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Parents' perceptions of factors influencing sleep in pediatric intensive care units: A qualitative study

Tomas Slåtten Nenningsland1, Babak Asadi-Azarbaijani2, Hanne Birgit Alfheim3

  • 1Centre of Diaconia and Professional Practice, VID Specialized University, Diakonveien 14, 0370 Oslo, Norway; Institute for Nursing, Faculty of Health Sciences, VID Specialized University, Diakonveien 14, 0370 Oslo, Norway.

Journal of Pediatric Nursing
|April 19, 2024
PubMed

Insights

Parents identified environmental factors, trust, safety, and nurse-parent cooperation as key to improving sleep for children in pediatric intensive care units (PICUs). Addressing these can enhance patient rest and recovery.

Area of Science:

  • Pediatric critical care medicine
  • Sleep science
  • Parental experience research

Background:

  • Sleep disturbances are common in pediatric intensive care units (PICUs).
  • Understanding parental perceptions of sleep influencers is crucial for improving patient care.
  • Limited research exists on parental insights into PICU sleep environments.

Purpose of the Study:

  • To explore factors influencing sleep in pediatric intensive care units (PICUs) from the perspective of parents.
  • To identify parental insights into environmental, psychosocial, and care-related factors affecting critically ill children's sleep.

Main Methods:

  • Descriptive qualitative study utilizing semistructured interviews.
  • Purposive sampling of ten parents with children in two Norwegian PICUs.
  • Reflexive thematic analysis applied to interview data.

Main Results:

  • Four main themes emerged: environmental disturbances, need for trust and safety, nurse-parent cooperation, and nurse's practice structuring.
  • Environmental factors, particularly room type (single vs. multibed), significantly impacted sleep.
  • Children's sleep improved with perceived safety, trust in nurses, and parental involvement.

Conclusions:

  • Parental experiences highlight the significant impact of the PICU environment and nurse interactions on child sleep.
  • Recommendations include minimizing environmental disturbances, fostering trust, enhancing nurse-parent collaboration, and prioritizing sleep promotion.
  • Integrating parental insights and consistent sleep-promoting practices by nurses can improve pediatric patient outcomes.
Abstract

Keywords:
Child, preschoolCritical care nursingFamily nursingHealth facility environmentIntensive care units, pediatricSleep

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