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

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. N...

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Autores principales:	Elijeshca C. Crous, Natasha North
Formato:	article
Lenguaje:	EN
Publicado:	AOSIS 2021
Materias:	sleep hospital children paediatric nursing guideline Nursing RT1-120
Acceso en línea:	https://doaj.org/article/73cc77475f9b45f5b5589008fa94f46b
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spelling	oai:doaj.org-article:73cc77475f9b45f5b5589008fa94f46b2021-11-24T07:40:33ZSleep promotion for hospitalised children: Developing an evidence-based guideline for nurses0379-85772223-627910.4102/curationis.v44i1.2219https://doaj.org/article/73cc77475f9b45f5b5589008fa94f46b2021-10-01T00:00:00Zhttps://curationis.org.za/index.php/curationis/article/view/2219https://doaj.org/toc/0379-8577https://doaj.org/toc/2223-6279Background: 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.Elijeshca C. CrousNatasha NorthAOSISarticlesleephospitalchildrenpaediatricnursingguidelineNursingRT1-120ENCurationis, Vol 44, Iss 1, Pp e1-e10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep hospital children paediatric nursing guideline Nursing RT1-120
spellingShingle	sleep hospital children paediatric nursing guideline Nursing RT1-120 Elijeshca C. Crous Natasha North Sleep promotion for hospitalised children: Developing an evidence-based guideline for nurses
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.
format	article
author	Elijeshca C. Crous Natasha North
author_facet	Elijeshca C. Crous Natasha North
author_sort	Elijeshca C. Crous
title	Sleep promotion for hospitalised children: Developing an evidence-based guideline for nurses
title_short	Sleep promotion for hospitalised children: Developing an evidence-based guideline for nurses
title_full	Sleep promotion for hospitalised children: Developing an evidence-based guideline for nurses
title_fullStr	Sleep promotion for hospitalised children: Developing an evidence-based guideline for nurses
title_full_unstemmed	Sleep promotion for hospitalised children: Developing an evidence-based guideline for nurses
title_sort	sleep promotion for hospitalised children: developing an evidence-based guideline for nurses
publisher	AOSIS
publishDate	2021
url	https://doaj.org/article/73cc77475f9b45f5b5589008fa94f46b
work_keys_str_mv	AT elijeshcaccrous sleeppromotionforhospitalisedchildrendevelopinganevidencebasedguidelinefornurses AT natashanorth sleeppromotionforhospitalisedchildrendevelopinganevidencebasedguidelinefornurses
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Sleep promotion for hospitalised children: Developing an evidence-based guideline for nurses

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