Quiet Time Means No Screen Time: A Project Aiming to Increase Restful Sleep within the Pediatric Acute Care Unit

Abstract

AbstractThe use of blue-light-emitting smart devices prior to bedtime has been identified as one of the reasons of increased pediatric sleep disturbances and poor sleep quantity. Interrupted sleep is a risk factor for healing and well-being in the pediatric acute ward. The aim of this project was to promote high-quality sleep within our pediatric ward by implementing a standardized protocol that eliminated exposure to electronic blue light prior to bedtime, per recommendations from the American Academy of Pediatrics. Our objective was to promote enhanced quantity of sleep and healing by restricting and removing all smart devices during nighttime hours in the pediatric acute ward. We utilized the Bedtime issues, Excessive daytime sleepiness, night Awakenings, Regularity and duration of Sleep, and Snoring validated screening tool, Children Sleep Habit Questionnaire, and included a survey question regarding smart device use to evaluate patients' sleep routine. After the implementation of “no screen time” innovation, patients' and parents' quantity of sleep and total restful hours was reassessed and pre/post results analyzed. The pilot project evaluated 57 patients aged 18 months to 19 years with varying admitting diagnoses. The quiet time innovation results demonstrated improved length and reported uninterrupted sleep among patients. Eliminating electronic screens during evening (sleeping) hours in the acute care setting was associated with improved sleep among pediatric patients, enhancing potential for recovery, promoting well-being, and modeling effects of limiting screen time for participants.