P117 Interventions to improve sleep quality in hospitalised children: scoping review

Abstract Introduction Studies have consistently demonstrated that hospitalised children sleep poorly, and that ward environments are disruptive, leading to poor quality sleep. To date, literature around potential interventions to improve sleep in hospitalised children has not been synthesised. This study aims to address this gap and provide guidance for future research. Methods A systematic review of the current literature pertaining to the interventions that have been evaluated to improve quality and duration of sleep for hospitalised children (age 0-18yrs) was undertaken, following PRIMSA guidelines. A detailed individual search strategy was developed and performed within PubMed, Embase, CINAHL, Web of Science and Cochrane Library databases. Title and abstract screening of identified articles was undertaken by one investigator, with a second investigator screening 50% (93% concordance between investigators). Results The initial search yielded 2474 studies regarding interventions to improve sleep in hospitalised children. 58 of these were deemed eligible for inclusion. Interventions studied included (i) Child focused interventions- use of music, mother’s voice, white noise, storybook reading, massage and acupressure (ii) Nursing focus interventions- decreasing overnight vital sign monitoring and clustering cares and (iii) Development of educational material to promote optimal sleep environments through reducing noise, light and screen time for patients. Full text screening of the included studies is now underway. Conclusion By providing a comprehensive review of the efficacy of existing interventions employed to improve sleep in hospitalised children, we hope to identify current gaps in knowledge and provide guidance around the optimal approach to reduce sleep disruption in hospitalised children.