Advocating for a sleep-friendly hospital status
Notice bibliographique
Résumé
We welcome the call by Diane Lim and colleagues1Lim DC Najafi A Afifi L et al.The need to promote sleep health in public health agendas across the globe.Lancet Public Health. 2023; 8: e820-e826Summary Full Text Full Text PDF Scopus (4) Google Scholar to promote sleep health in public health agendas globally and strongly support their excellent and comprehensive range of recommendations. As a group of multidisciplinary paediatric professionals, we want to advocate for policies to support sleep in hospitals. Despite hospitals being centres for healing and recovery, one of the most fundamental strategies to achieve these aims—sleep—is typically not included as part of any treatment plan. Numerous studies have shown that environmental, institutional, and care provider factors disrupt inpatient sleep.2Fidler AL Voorhees S Zhou ES Stacciarini JM Fedele DA A systematic review and proposed conceptual model of sleep disturbances during pediatric hospitalizations.Sleep. 2022; 45zsac038 Crossref Scopus (5) Google Scholar, 3Peirce LB Orlov NM Erondu AI et al.Caregiver and staff perceptions of disruptions to pediatric inpatient sleep.J Clin Sleep Med. 2018; 14: 1895-1902Crossref PubMed Scopus (16) Google Scholar, 4Stremler R Micsinszki S Adams S Parshuram C Pullenayegum E Weiss SK Objective sleep characteristics and factors associated with sleep duration and waking during pediatric hospitalization.JAMA Netw Open. 2021; 4e213924 Crossref Scopus (11) Google Scholar Although awareness of these issues is growing, there appears to be little motivation to introduce the necessary changes that will lead to substantial, sustainable improvements. We call on WHO and UNICEF to back a “sleep-friendly” hospital status5Orlov NM Arora VM A call for a “sleep-friendly” designation in hospitals.Sleep. 2022; 45zsac066 Crossref Scopus (4) Google Scholar to lead to a quantum shift in sleep opportunities for inpatients, and their often coresident carers, in hospitals worldwide. By optimising sleep in hospital, recovery times could be shorter, longer-term outcomes improved, and there could be tangible economic, physical, and mental health benefits. To achieve sleep-friendly status, clear policies or standards are required. These should include how to protect and optimise hospital staff's sleep. Better sleep among health-care providers reduces errors and burnout and potentially improves staff retention.6Kancherla BS Upender R Collen JF et al.What is the role of sleep in physician burnout?.J Clin Sleep Med. 2020; 16: 807-810Crossref PubMed Scopus (17) Google Scholar Finally, contact with hospitals should be seen as an important opportunity to educate and model good sleep behaviours and to screen for healthy sleep and sleep disorders in as routine a way as we measure weight—including plotting hours of sleep against expected centiles for age. We declare no competing interests. AF is supported by an institutional research training grant (National Institutes of Health grant number T32DK063929). The need to promote sleep health in public health agendas across the globeHealthy sleep is essential for physical and mental health, and social wellbeing; however, across the globe, and particularly in developing countries, national public health agendas rarely consider sleep health. Sleep should be promoted as an essential pillar of health, equivalent to nutrition and physical activity. To improve sleep health across the globe, a focus on education and awareness, research, and targeted public health policies are needed. We recommend developing sleep health educational programmes and awareness campaigns; increasing, standardising, and centralising data on sleep quantity and quality in every country across the globe; and developing and implementing sleep health policies across sectors of society. Full-Text PDF Open Access
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,015 | 0,060 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,002 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,007 | 0,007 |
| Communication savante | 0,013 | 0,026 |
| Science ouverte | 0,004 | 0,013 |
| Intégrité de la recherche | 0,020 | 0,024 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,079 | 0,018 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».