• Lichuan Ye, Kathleen Keane, Stacy Hutton Johnson, and Patricia C Dykes.
• William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts 02467, USA. lichuan.ye@bc.edu
• J Nurs Adm. 2013 Jun 1; 43 (6): 342-7.

ObjectiveThe objective of this study was to characterize how clinicians assess, communicate about, and manage patient sleep, with the focus on identifying existing barriers and facilitators to sleep promotion in clinical practice.BackgroundSleep is a critical need for improving for hospitalized patients.MethodsContent analysis was used to interpret descriptive data from 4 group interviews with a total of 62 clinicians.ResultsClinicians reported they did not formally assess for patient sleep, which led to largely unmanaged sleep disruption during hospitalization. Major barriers to effective sleep management were limited understanding of the importance of sleep, lack of a standardized tool for assessment, and inadequate communication. Facilitators included collaborative communication with patients and the healthcare team and customized patient-centered interventions.ConclusionsIt is critical to inform clinicians on the importance of sleep, to standardize sleep assessment, and to facilitate collaboration among caregivers to promote sleep for hospitalized patients.

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