SIESTA (Sleep for Inpatients: Educating Staff to Act) - Resubmission 01

描述（由申请人提供）：虽然睡眠对生物功能至关重要，在急性疾病的康复过程中至关重要，但住院治疗远非休息。在全国范围内接受过医疗保险的病人中，几乎有一半的人表示，他们的病房在晚上没有保持安静。我们之前的工作已经证明，住院是患者急性睡眠剥夺的时期，医院房间夜间的噪音水平通常很高，医院的噪音水平与临床显著的睡眠缺失有关。之前的研究也表明，睡眠不足与早晨血压升高有关。此外，这些睡眠中断的根源是可改变的因素，如工作人员谈话和医疗中断。除了防止住院患者持续睡眠不足外，住院还意味着错过了筛查患者睡眠障碍并向他们提供适当睡眠卫生教育的机会。鉴于住院患者中睡眠障碍的患病率非常高，常规筛查潜在睡眠障碍的患者可以促进接受光学治疗并改善患者的健康状况。尽管专家们一致认为有必要优化医院的睡眠，改善住院患者的睡眠障碍筛查，但迄今为止还没有一个教育项目专注于培训医院员工来实现这一改变。为了解决这些问题并改善美国医院的睡眠，我们的目标是开发、实施和评估SIESTA（住院患者睡眠：授权员工行动）教育计划。我们将利用一个多学科小组的技能，教师和顾问的专业知识

DESCRIPTION (provided by applicant): Although sleep is imperative to biological function and of critical importance in the recovery process from acute illness, hospitalization is far from restful. Almost half of Medicare patients who have been hospitalized nationwide state that their hospital room was not kept quiet at night. Our prior work has demonstrated that hospitalization is a period of acute sleep deprivation for patients, nighttime noise levels in hospital rooms are often high, and that hospital noise levels are associated with clinically significant sleep loss. Or prior work has also demonstrated that this sleep loss is associated with higher morning blood pressure measurement. Furthermore, at the root of these sleep disruptions are modifiable factors, such as staff conversation and medical care interruptions. In addition to guarding against ongoing sleep loss in hospitalized patients, hospitalization represents a 'missed opportunity' to screen patients for sleep disorders and provide them with education regarding proper sleep hygiene. Given the very high prevalence of sleep disorders among hospitalized patients, routinely screening patients for potential sleep disorders can facilitate receipt of optial treatment and improved health for patients. Although experts agree on the need to optimize sleep in hospitals and improve screening for sleep disorders among hospitalized patients, no educational program to date has focused on training hospital staff to achieve this change. To address these concerns and improve sleep in US hospitals, we aim to develop, implement, and evaluate the SIESTA (Sleep for Inpatients: Empowering Staff to Act) educational program. We will draw upon the skills of a multidisciplinary group of faculty and consultants with expertise in clinical sleep, sleep research, educational theory, public health education outreach, continuing medical education, and e-learning. Together, our team will deploy a variety of innovative educational methods, which specifically align with the Kolb experiential learning cycle, which is designed to enable learners to reflect and put skills into practice. To evaluate the program's effectiveness, we will test the program at the University of Chicago and use the Kirkpatrick four levels of evaluation model, which specifies measurement of learner satisfaction, knowledge, behavior, and patient outcomes. Lastly, we will aim to spread this program through the NIH-CTSA supported LEARN (Learning Effectiveness and Research Network) of Chicago teaching hospitals, and use the RE-AIM model to test the spread and sustainability of this program. Dissemination will be achieved through traditional mechanism as well as novel partnerships with professional societies and industry.