FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2911697352> ?p ?o ?g. }

• W2911697352 abstract "Background Sleep is an essential biological function vital for physiological rest, healing and emotional well-being. Sleep disruption, defined as interruptions or alterations to the normal sleeping patterns, is commonly seen in patients and caregivers with lengthy hospital stays such as patients undergoing hematopoietic stem cell transplant (HSCT). Sleep disruption in the caregivers of hospitalized patients can lead to increased stress and fatigue, decrease quality of life and ultimately affect the caregiver ability to support their loved one. Methods Through a longitudinal observational cohort study, the quality and quantity of sleep in pediatric patients undergoing HSCT and their caregivers was studied; we identified a high level of sleep disturbance utilizing actigraphy and recounted poor sleep through qualitative assessments. We then performed a cross sectional focus group analysis of patients, caregivers and medical staff to identify the factors associated with poor sleep. The global aim of our quality improvement initiative was to improve sleep quality in HSCT patients and caregivers. The smart aim of our project was to decrease nighttime noise from 46 decibels (dB) (mean baseline data) to 38dB (WHO recommends night outside noise of less than 40dB) in a 6 month period and increase sleep efficacy from a mean of 60 % (combined patient and caregiver) to 90% in the following 6 month period. We worked on achieving this goal through an overnight nighttime sleep hygiene bundle to decrease sleep disruption along with reduction of the hallway nighttime noise (9pm-7am). Results The most common factors associated with sleep disruption were noisy room entries, overnight trash pulls, loud hallway noise and noisy hospital staff. A simplified failure mode analysis identified four main key drivers; reliable nighttime awareness system, quiet nighttime nursing system, unobtrusive nighttime cleaning process and nighttime awareness maintenance system. Several PDSA (plan-do-study-act) interventions for each key driver took place and were adapted. The overnight mean dB decreased to 42dB (9% reduction). Overnight noise spikes above 60dB have decreased from a mean of 271 spikes to a mean of 151 spikes (44% reduction). Percentage of sleep efficacy results and follow up of quantitative and qualitative sleep assessments of patients and caregivers will be available by February 2019. Conclusions With a quality improvement initiative, we identified factors that negatively impact sleep and performed interventions that successfully mitigate these factors, leading to improved quality of sleep in HSCT patients and their caregivers." @default.
• W2911697352 created "2019-02-21" @default.
• W2911697352 creator A5017209214 @default.
• W2911697352 creator A5028145044 @default.
• W2911697352 creator A5028716741 @default.
• W2911697352 creator A5038381902 @default.
• W2911697352 creator A5046988708 @default.
• W2911697352 creator A5047756860 @default.
• W2911697352 creator A5053637849 @default.
• W2911697352 creator A5053870683 @default.
• W2911697352 creator A5064454163 @default.
• W2911697352 creator A5073428725 @default.
• W2911697352 date "2019-03-01" @default.
• W2911697352 modified "2023-09-25" @default.
• W2911697352 title "Quality Improvement Initiative to Improve Sleep in Pediatric HSCT Patients and Caregivers" @default.
• W2911697352 doi "https://doi.org/10.1016/j.bbmt.2018.12.152" @default.
• W2911697352 hasPublicationYear "2019" @default.
• W2911697352 type Work @default.
• W2911697352 sameAs 2911697352 @default.
• W2911697352 citedByCount "0" @default.
• W2911697352 crossrefType "journal-article" @default.
• W2911697352 hasAuthorship W2911697352A5017209214 @default.
• W2911697352 hasAuthorship W2911697352A5028145044 @default.
• W2911697352 hasAuthorship W2911697352A5028716741 @default.
• W2911697352 hasAuthorship W2911697352A5038381902 @default.
• W2911697352 hasAuthorship W2911697352A5046988708 @default.
• W2911697352 hasAuthorship W2911697352A5047756860 @default.
• W2911697352 hasAuthorship W2911697352A5053637849 @default.
