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

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved..

PURPOSE: The purpose of this study is to explore factors influencing sleep in pediatric intensive care units as perceived by parents of critically ill children.

DESIGN AND METHODS: This descriptive qualitative study used individual semistructured interviews. Parents were recruited through purposive sampling from two pediatric intensive care units at two locations in one university hospital in Norway. Ten parents were interviewed. The interviews were analyzed using a six-phase reflexive thematic analysis.

FINDINGS: The analysis produced 17 subthemes under four main themes: environmental factors in the pediatric intensive care unit disturb children's sleep, children need trust and safety to sleep, nurses' cooperation with parents influences children's sleep, and nurses' structuring of their practices is fundamental to sleep promotion.

CONCLUSION: The parents found that the environment disturbed their children's sleep, and environmental factors were easier to control in single rooms than in multibed rooms. Children slept better when they felt safe and trusted the nurses, and parents desired more cooperation in promoting sleep for their children, which may be an essential and overlooked part of sleep promotion. Nurses varied considerably in how they prioritized sleep and structured their practices to promote sleep.

PRACTICE IMPLICATIONS: Nurses should take parents' experiences into account to better promote sleep for patients. By limiting environmental disturbances, building relationships with children to make them feel safe, including parents in sleep promotion, and prioritizing sleep in their practices, nurses could improve sleep quality and limit the consequences of sleep disturbance.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Journal of pediatric nursing - (2024) vom: 18. Apr.

Sprache:

Englisch

Beteiligte Personen:

Nenningsland, Tomas Slåtten [VerfasserIn]
Asadi-Azarbaijani, Babak [VerfasserIn]
Alfheim, Hanne Birgit [VerfasserIn]
Hansen, Elisabeth Holm [VerfasserIn]

Links:

Volltext

Themen:

Child, preschool
Critical care nursing
Family nursing
Health facility environment
Intensive care units, pediatric
Journal Article
Sleep

Anmerkungen:

Date Revised 19.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.pedn.2024.04.033

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371304334