Sleep Well Be Well

Massachusetts General Hospital (Boston, Massachusetts)

CSI Summary

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CSI Presentation

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CSI Toolkit

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Added to Collection

Project Topic

Quiet at night

Hospital Unit

Cardiac Surgical Step Down Unit – Ellison 8

CSI Participants

Kelly Hutchinson, BSN, RN
Melissa Pace, BSN, RN
Carolyn LaMonica Velez, RN, ACCNS-AG-BC, CARN

Project Goals/Objectives

  1. To increase Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores on the unit
  2. To improve patient satisfaction
  3. To improve patient outcomes
  4. To provide 100% of patients with a sleep kit
  5. To decrease red-light events on the noise tracker to fewer than two per night

Project Outcomes

  1. Increased HCAHPS scores to 33.3%
  2. Decreased patient perception of noise on the unit 8%
  3. Distributed sleep kits to patients on the unit
  4. Decreased red-light events on unit noise tracker to two per night
  5. Arranged for future distribution of sleep kits hospital-wide

Project Overview

Our floor’s “quiet at night” HCAHPS score was the lowest in the hospital. This meant our patients were not getting the quality of sleep needed to promote healing, and our hospital was losing reimbursement funds related to HCAHPS scores it by not meeting national target goals.

Our floor did not have a formal program aimed at improving patient sleep or our HCAHPS scores for quietness at night, so our CSI team researched the benefits of sleep and how sleep impacts patients in the hospital. Once we completed our research, we created a PowerPoint presentation to educate staff about the importance of our patients’ sleep. We created a sleep kit for patients to aid them in achieving a good night’s rest. We also surveyed patients at the start of the project to see what they felt impacted their sleep at night.

Based on their responses, our team implemented a variety of interventions, such as labeling light switches, adjusting volumes on monitors and bundling care when possible, in hopes of improving sleep. Along with these interventions, we rewarded staff on a job well done when it was appropriate to do so.

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The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.

The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.