ sleep, and the use of sleep-assessment is non-existent. Study V shows a relationship between individual Vivago® graphs and patients’ self-assessed sleep, but a significant correlation for all patients between mean values for the two assessments was only obtained for one of the two included nights.

Conclusions: This thesis indicates that sleep deprivation is common among patients during hospital care. Furthermore, education about patients’ sleep in the investigated nursing programs and in clinical practice seems to be deficient. Assessments with the Richards-Campbell Sleep Questionnaire and measurement with Vivago® capture different dimensions of sleep. In its present form, the RCSQ could have the potential to facilitate nursing actions to promote sleep amongst hospitalized patients in line with person-centred care. Furthermore, it is concluded that patients’ sleep during hospital care is an undermanaged and non-highlighted area. This thesis shows that there are several challenges for nurses, nursing managers and organizations at acute hospitals if better outcomes are to be achieved.

Place, publisher, year, edition, pages
Stockholm: Karolinska Institutet, 2019. p. 62
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-3335 (URN)978-91-7831-411-9 (ISBN)
Public defence
2019-05-24, Erforssalen, Sophiahemmet Högskola, Valhallavägen 91, Hus R, plan 2, Stockholm, 09:30 (Swedish)
Opponent
Supervisors
Available from: 2019-06-03 Created: 2019-06-03 Last updated: 2019-06-27Bibliographically approved

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Gellerstedt, LindaMedin, JörgenRydell Karlsson, Monica
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