• W2911697352 hasAuthorship W2911697352A5053870683 @default.
• W2911697352 hasAuthorship W2911697352A5064454163 @default.
• W2911697352 hasAuthorship W2911697352A5073428725 @default.
• W2911697352 hasBestOaLocation W29116973521 @default.
• W2911697352 hasConcept C111919701 @default.
• W2911697352 hasConcept C118552586 @default.
• W2911697352 hasConcept C121446783 @default.
• W2911697352 hasConcept C126322002 @default.
• W2911697352 hasConcept C1513209611 @default.
• W2911697352 hasConcept C159110408 @default.
• W2911697352 hasConcept C1862650 @default.
• W2911697352 hasConcept C194828623 @default.
• W2911697352 hasConcept C204358264 @default.
• W2911697352 hasConcept C23131810 @default.
• W2911697352 hasConcept C2775841894 @default.
• W2911697352 hasConcept C2778329153 @default.
• W2911697352 hasConcept C2778996325 @default.
• W2911697352 hasConcept C2779951463 @default.
• W2911697352 hasConcept C2780975770 @default.
• W2911697352 hasConcept C2781210498 @default.
• W2911697352 hasConcept C2983189541 @default.
• W2911697352 hasConcept C41008148 @default.
• W2911697352 hasConcept C548259974 @default.
• W2911697352 hasConcept C71924100 @default.
• W2911697352 hasConcept C72563966 @default.
• W2911697352 hasConceptScore W2911697352C111919701 @default.
• W2911697352 hasConceptScore W2911697352C118552586 @default.
• W2911697352 hasConceptScore W2911697352C121446783 @default.
• W2911697352 hasConceptScore W2911697352C126322002 @default.
• W2911697352 hasConceptScore W2911697352C1513209611 @default.
• W2911697352 hasConceptScore W2911697352C159110408 @default.
• W2911697352 hasConceptScore W2911697352C1862650 @default.
• W2911697352 hasConceptScore W2911697352C194828623 @default.
• W2911697352 hasConceptScore W2911697352C204358264 @default.
• W2911697352 hasConceptScore W2911697352C23131810 @default.
• W2911697352 hasConceptScore W2911697352C2775841894 @default.
• W2911697352 hasConceptScore W2911697352C2778329153 @default.
• W2911697352 hasConceptScore W2911697352C2778996325 @default.
• W2911697352 hasConceptScore W2911697352C2779951463 @default.
• W2911697352 hasConceptScore W2911697352C2780975770 @default.
• W2911697352 hasConceptScore W2911697352C2781210498 @default.
• W2911697352 hasConceptScore W2911697352C2983189541 @default.
• W2911697352 hasConceptScore W2911697352C41008148 @default.
• W2911697352 hasConceptScore W2911697352C548259974 @default.
• W2911697352 hasConceptScore W2911697352C71924100 @default.
• W2911697352 hasConceptScore W2911697352C72563966 @default.
• W2911697352 hasLocation W29116973521 @default.
• W2911697352 hasOpenAccess W2911697352 @default.
• W2911697352 hasPrimaryLocation W29116973521 @default.
• W2911697352 hasRelatedWork W2000039665 @default.
• W2911697352 hasRelatedWork W2081814284 @default.
• W2911697352 hasRelatedWork W2124043370 @default.
• W2911697352 hasRelatedWork W2235917811 @default.
• W2911697352 hasRelatedWork W2409774231 @default.
• W2911697352 hasRelatedWork W2536117788 @default.
• W2911697352 hasRelatedWork W2741769637 @default.
• W2911697352 hasRelatedWork W2789543484 @default.
• W2911697352 hasRelatedWork W3109382852 @default.
• W2911697352 hasRelatedWork W3206123093 @default.
• W2911697352 isParatext "false" @default.
• W2911697352 isRetracted "false" @default.
• W2911697352 magId "2911697352" @default.
• W2911697352 workType "article" @default.