Patient-nurse agreement on inpatient sleep and sleep disturbing factors.

Autor:	van den Ende ES; Section General Internal Medicine Unit Acute Medicine, Department of Internal Medicine, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Location VU University Medical Center, Amsterdam, the Netherlands., Burger P; Department of Pediatrics, Emma Children's Hospital, Amsterdam UMC, Amsterdam, Netherlands., Keesenberg M; Section General Internal Medicine Unit Acute Medicine, Department of Internal Medicine, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Location VU University Medical Center, Amsterdam, the Netherlands., Merten H; Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Location VU University Medical Center, Amsterdam, the Netherlands., Gemke RJBJ; Department of Pediatrics, Emma Children's Hospital, Amsterdam UMC, Amsterdam, Netherlands., Nanayakkara PWB; Section General Internal Medicine Unit Acute Medicine, Department of Internal Medicine, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Location VU University Medical Center, Amsterdam, the Netherlands.
Jazyk:	angličtina
Zdroj:	Sleep medicine: X [Sleep Med X] 2022 Apr 30; Vol. 4, pp. 100047. Date of Electronic Publication: 2022 Apr 30 (Print Publication: 2022).
DOI:	10.1016/j.sleepx.2022.100047
Abstrakt:	Background: Sleep is vital for recovery during hospital stay. Many sleep-promoting interventions have been investigated in the past. Nurses seem to overestimate their patients sleep and their perspective is needed for these interventions to be successfully implemented. Objectives: To assess the patient's and nurse's agreement on the patient's sleep and factors disturbing sleep. Methods: The instruments used included 1) five Richard-Campbell Sleep Questionnaire (RCSQ) items plus a rating of nighttime noise and 2) the Consensus Sleep Diary (CSD). The mean of the five RCSQ items comprised a total score, which reflects sleep quality. Once a week, unannounced, nurses and patients were asked to fill in questionnaires concerning last night's sleep. Neither nurses nor patients knew the others' ratings. Patient-nurse agreement was evaluated by using median differences and Bland-Altman plots. Reliability was evaluated by using intraclass correlation coefficients. Results: Fifty-five paired patient-nurse assessments have been completed. For all RCSQ subitems, nurses' scores were higher (indicating "better" sleep) than patients' scores, with a significantly higher rating for sleep depth (median [IQR], 70 [40] vs 50 [40], P = .012). The Bland-Altman plots for the RSCQ Total Score (r = 0.0593, P = .008) revealed a significant amount of variation (bias). The intra-class correlation coefficient (ICC) indicated poor reliability for all 7 measures (range -0.278 - 0.435). Nurses were relatively overestimating their own role in causing sleep disturbances and underestimating patient-related factors. Conclusions: Nurses tend to overestimate patients' sleep quality as well as their own role in causing sleep disturbances. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2022 The Authors. Published by Elsevier B.V.)
Databáze:	MEDLINE
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