Evidence map›Paper›PMID 38063214›Full record

Observational studyJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2024

Sleeping with one cerebrum open: patient and staff perceptions of sleep quality and quantity on an inpatient neurology unit.

Sullafa Kadura, Alexander Poulakis, Debra E Roberts, Vineet M Arora, Stephanie N Darrow, Lauren Eisner, Michael Ibarra, Jennifer Lin, Lu Wang, Wilfred R Pigeon

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Sullafa KaduraDepartment of Medicine, Pulmonary Diseases and Critical Care, University of Rochester Medical Center, Rochester, New York.
Alexander PoulakisUniversity of Rochester School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, New York.
Debra E RobertsDepartment of Neurology, University of Rochester Medical Center, Rochester, New York.
Vineet M AroraDepartment of Medicine, University of Chicago Medicine, Chicago, Illinois.
Stephanie N DarrowDepartment of Operations Excellence, University of Rochester Medical Center, Rochester, New York.
Lauren EisnerUniversity of Rochester School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, New York.
Michael IbarraDepartment of Neurology, University of Rochester Medical Center, Rochester, New York.
Jennifer LinUniversity of Rochester School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, New York.
Lu WangDepartment of Biostatistics, University of Rochester Medical Center, Rochester, New York.
Wilfred R PigeonDepartment of Psychiatry, University of Rochester Medical Center, Rochester, New York.
University of Rochester Medical Center · USUniversity of Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesThis study sought to investigate perceptions of sleep disruptions among patients and staff in the inpatient neurology setting. The objectives were to explore the differences between these groups regarding factors that impact sleep, identify the most significant sleep disruptions, and examine the barriers and opportunities suggested to improve inpatient sleep.

methodsA survey-based observational study was conducted on a 25-bed inpatient neurology unit at an academic medical center. Staff and patients completed the Potential Hospital Sleep Disruptions and Noises Questionnaire, and focus groups were held to gather qualitative data. Patient-reported sleep measures were collected for additional assessment. Responses were dichotomized for comparison. Regression models were used to assess associations between disruptors and patient-reported sleep measures. Qualitative thematic analyses were performed.

resultsForty-nine inpatient staff and 247 patients completed sleep surveys. Top primary patient diagnoses included stroke, epilepsy, autoimmune diseases, and psychogenic nonepileptic attacks. Medical interventions, environmental factors, patient-related factors, and unit workflows emerged as key themes related to sleep disruptions. Patient-reported sleep efficiency was significantly reduced when pain, anxiety, stress, temperature, and medication administration disrupted sleep. Staff perspectives highlighted medical interventions as most disruptive to sleep, while patients did not find them as disruptive as expected.

conclusionsDiffering perspectives on sleep disruption exist between staff and patients in the inpatient neurology setting. Medical interventions may be overstated in staff perceptions and inpatient sleep research, as pain, anxiety, and stress had the most significant impact on patient-reported sleep efficiency. CITATION: Kadura S, Poulakis A, Roberts DE, et al. Sleeping with one cerebrum open: patient and staff perceptions of sleep quality and quantity on an inpatient neurology unit.

Indexed as

CerebrumNeurologyHumansInpatientsPainSleepSleep Qualityhospitalized patientshospitalsinpatientmultidisciplinaryneurologynursespatient-centeredperceptionssleepsleep disruption

Identifiers

PMID38063214
PMCPMC10985310
OpenAlexW4389474916

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.