Evidence map›Paper›PMID 38110847›Full record

ArticlePediatric blood & cancer2024

A nursing perspective on inpatient sleep and circadian disruptions for pediatric stem cell transplant patients.

Eric S Zhou, Anna Revette, Julie Waitt, Leslie E Lehmann, Lisa R Diller, Karen M Emmons, Ariana F Valenzuela, Susan Redline

Abstract read
In one paragraph

Article in Pediatric blood & cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  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

8 authors at 4 institutions in 1 country.

Eric S ZhouDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.ORCID 0000-0003-1038-8961
Anna RevetteDivision of Population Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Julie WaittHematopoietic Stem Cell Transplant Unit, Boston Children's Hospital, Boston, Massachusetts, USA.
Leslie E LehmannHematopoietic Stem Cell Transplant Unit, Boston Children's Hospital, Boston, Massachusetts, USA.
Lisa R DillerDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Karen M EmmonsDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Ariana F ValenzuelaDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Susan RedlineDivision of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Boston Children's Hospital · USDana-Farber Cancer Institute · USBrigham and Women's Hospital · USHarvard University · US

Funding

A Preventive Care Approach to Mitigate the Impact of Pediatric ALL Treatment on SleepR03CA259894 · NCI · DANA-FARBER CANCER INST · PI BONA, KIRA O., ZHOU, ERIC S · 2021 to 2022
$178k
American Cancer SocietyNCI NIH HHS R03 CA259894
6 · The paper itself

Abstract

backgroundChildren treated with stem cell transplant (SCT) are routinely hospitalized for long periods where they are exposed to significant sleep and circadian disruptions. As nurses play a primary role in symptom management during SCT, we sought to understand their perspective on patient sleep and circadian disruptions, perceived barriers to a good sleep and circadian environment, and suggestions for improvement. PROCEDURE: Four focus groups were conducted with pediatric SCT nurses (N = 25 participants). A semistructured focus group guide was administered, with the discussions recorded and transcribed. A multistage thematic analysis combining prefigured and emergent dimensions was conducted. Our analysis focused on drawing comparisons within and across focus groups to understand the unique work experiences that participants had related to the patient's sleep and circadian environment.

resultsThree key themes emerged. First, nurses expressed a high awareness of how disruptive the hospital environment is for patients. Second, nurses described their extensive efforts to try to minimize the impact of these disruptions. Finally, they provided clear recommendations for how to improve upon these concerns, along with barriers that they perceive could impede implementation.

conclusionsFront-line caregivers on a pediatric SCT unit describe key contributors to sleep/circadian disturbances for patients. Within the constraints of the considerable medical needs of this patient population and the physical room/hospital environment, nurses strive to minimize these disruptions to the best of their ability. It is crucial that hospitals assess and remediate these disturbances for these children that have important implications for overall health.

Indexed as

InpatientsSleepCaregiversChildFocus GroupsHospitalsHumansFocus groupsinpatient disruptionsnurse perspectivepediatric stem cell transplant patientssleep and circadian health

Identifiers

PMID38110847
PMCPMC13148491
OpenAlexW4389953271

What OpenQuestion holds

Textmetadata
LicenceTDM
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.