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

描述(申请人提供)：尽管睡眠对生物功能是必不可少的，对急性疾病的康复过程也至关重要，但住院治疗远远不是安宁的。在全国范围内住院的联邦医疗保险患者中，近一半表示他们的病房晚上没有保持安静。我们以前的工作表明，住院是患者急性睡眠剥夺的时期，医院房间里的夜间噪音水平通常很高，医院噪音水平与临床上显著的睡眠损失有关。先前的研究也表明，这种睡眠不足与早晨较高的血压测量有关。此外，这些睡眠中断的根源是可修改的因素，如工作人员对话和医疗护理中断。除了防止住院患者持续睡眠不足外，住院治疗还意味着错过了筛查患者睡眠障碍并为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发生率非常高，定期对患者进行潜在的睡眠障碍筛查可以促进患者接受优化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，并改善住院患者的睡眠障碍筛查，但到目前为止，还没有任何教育计划专注于培训医院工作人员来实现这一变化。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、实施和评估午睡(住院患者的睡眠：授权工作人员采取行动)教育计划。我们将利用一个多学科的教职员工和顾问小组的技能，他们具有以下专业知识 临床睡眠、睡眠研究、教育理论、公共健康教育外展、继续医学教育和电子学习。我们的团队将共同部署多种创新的教育方法，这些方法专门与Kolb体验式学习周期保持一致，旨在让学习者反思并将技能付诸实践。为了评估该计划的有效性，我们将在芝加哥大学测试该计划，并使用柯克帕特里克四级评估模型，该模型指定了对学习者满意度、知识、行为和患者结果的衡量。最后，我们将致力于通过芝加哥教学医院的NIH-CTSA支持的学习(学习有效性和研究网络)来推广这一计划，并使用RE-AIM模型来测试这一计划的传播性和可持续性。传播将通过传统机制以及与专业协会和行业的新型伙伴关系来实现。

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.