Clinical practices to promote sleep in the ICU: A multinational survey

Hofhuis, José G.M.; Rose, Louise; Blackwood, Bronagh; Åkerman, Eva; McGaughey, Jennifer; Egerod, Ingrid; Fossum, Mariann; Foss, Helene; Georgiou, Εvanthia; Graff, Heidi J.; Kalafati, Maria; Sperlinga, Riccardo; Berardo, Alessandra; Schäfer, Andreas; Gutysz-Wojnicka, Aleksandra; Spronk, Peter E.

doi:10.1016/j.ijnurstu.2018.03.001

Cited by 18 publications

(29 citation statements)

References 33 publications

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“…Implementation of nursing procedures (including those aimed at improving sleep quality) is not exceptional (Hofhuis et al., 2018; Kamdar et al., 2016). Experimental studies assessing the effect of implementation of sleep protocols, with clustering of interventions being an integral part, also document the positive impact on sleep quality and quantity (Knauert et al., 2019; Li et al., 2011; Monsén & Edéll‐Gustafsson, 2005; Patel et al., 2014).…”

Section: Discussionmentioning

confidence: 99%

Sleep‐disrupting effects of nocturnal nursing interventions in intensive care unit patients: A systematic review

Locihová¹,

Axmann

Žiaková

2020

Journal of Sleep Research

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Patients staying in the intensive care unit (ICU) require constant monitoring and numerous nursing interventions performed as needed, irrespective of daytime or night‐time. The disturbing effect of nocturnal nursing interventions and their contribution to sleep disruptions are unclear. The review analysed nocturnal nursing interventions, and their character, frequency and effects on sleep quality. The databases CINAHL, PubMed and Scopus were searched to identify and subsequently evaluate 19 studies (1,531 patients) meeting the algorithm used. Although nocturnal nursing interventions provided to ICU patients were frequent and varied, they were responsible for only a minority of observed sleep disruptions. The most frequent nocturnal intervention was Vital signs monitoring (Nursing Interventions Classification, 6,680). Implementation of sleep protocols, of which an integral part is clustering and planning of nocturnal interventions, appears to be effective. The review suggests that nursing interventions are not the main cause of sleep disruptions in the ICU. In an effort to improve the quality of sleep in ICU patients, other factors causing disturbance need to be addressed as well. The current trend is more careful planning of nursing care, clustering of interventions and minimizing nocturnal disruptions to allow patients at least one uninterrupted sleep cycle (90 min).

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Section: Discussionmentioning

confidence: 99%

Sleep‐disrupting effects of nocturnal nursing interventions in intensive care unit patients: A systematic review

Locihová¹,

Axmann

Žiaková

2020

Journal of Sleep Research

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“… 6 However, sleep promotion protocol at the unit level is below optimum levels, in multinational studies outside the United States, only 10% of the ICUs have adopted sleep promotion protocol. 46 This is likely due to the higher priority patient care and monitoring required in the ICUs that contribute to frequent sleep disruptions. 5 , 31 To overcome such barriers to sleep promotion in the ICUs, implementation of structured sleep protocol could help change the unit workflow and environmental factors so that sleep promotion can become a part of the unit norms whenever possible.…”

Section: Discussionmentioning

confidence: 99%

Validity and reliability of sleep promotion questionnaire and predictors of quality of care

Kim

Pedersen

2018

SAGE Open Medicine

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Sleep disturbance among hospitalized patients is a common threat to their recovery. Sleep is essential for healing, but patients often experience sleep disturbance due to frequent awakening and negative environmental factors. 1-3 Clinical practice guidelines recommend redesigning workflow and improving patient environment to promote sleep. 4 However, sleep promotion is not a high priority for most nurses and other healthcare providers, which could negatively impact the quality of care. 5,6 Background Sleep is vital for maintenance of health and survival. It consists of rapid eye movement (REM) sleep and three non-REM sleep stages, N1, N2, and N3. Each stage is characterized by a unique combination of eye movements, brain electrical activities, and muscle movements. 7 According to the American Academy of Sleep Medicine (AASM), normal sleep includes (a) absence of sleep disturbance or daytime

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“…Este conjunto de estratégias expostas vai de encontro ao resultado de estudos que abordam a utilização de máscaras para os olhos e tampões auriculares, na promoção do sono dos doentes, internados em Unidades de Cuidados Intensivos (Vieira, Ferreira, & Goes, 2018). A utilização de tampões auriculares é também mencionada no estudo desenvolvido por Hofhuis et al (2018)…”

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Doente sedado, consciente e ventilado invasivamente: terapêuticas de enfermagem

Morais

Mata

Fernandes

et al. 2021

RIIS

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Enquadramento: a sedação dos doentes sob ventilação invasiva tem sofrido uma mudança de paradigma, traduzida na utilização de protocolos de sedação ligeira, que possibilite que os mesmos estejam conscientes, sempre que possível. Os enfermeiros, através da implementação de terapêuticas de enfermagem adequadas têm papel relevante nesta transição saúde-doença. Objetivo: identificar as terapêuticas de enfermagem valorizadas pelos enfermeiros de Cuidados Intensivos, no cuidado ao doente ventilado invasivamente, sedado e consciente. Metodologia: estudo qualitativo, exploratório, mediante um focus group, com recurso à análise de conteúdo segundo Bardin. Amostra constituída por seis enfermeiros peritos, especialistas em enfermagem médico-cirúrgica, a exercer, em Serviços de Cuidados Intensivos de quatro hospitais do norte de Portugal. Resultados: emergiram cinco categorias de terapêuticas de enfermagem: redimensionamento da vigilância, gestão da terapêutica, autocuidado (com cinco subcategorias), implementação de estratégias comunicacionais e implementação de estratégias face à agitação/desorientação (com três subcategorias). Conclusões: as terapêuticas de enfermagem à pessoa sedada, consciente e ventilada invasivamente, valorizadas pelos enfermeiros de cuidados intensivos, focam-se no incremento da vigilância dos doentes, na gestão da analgesia/sedação, na promoção do potencial de autocuidado, na implementação de estratégias facilitadoras da comunicação e de estratégias para gestão dos quadros de agitação/desorientação.

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Clinical practices to promote sleep in the ICU: A multinational survey

Abstract: We found variation in sleep promotion interventions across European regions with few ICUs using sleep assessment questionnaires or sleep promoting protocols. However, many ICUs perceive implementation of sleep protocols important, particularly those in central Europe.

Cited by 18 publications

References 33 publications

Sleep‐disrupting effects of nocturnal nursing interventions in intensive care unit patients: A systematic review

Sleep‐disrupting effects of nocturnal nursing interventions in intensive care unit patients: A systematic review

Validity and reliability of sleep promotion questionnaire and predictors of quality of care

Doente sedado, consciente e ventilado invasivamente: terapêuticas de enfermagem

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