Improving Quiet at Night on a Telemetry Unit: Introducing a Holistic Sleep Menu Intervention

Area of Science:

• Healthcare Management
• Patient Experience
• Sleep Science

Background:

• Hospital environmental noise is a significant barrier to restful sleep for patients.
• Noise-induced sleep deprivation can lead to adverse health outcomes and is a major patient complaint.
• A hospital telemetry unit received the lowest HCAHPS score for quiet-at-night conditions.

Purpose of the Study:

• To assess the impact of a holistic "sleep menu" intervention on patient sleep and hospital experience.
• To improve patient-reported uninterrupted sleep duration and HCAHPS quiet-at-night scores.
• To enhance staff engagement and optimize patient and organizational outcomes.

Main Methods:

• Implementation of a multicomponent "sleep menu" intervention coordinated by a clinical nurse leader.
• Measurement of patient-reported uninterrupted sleep duration (≥5 hours) before and during the intervention.
• Assessment of quiet-at-night HCAHPS survey scores pre- and post-intervention.

Main Results:

• Patient-reported uninterrupted sleep increased from 31% at baseline to 80% during the intervention.
• The quiet-at-night HCAHPS score improved from 1 to 4 out of 5 points.
• Improvements in sleep and HCAHPS scores were sustained over a three-month period.

Conclusions:

• The "sleep menu" intervention effectively improved patient sleep quality and satisfaction in a hospital setting.
• This initiative demonstrated positive impacts on patient care experience and staff engagement.
• Holistic interventions can optimize both patient well-being and organizational performance.