Department of Neonatology, Wilhelmina Children's Hospital (Mss de Groot and Sam and Drs Alderliesten, Dudink, and van den Hoogen), and Brain Centre Rudolf Magnus (Drs Alderliesten and Dudink), University Medical Center Utrecht, Utrecht, the Netherlands; INFANT Centre, University College Cork, Cork, Ireland (Ms Ryan); Department of Neonatology, Cork University Maternity Hospital, Cork, Ireland (Ms Ryan); and UMC Utrecht Brain Center and Center of Excellence for Rehabilitation Medicine (Dr Verschuren), Utrecht University (Dr van den Hoogen), Utrecht, the Netherlands.
Adv Neonatal Care. 2023 Dec 1;23(6):499-508. doi: 10.1097/ANC.0000000000001102. Epub 2023 Aug 14.
Developmental care is designed to optimize early brain maturation by integrating procedures that support a healing environment. Protecting preterm sleep is important in developmental care. However, it is unclear to what extent healthcare professionals are aware of the importance of sleep and how sleep is currently implemented in the day-to-day care in the neonatal intensive care unit (NICU).
Identifying the current state of knowledge among healthcare professionals regarding neonatal sleep and how this is transferred to practice.
A survey was distributed among Dutch healthcare professionals. Three categories of data were sought, including (1) demographics of respondents; (2) questions relating to sleep practices; and (3) objective knowledge questions relating to sleep physiology and importance of sleep. Data were analyzed using Spearman's rho test and Cramer's V test. Furthermore, frequency tables and qualitative analyses were employed.
The survey was completed by 427 participants from 34 hospitals in 25 Dutch cities. While healthcare professionals reported sleep to be especially important for neonates admitted in the NICU, low scores were achieved in the area of knowledge of sleep physiology. Most healthcare professionals (91.8%) adapted the timing of elective care procedures to sleep. However, sleep assessments were not based on scientific knowledge. Therefore, the difference between active sleep and wakefulness may often be wrongly assessed. Finally, sleep is rarely discussed between colleagues (27.4% regularly/always) and during rounds (7.5%-14.3% often/always).
Knowledge about sleep physiology should be increased through education among neonatal healthcare professionals. Furthermore, sleep should be considered more often during rounds and handovers.
发育护理旨在通过整合支持康复环境的程序来优化早期大脑成熟。保护早产儿睡眠在发育护理中很重要。然而，目前尚不清楚医护人员对睡眠的重要性的认识程度，以及睡眠在新生儿重症监护病房（NICU）的日常护理中是如何实施的。
确定医护人员对新生儿睡眠的现有认知程度，以及如何将这种认知转化为实践。
向荷兰医护人员分发了一份调查。寻求了三类数据，包括（1）受访者的人口统计学数据；（2）与睡眠实践相关的问题；（3）与睡眠生理学和睡眠重要性相关的客观知识问题。使用 Spearman's rho 检验和 Cramer's V 检验分析数据。此外，还使用了频率表和定性分析。
该调查由来自 34 家荷兰医院的 427 名参与者完成。尽管医护人员报告说睡眠对 NICU 住院的新生儿特别重要，但在睡眠生理学知识方面的得分较低。大多数医护人员（91.8%）根据睡眠调整了选择性护理程序的时间。然而，睡眠评估并非基于科学知识。因此，活跃睡眠和清醒状态之间的差异可能经常被错误评估。最后，睡眠很少在同事之间（27.4%经常/总是）和轮班时（7.5%-14.3%经常/总是）进行讨论。
应通过对新生儿医护人员进行教育来提高对睡眠生理学的认识。此外，应在轮班和交接班时更频繁地考虑睡眠。
