Where Do Parents Sleep Best When Children Are Hospitalized? A Pilot Comparison Study

Franck, Linda S.; Wray, Jo; Gay, Caryl; Dearmun, Annette; Alsberge, Isaline; Lee, Kathryn A.

doi:10.1080/15402002.2013.801347

Cited by 54 publications

(25 citation statements)

References 22 publications

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“…At hospitals where single rooms cannot be offered, it is important to find other ways to make sure the parents are given the opportunity to find some peace and quiet. Some hospitals offer accommodation at Ronald McDonald House, which facilitates parents’ attendance during their child's admission and provides opportunities for essential sleep for the parents (Franck et al, ).…”

Section: Discussionmentioning

confidence: 99%

“Like Walking in a Fog”—Parents' perceptions of sleep and consequences of sleep loss when staying overnight with their child in hospital

Angelhoff

Sjølie

Mörelius

et al. 2019

Journal of Sleep Research

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Summary Disruption of parental sleep in hospital, with frequent awakenings and poor sleep quality, limits the parents' resources to meet the child's needs and maintain parental wellbeing. The aim of the study was to explore and describe how parents perceive their sleep when staying overnight with their sick child in hospital. A further aim was to explore and describe parents’ perception of what circumstances influence their sleep in the hospital. Twenty‐two parents who were accommodated with their sick child (0–17 years) in paediatric wards in Norway and Sweden participated. Interviews were conducted during the hospital stay to elicit their perspectives. Phenomenography was used to analyse data. Two descriptive categories were found: (a) “Perceptions of sleep”, with two sub‐categories: “Sleep in the paediatric ward” and “Consequences of sleep loss”; and (b) “Circumstances influencing sleep in the paediatric ward” with three sub‐categories: “The importance of the family”, “Information and routines at the paediatric ward”, and “Accommodation facilities”. Parents’ sleep and needs must be acknowledged in paediatric wards. An individual plan of care for the upcoming night could be a valuable tool for both the parents and nurses. The child's medical needs must be met with respect to the parents’ willingness to take part in the child's care during the night, and the need for rest and sleep for both parent and child.

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Section: Discussionmentioning

confidence: 99%

“Like Walking in a Fog”—Parents' perceptions of sleep and consequences of sleep loss when staying overnight with their child in hospital

Angelhoff

Sjølie

Mörelius

et al. 2019

Journal of Sleep Research

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“…Other aims were as follows: prevalence estimates of self-report sleep quantity and quality among parents accommodated on the paediatric oncology ward (McLoone et al, 2013), and descriptions and measurement of sleep quantity and sleep patterns (Bevan et al, 2019;Nassery & Landgren, 2018), and additionally, factors affecting the sleep of parents with critically ill children (Stremler et al, 2014;Stremler, Haddad, Pullenayegum, & Parshuram, 2017) as well as strategies used to improve parents' sleep (Stremler, Dhukai, Wong, & Parshuram, 2011). Finally, aims also included comparisons of sleep quality and quantity among the parents who were accommodated bedside at the hospital and those who slept at a Ronald McDonald House (Franck et al, 2014).…”

Section: Aimsmentioning

confidence: 99%

A systematic integrative review of parents' experience and perception of sleep when they stay overnight in the hospital together with their sick children

Løyland

Angelhoff

Kristjánsdóttir

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To elucidate knowledge available on parents' experience and perception of sleep when they stay overnight in hospital together with their sick children. Background In Nordic countries, children are entitled to have at least one parent with them during hospitalisation. Parents' sleep, when accommodated at the hospital during the child's admission, may be a challenge. Design A systematic literature search was conducted in EMBASE, MEDLINE and PsycINFO; period is restricted from 1 January 2007 to 1 April 2019. Studies included were those in which parents were accommodated in hospital with their child, 0–18 years of age, for at least one night. Original peer‐reviewed scientific research papers conducting qualitative, quantitative or mixed designs were included. Systematic reviews were not included. This systematic integrative review was registered in PROSPERO and performed according to the PRISMA guidelines. All authors participated in study selection, data extraction and quality assessment of the literature. Results Fifteen studies were included, and they varied in terms of origin, aims, design, methods used and sample size. Three overall main themes appeared: sleep quality, factors affecting sleep and consequences of sleep loss. Combined psychological factors were found to affect parents' sleep, as well as isolated psychological factors, for example, stress, anxiety, worries and difficult thoughts. Environmental and social factors were also identified, for example, privacy and caring for family. Conclusion Study of this subject is still in its exploratory phase. There is a need for the development of theory of substance in the clarification of the meaning of sleep among parents during difficult times such as children's hospitalisation. Relevance to clinical practice Understanding risk factors associated with sleep and sleep deprivation in parents staying overnight in the hospital with their sick child is important, since lack of sleep may lead to serious stress‐related outcomes for the parents.

