The HUSH Project: Using codesign to reduce sleep disruptions for patients in hospital.

codesign improvement patient experience quality sleep

Journal

Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926

Informations de publication

Date de publication:
23 Sep 2023
Historique:
revised: 09 09 2023
received: 10 04 2023
accepted: 16 09 2023
medline: 23 9 2023
pubmed: 23 9 2023
entrez: 23 9 2023
Statut: aheadofprint

Résumé

Poor quality sleep in hospitals may be problematic for patients, negatively impacting their recovery and wellbeing. This project aimed to investigate the effectiveness of codesign in addressing key issues affecting sleep disruption in the healthcare setting. Codesign with patients, staff and consumer representatives was conducted in an acute metropolitan tertiary public hospital in Sydney, Australia. Through a four-stage process, a multimodal intervention to address and reduce the impact of sleep disruptions among hospital inpatients was created. Pre- and post-intervention evaluation was used to determine changes in patient-reported sleep disruption. 'The HUSH Project' (Help Us Support Healing) intervention resulted from the codesign process, which included the provision of HUSH Sleep Packs (with earplugs, eye masks and herbal tea), patient information resources, and ward-based Sleep Champions. Survey data from 210 patients revealed a statistically significant decrease in patient-reported noise disturbances for patients in shared rooms following the 4-week intervention period of the HUSH program. The HUSH Project demonstrated that a novel multimodal intervention may be valuable in reducing sleep disruption in hospitals. These findings also indicate the benefits of using codesign methodology to support improvement projects that seek to enhance patient experiences of care. This project utilised codesign methodology, which involved significant contributions from patients and consumer representatives, from research conceptualisation into intervention design, implementation and project evaluation.

Sections du résumé

BACKGROUND BACKGROUND
Poor quality sleep in hospitals may be problematic for patients, negatively impacting their recovery and wellbeing. This project aimed to investigate the effectiveness of codesign in addressing key issues affecting sleep disruption in the healthcare setting.
METHODS METHODS
Codesign with patients, staff and consumer representatives was conducted in an acute metropolitan tertiary public hospital in Sydney, Australia. Through a four-stage process, a multimodal intervention to address and reduce the impact of sleep disruptions among hospital inpatients was created. Pre- and post-intervention evaluation was used to determine changes in patient-reported sleep disruption.
RESULTS RESULTS
'The HUSH Project' (Help Us Support Healing) intervention resulted from the codesign process, which included the provision of HUSH Sleep Packs (with earplugs, eye masks and herbal tea), patient information resources, and ward-based Sleep Champions. Survey data from 210 patients revealed a statistically significant decrease in patient-reported noise disturbances for patients in shared rooms following the 4-week intervention period of the HUSH program.
CONCLUSION CONCLUSIONS
The HUSH Project demonstrated that a novel multimodal intervention may be valuable in reducing sleep disruption in hospitals. These findings also indicate the benefits of using codesign methodology to support improvement projects that seek to enhance patient experiences of care.
PATIENT OR PUBLIC CONTRIBUTION UNASSIGNED
This project utilised codesign methodology, which involved significant contributions from patients and consumer representatives, from research conceptualisation into intervention design, implementation and project evaluation.

Identifiants

pubmed: 37740911
doi: 10.1111/hex.13881
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : The St Vincent's Curran Foundation

Informations de copyright

© 2023 The Authors. Health Expectations published by John Wiley & Sons Ltd.

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Auteurs

Corey Adams (C)

Australian Institute of Health Innovation (AIHI), Macquarie University, Sydney, Australia.

Ramesh Walpola (R)

School of Population Health, University of New South Wales (UNSW), Sydney, Australia.
School of Health Sciences, University of New South Wales (UNSW), Sydney, Australia.

Anthony Schembri (A)

St Vincent's Health Network, Sydney, Australia.

Reema Harrison (R)

Australian Institute of Health Innovation (AIHI), Macquarie University, Sydney, Australia.

Classifications MeSH