The Smarter Sleep educational interventions: an initiative to reduce hypnotic prescribing in in-patient psychiatric care.

Autor:	Paterson A; Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK.; Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK., Khundakar M; Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK.; Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK., Young A; Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK.; Faculty of Health Sciences and Wellbeing, University of Sunderland, UK., Ling J; Faculty of Health Sciences and Wellbeing, University of Sunderland, UK., Chakraborty S; Department of General Practice, Monash University, Melbourne, Australia., Rathbone AP; Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.; Newcastle upon Tyne Hospitals NHS Foundation Trust, UK., Watson S; Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.; Inpatient Services, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK., Donaldson T; Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK., Anderson KN; Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.; Regional Sleep Disorders Service, Newcastle upon Tyne Hospitals NHS Foundation Trust, UK.
Jazyk:	angličtina
Zdroj:	BJPsych bulletin [BJPsych Bull] 2021 May 05, pp. 1-9. Date of Electronic Publication: 2021 May 05.
DOI:	10.1192/bjb.2021.41
Abstrakt:	Aims and Method: In-patients on mental health wards are commonly prescribed hypnotics for the long-term management of disturbed sleep. Specific sleep disorders remain underdiagnosed and effective behavioural interventions are underused. We developed a suite of three educational interventions (a video, poster and handbook) about sleep, sleep disorders, the safe prescribing of hypnotics and use of psychological strategies (sleep hygiene and cognitive-behavioural therapy for insomnia, CBTi) using co-design and multiprofessional stakeholder involvement. This controlled before-and-after study evaluated the effectiveness of these interventions across seven in-patient psychiatric wards, examining their impact on hypnotic prescribing rates and staff confidence scores (data collected by retrospective drug chart analysis and survey respectively). Results: A marked reduction was seen in the percentage of patients prescribed hypnotics on in-patient prescription charts (-24%), with a 41% reduction in the number of hypnotics administered per patient (mean reduction -1.142 administrations/patient). Clinical Implications: These simple educational strategies about the causes and treatment of insomnia can reduce hypnotic prescribing rates and increase staff confidence in both the medical and psychological management of insomnia.
Databáze:	MEDLINE
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