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“…This has been reported beneficial for parents' psychosocial wellbeing and perceptions of child recovery (Franck et al, 2013, Franck et al, 2015 and for parents' sleep (Franck et al, 2014). One of the hospitals could offer families access to a Ronald McDonald house, but these parents were not included in the studies as we focused on parent's staying at the hospital or in home care.…”

Section: Being Together As a Family Improves Sleep And Decreases Stressmentioning

confidence: 99%

“…Previous studies report that parents accommodated with their child in hospital have poor parental sleep quality and frequent nocturnal awakenings (McCann, 2008, Franck et al, 2014, Meltzer et al, 2012. Stress in parents of infants in neonatal intensive care is correlated with anxiety, fatigue, depression and sleep disruption (Busse et al, 2013), and they are at greater risk of postpartum depression and posttraumatic stress disorder compared to parents of healthy children (Vigod et al, 2010).…”

Section: But What About the Parents?mentioning

confidence: 99%

“…decreased ability to make decisions and to cope with the challenges of the child's illness (Stickland et al, 2016). Franck et al (2014) report that parents experience more sleep disruption when they are accommodated at their child's bedside in hospital than when having a room at the hospital's onsite Ronald McDonald house. Stremler et al (2014) found in an observational study that parents of children with critical conditions met the criteria for acute sleep deprivation for more than a quarter of nights in hospital, and that sleep was interrupted with frequent nocturnal awakenings during.…”

Section: Parents With Children In Hospitalmentioning

confidence: 99%

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What about the parents? : Sleep quality, mood, saliva cortisol response and sense of coherence in parents with a child admitted to pediatric care

Angelhoff¹

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Parents experience many stressful situations when their child is ill and needs medical care, irrespective of the child’s age, diagnosis or the severity of the illness. Poor sleep quality and negative mood decrease the parents’ ability to sustain attention and focus, to care for their ill child, and to cope with the challenges they face. The overall aim of this thesis was to evaluate sleep, mood, cortisol response, and sense of coherence (SOC) in parents caring for children in need of medical care, and to identify factors that may influence parents’ sleep. This thesis includes four original studies; two of these are quantitative, prospective, descriptive and comparative studies including parents (n=82) accommodated in six pediatric wards with their ill child, using questionnaires and sleep logs to measure sleep, mood and SOC, and saliva cortisol to measure cortisol response. A follow-up was performed four weeks later at home, after hospital discharge. The other two studies are qualitative, inductive and explorative interview studies, including parents (n=12) staying overnight with their preterm and/or ill infant in three neonatal intensive care units, and parents (n=15) with a child receiving hospital-based home care in two pediatric outpatient clinics. The interviews were analyzed with a phenomenographic method. Being together with one’s family seems beneficial for sleep and may decrease stress. The ability to stay with the child, in the hospital or at home, was highly appreciated by the parents. When caring for a child with illness, parents’ sleep quality was sufficient in the hospital; however, sleep quality improved further (p<0.05) at home after discharge. The parents reported frequent nocturnal awakenings in the hospital caused by the child, medical treatment and hospital staff. Concern and anxiety about the child’s health, and uncertainty about the future were stressors affecting the parents’ sleep and mood negatively. The parents had lower (p=0.01) morning awakening cortisol levels in the pediatric ward compared to at home, and parents accommodated for more than one night had lower (p<0.05) post-awakening cortisol levels compared to parents staying their first night. The findings of this thesis conclude that being together as a family is important for the parents’ sleep. The ability to be accommodated in the hospital and gather the family around the child may have given the parents time for relaxation and recovery, that in turn may lead to a less stressful hospital stay. When it is beneficial for the child, the whole family should be included in the pediatric care. Moreover, pediatric nurses must acknowledge parents’ sleep, in hospital and at home. Medical treatment and care at night should be scheduled and sleep promoted for the parents in order to maintain health and well-being in the family.

The electronic version of the thesis is a corrected version of the printed thesis.

This thesis has also been funded by Barnklinikens 60-årsfond, Filip SchelinsStiftelse, Riksföreningen för barnsjuk...

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Where Do Parents Sleep Best When Children Are Hospitalized? A Pilot Comparison Study

Cited by 54 publications

References 22 publications

“Like Walking in a Fog”—Parents' perceptions of sleep and consequences of sleep loss when staying overnight with their child in hospital

“Like Walking in a Fog”—Parents' perceptions of sleep and consequences of sleep loss when staying overnight with their child in hospital

A systematic integrative review of parents' experience and perception of sleep when they stay overnight in the hospital together with their sick children

What about the parents? : Sleep quality, mood, saliva cortisol response and sense of coherence in parents with a child admitted to pediatric care

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