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Patient- and Family-Centered Care is a core value of The Children's Hospital of Philadelphia (CHOP). Satisfaction/ experience data are closely tracked to assist in determining if hospital staff are partnering effectively with patients and families. When opportunities for improvement were identified within the Nursing Department, an existing institutional model, KIDS CARE, was used to promote change. KIDS CARE was developed to teach and reinforce respectful behaviors for nurses initiating partnerships with patients and families. The Patient Satisfaction Committee partnered with the Family Advisory Council and Shared Governance Council to revise this model to help achieve the goals of improving quality of care. Next steps involved educating patients, families, and staff using innovative multimodal strategies. By engaging in this renewed commitment to Patient- and Family-Centered Care, systems and structures were developed to keep KIDS CARE relevant and make strides toward improved outcomes for patients and families., Atypical day for hospitalized pediatric patients and their families involves interacting with multiple staff members. Each staff member has a different focus (e.g., nursing, medical, respiratory); thus, patients and families [...]

Although sleep complaints during pediatric hospitalization are common, few studies have examined different aspects of sleep or the impact of pediatric hospitalization on parent sleep. This study examined multiple aspects of sleep for 72 non-intensive care pediatric inpatients and 58 rooming-in parents who completed a self-report survey of sleep at home and in the hospital, and sleep disturbances in the hospital. Younger children reported later bedtimes, later wake times, more night wakings, and shorter total sleep time while hospitalized. Adolescents had later wake times, more night wakings, and longer total sleep time during hospitalization. Parents reported later bedtimes, later wake times, and more night wakings when rooming-in. Sleep was significantly disrupted during hospitalization, more so for younger children and parents. Sleep disturbances due to noises, worries, pain, and vital sign checks were related to longer sleep onset latency, increased night wakings, and earlier wake time. Interventions that reduce these disruptions, many of which are amenable to nursing influence, are needed to improve child and parent sleep in hospital., Complaints of sleep problems among hospitalized patients are common; however, little research has focused on sleep patterns, sleep quality, and causes of sleep disruptions in pediatric patients and their parents. [...]