Reducing Delirium in Hospitalized Adults Through a Structured Sleep Promotion Program
| Autor: | Justin Kirven, Autumn Gode, Maren Roche, Elizabeth Kozub, Cassandra Lynch, Kyla Joerger |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty media_common.quotation_subject MEDLINE behavioral disciplines and activities 03 medical and health sciences 0302 clinical medicine Promotion (rank) Patient satisfaction Risk Factors mental disorders Inpatient units Medicine Humans 030212 general & internal medicine Significant risk General Nursing media_common 030504 nursing business.industry Delirium nervous system diseases Hospitalization Sleep deprivation Emergency medicine Sleep Deprivation Sleep (system call) medicine.symptom 0305 other medical science business |
| Zdroj: | Journal of nursing care quality. 36(2) |
| ISSN: | 1550-5065 |
| Popis: | Background Delirium affects approximately 1 in 4 patients during their hospitalization and is associated with numerous complications. Sleep deprivation is a significant risk factor for developing delirium and is a patient dissatisfier. Problem An internal assessment revealed that up to 25% of all patients on medical-surgical units had a diagnosis of delirium while in the hospital. Approach An evidence-based practice project was implemented to reduce the development of delirium through sleep promotion on 2 inpatient units. A dedicated time was selected, and key strategies were identified to promote sleep with minimal interruptions. Outcomes Delirium decreased by 33% and 45% on the 2 units over 1 year. Overall, patient satisfaction for quietness at night survey responses also increased (P = .0005; CI, 0.05 to 0.67) with ongoing sustainment. Conclusions Implementation of a dedicated period to sleep was associated with a reduction in delirium and increased patient satisfaction for quietness at night. |
| Databáze: | OpenAIRE |
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