Feasibility and utility of enhanced sleep management on in-patient psychiatry wards.

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Title: Feasibility and utility of enhanced sleep management on in-patient psychiatry wards.
Authors: Novak, Chloe (AUTHOR), Packer, Emma (AUTHOR), Paterson, Alastair (AUTHOR), Roshi, Ambrina (AUTHOR), Locke, Rosie (AUTHOR), Keown, Patrick (AUTHOR), Watson, Stuart (AUTHOR), Anderson, Kirstie N. (AUTHOR)
Source: BJPsych Bulletin. Dec2020, Vol. 44 Issue 6, p255-260. 6p.
Subjects: Sleep interruptions, Sleep apnea syndromes, Nursing assessment, Psychiatric nursing, Sleep disorders, Mental health screening
Abstract: Aims and method: Sleep disturbance is common in psychiatry wards despite poor sleep worsening mental health. Contributory factors include the ward environment, frequent nightly checks on patients and sleep disorders including sleep apnoea. We evaluated the safety and feasibility of a package of measures to improve sleep across a mental health trust, including removing hourly checks when safe, sleep disorder screening and improving the ward environment. Results: During the pilot there were no serious adverse events; 50% of in-patients were able to have protected overnight sleep. Hypnotic issuing decreased, and feedback from patients and staff was positive. It was possible to offer cognitive–behavioural therapy for insomnia to selected patients. Clinical implications: Many psychiatry wards perform standardised, overnight checks, which are one cause of sleep disruption. A protected sleep period was safe and well-tolerated alongside education about sleep disturbance and mental health. Future research should evaluate personalised care rather than blanket observation policies. [ABSTRACT FROM AUTHOR]
Copyright of BJPsych Bulletin is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Feasibility and utility of enhanced sleep management on in-patient psychiatry wards.
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  Data: <searchLink fieldCode="AR" term="%22Novak%2C+Chloe%22">Novak, Chloe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Packer%2C+Emma%22">Packer, Emma</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Paterson%2C+Alastair%22">Paterson, Alastair</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Roshi%2C+Ambrina%22">Roshi, Ambrina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Locke%2C+Rosie%22">Locke, Rosie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Keown%2C+Patrick%22">Keown, Patrick</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Watson%2C+Stuart%22">Watson, Stuart</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Anderson%2C+Kirstie+N%2E%22">Anderson, Kirstie N.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22BJPsych+Bulletin%22">BJPsych Bulletin</searchLink>. Dec2020, Vol. 44 Issue 6, p255-260. 6p.
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  Data: <searchLink fieldCode="DE" term="%22Sleep+interruptions%22">Sleep interruptions</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+apnea+syndromes%22">Sleep apnea syndromes</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+assessment%22">Nursing assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+nursing%22">Psychiatric nursing</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+disorders%22">Sleep disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+screening%22">Mental health screening</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Aims and method: Sleep disturbance is common in psychiatry wards despite poor sleep worsening mental health. Contributory factors include the ward environment, frequent nightly checks on patients and sleep disorders including sleep apnoea. We evaluated the safety and feasibility of a package of measures to improve sleep across a mental health trust, including removing hourly checks when safe, sleep disorder screening and improving the ward environment. Results: During the pilot there were no serious adverse events; 50% of in-patients were able to have protected overnight sleep. Hypnotic issuing decreased, and feedback from patients and staff was positive. It was possible to offer cognitive–behavioural therapy for insomnia to selected patients. Clinical implications: Many psychiatry wards perform standardised, overnight checks, which are one cause of sleep disruption. A protected sleep period was safe and well-tolerated alongside education about sleep disturbance and mental health. Future research should evaluate personalised care rather than blanket observation policies. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of BJPsych Bulletin is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1192/bjb.2020.30
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      – Code: eng
        Text: English
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      – SubjectFull: Sleep apnea syndromes
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      – SubjectFull: Nursing assessment
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      – SubjectFull: Psychiatric nursing
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      – SubjectFull: Sleep disorders
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      – SubjectFull: Mental health screening
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      – TitleFull: Feasibility and utility of enhanced sleep management on in-patient psychiatry wards.
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              Text: Dec2020
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