Record Details

Sleep promotion for hospitalised children: Developing an evidence-based guideline for nurses


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Title Sleep promotion for hospitalised children: Developing an evidence-based guideline for nurses
Creator Crous, Elijeshca C. North, Natasha
Subject — sleep; hospital; children; paediatric; nursing; guideline
Description Background: Adequate sleep in hospitalised children is important for a variety of physiological and psychological processes associated with growth, development, and recovery from illness and injury. Hospitalisation often prioritises clinical care activities at the expense of age-appropriate sleep. Nurses and the wider healthcare team contribute to this paradox. However, through conscious practice and partnering with mothers, nurses are able to enact change and promote sleep.Objectives: To adopt, adapt or contextualise existing guidelines to develop an evidence-based practice guideline to promote sleep-friendly ward environments and routines facilitated by nurses, and in partnership with mothers.Method: A six-step methodology for guideline adaptation was followed, as recommended by the South African Guidelines Excellence project: (1) existing guidelines and protocols were identified and (2) appraised using the AGREE II instrument; (3) an evidence base was developed; (4) recommendations were modified, (5) assigned levels of evidence and grades of recommendation; and (6) end user guidance was developed. Expert consultation was sought throughout.Results: Existing relevant guidance comprised 61 adult-centric recommendations. Modification of the evidence base led to six composited recommendations that facilitate sleep in hospitalised children: (1) prioritising patient safety; (2) collaborating with the mother or caregiver to promote sleep; (3) coordinating ward routine and (4) environment to improve sleep; (5) work with clinical and non-clinical staff; and (6) performing basic sleep assessments. Practice recommendations were aligned to the South African regulatory framework for nursing.Conclusion: Hospitalisation is a time of physiological and psychological dysregulation for children, which is amplified by poor sleep in a hospital. Nurses have the opportunity to promote sleep during hospitalisation by implementing this African-centric guideline in partnership with mothers.
Publisher AOSIS
Contributor Rosalind Elliott Melissa Knauert Dr Alison Bentley Angela Leonard L Gregory Pawlson Nina Power Harry Crossley Scholarship
Date 2021-10-06
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Guideline development; Modification
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/curationis.v44i1.2219
Source Curationis; Vol 44, No 1 (2021); 10 pages 2223-6279 0379-8577
Language eng
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Rights Copyright (c) 2021 Elijeshca C. Crous, Natasha North