Defining existing practices to support the sleep of hospitalized patients: A mixed-methods study of top-ranked hospitals

• Type of Material: Article
• Authors: Murtala Affini, University of Chicago; Vineet M Arora, University of Chicago; Jasmine Gulati, Georgetown University; Noah Mason, University of Chicago; Aviva Klein, University of Chicago; Hyung J Cho, New York University; Karen Clarke, Emory University; Vivian Lee, Childrens Hosp Los Angeles; Lauren M McDaniel, Johns Hopkins University; Nicole M Orlov, University of Chicago
• Language: English
• Date: 2022-07-19
• Publisher: JOHN WILEY & SONS INC
• Publication Version: Final Published Version
• Copyright Statement: © 2022 The Authors. Journal of Hospital Medicine published by Wiley Periodicals LLC on behalf of Society of Hospital Medicine.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1002/jhm.12917
• Title of Journal or Parent Work: JOURNAL OF HOSPITAL MEDICINE
• Volume: 17
• Issue: 8
• Start Page: 633
• End Page: 638
• Keywords: Life Sciences & Biomedicine; DISPARITIES; CARE; Medicine, General & Internal; HEALTH; Science & Technology; CONSEQUENCES; General & Internal Medicine
• Research Categories: Health Sciences, Medicine and Surgery

Abstract

The objective of this study was to understand the existing practices and attitudes regarding inpatient sleep at the 2020 US News and World Report (USNWR) Honor Roll pediatric (n = 10) and adult (n = 20) hospitals. Section chiefs of Hospital Medicine from these institutions were surveyed and interviewed between June and August 2021. Among 23 of 30 surveyed physician leaders (response rate = 77%), 96% (n = 22) rated patient sleep as important, but only 43% (n = 10) were satisfied with their institutions' efforts. A total of 96% (n = 22) of institutions lack sleep equity practices. Fewer than half (48%) of top hospitals have sleep-friendly practices, with the most common practices including reducing overnight vital sign monitoring (43%), decreasing ambient light in the wards (43%), adjusting lab and medication schedules (35%), and implementing quiet hours (30%). Major themes from qualitative interviews included: importance of universal sleep-friendly cultures, environmental changes, and external incentives to improve patient sleep.