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Quality of Sleep in a Pediatric Hospital: A Descriptive Study Based on an Assessment of Interruptions, Perceptions,

Sara Crawford1, Aaron Utt, Caylin Beebe

  • 1Author Affiliations: Staff Nurses (Ms Crawford, Ms Utt, and Mss Beebe, Armbruster, and Fisher), Research Advisor/Data Analyst (Ms Olney), Biostatistician (Ms Sherman), Patient Care Services Researcher (Dr Roberts), Children's Mercy Hospital, Kansas City, Missouri.

The Journal of Nursing Administration
|April 12, 2019
PubMed

Insights

Hospitalized children experience frequent nighttime sleep interruptions, averaging 2.7 awakenings nightly. This significantly impacts their sleep duration and healing, highlighting a critical need for improved hospital environments.

Area of Science:

  • Pediatric Sleep Medicine
  • Hospital Environment Studies
  • Child Health Research

Background:

  • Hospital sleep quality is poor and hinders pediatric healing.
  • Limited pediatric research exists on sleep interruptions across diverse diagnoses and ages.
  • Understanding sleep disturbances is crucial for hospitalized children's recovery.

Purpose of the Study:

  • To quantify nighttime sleep interruptions in hospitalized children.
  • To assess children's perceptions of sleep quality and efficiency.
  • To identify factors contributing to sleep disturbances in pediatric hospital settings.

Main Methods:

  • Utilized actigraphy, sleep surveys, and nursing diaries for comprehensive sleep assessment.
  • Included environmental assessments of two hospital nursing units.
  • Enrolled 95 children aged 1 month to 17 years with various diagnoses.

Main Results:

  • Children experienced a median of 2.7 awakenings per night.
  • The longest median uninterrupted sleep episode was 5.5 hours.
  • Actual nighttime sleep (median 7.5 hours) fell short of recommended daily sleep needs (8-17 hours).

Conclusions:

  • Hospitalized children are not achieving essential, minimally interrupted sleep.
  • Environmental factors, including noise (talking, alarms, vital signs), disrupt pediatric sleep.
  • Increased awareness and environmental modifications are vital to improve sleep for hospitalized children.
Abstract

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