TY - JOUR
T1 - Effectiveness of SIESTA on objective and subjective metrics of nighttime hospital sleep disruptors
AU - Arora, Vineet M.
AU - Machado, Nolan
AU - Anderson, Samantha L.
AU - Desai, Nimit
AU - Marsack, William
AU - Blossomgame, Stephenie
AU - Tuvilleja, Ambrosio
AU - Ramos, Jacqueline
AU - Francisco, Mary Ann
AU - Lafond, Cynthia
AU - Leung, Edward K.Y.
AU - Valencia, Andres
AU - Martin, Shannon K.
AU - Meltzer, David O.
AU - Farnan, Jeanne M.
AU - Balachandran, Jay
AU - Knutson, Kristen L.
AU - Mokhlesi, Babak
N1 - Funding Information:
This study was funded by the National Institute on Aging (NIA Grant No. T35AG029795) and the National Heart, Lung, and Blood Institute (NHLBI Grant Nos. R25HL116372 and K24HL136859).
PY - 2019/1
Y1 - 2019/1
N2 - We created Sleep for Inpatients: Empowering Staff to Act (SIESTA), which combines electronic “nudges” to forgo nocturnal vitals and medications with interprofessional education on improving patient sleep. In one “SIESTA-enhanced unit,” nurses received coaching and integrated SIESTA into daily huddles; a standard unit did not. Six months pre-and post-SIESTA, sleep-friendly orders rose in both units (foregoing vital signs: SIESTA unit, 4% to 34%; standard, 3% to 22%, P < .001 both; sleep-promoting VTE prophylaxis: SIESTA, 15% to 42%; standard, 12% to 28%, P < .001 both). In the SIESTA-SIESTA-enhanced unit, nighttime room entries dropped by 44% (−6.3 disruptions/room, P < .001), and patients were more likely to report no disruptions for nighttime vital signs (70% vs 41%, P = .05) or medications (84% vs 57%, P = .031) than those in the standard unit. The standard unit was not changed. Although sleep-friendly orders were adopted in both units, a unit-based nursing empowerment approach was associated with fewer nighttime room entries and improved patient experience.
AB - We created Sleep for Inpatients: Empowering Staff to Act (SIESTA), which combines electronic “nudges” to forgo nocturnal vitals and medications with interprofessional education on improving patient sleep. In one “SIESTA-enhanced unit,” nurses received coaching and integrated SIESTA into daily huddles; a standard unit did not. Six months pre-and post-SIESTA, sleep-friendly orders rose in both units (foregoing vital signs: SIESTA unit, 4% to 34%; standard, 3% to 22%, P < .001 both; sleep-promoting VTE prophylaxis: SIESTA, 15% to 42%; standard, 12% to 28%, P < .001 both). In the SIESTA-SIESTA-enhanced unit, nighttime room entries dropped by 44% (−6.3 disruptions/room, P < .001), and patients were more likely to report no disruptions for nighttime vital signs (70% vs 41%, P = .05) or medications (84% vs 57%, P = .031) than those in the standard unit. The standard unit was not changed. Although sleep-friendly orders were adopted in both units, a unit-based nursing empowerment approach was associated with fewer nighttime room entries and improved patient experience.
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U2 - 10.12788/jhm.3091
DO - 10.12788/jhm.3091
M3 - Article
C2 - 30667409
AN - SCOPUS:85060235677
VL - 14
SP - 38
EP - 41
JO - Journal of hospital medicine (Online)
JF - Journal of hospital medicine (Online)
SN - 1553-5606
IS - 1
ER -