The Richards-Campbell Sleep Questionnaire and Sleep in the Intensive Care Unit Questionnaire: translation to Portuguese and cross-cultural adaptation for use in Brazil

Biazim, Samia Khalil; Souza, Daniela Almeida de; Carraro, Hipólito; Richards, Kathy; Valderramas, Sílvia

doi:10.36416/1806-3756/e20180237

Cited by 8 publications

(6 citation statements)

References 38 publications

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“…The circadian rhythm is an internal pathway that is heavily influenced by external stimuli, which can easily result in sleep–wake disruption 5 . Examples of external stimuli in the ICU may include noise, light, immobility, and interventions such as respiratory support, medication administrations, and general nursing care 4,6–11 . Awakenings are likely to negatively impact sleep quality due to inability to maintain rapid eye movement (REM) and other deep stages of sleep 1,5,8 .…”

Section: Introductionmentioning

confidence: 99%

“…5 Examples of external stimuli in the ICU may include noise, light, immobility, and interventions such as respiratory support, medication administrations, and general nursing care. 4,[6][7][8][9][10][11] Awakenings are likely to negatively impact sleep quality due to inability to maintain rapid eye movement (REM) and other deep stages of sleep. 1,5,8 Disrupted sleep can lead to aberrant circadian rhythm and adverse effects such as nitrogen or metabolic imbalances, end organ injury, chemoreceptor alteration, and immune system dysfunction.…”

Section: Introductionmentioning

confidence: 99%

“…4,[6][7][8][9][10][11] Awakenings are likely to negatively impact sleep quality due to inability to maintain rapid eye movement (REM) and other deep stages of sleep. 1,5,8 Disrupted sleep can lead to aberrant circadian rhythm and adverse effects such as nitrogen or metabolic imbalances, end organ injury, chemoreceptor alteration, and immune system dysfunction. 5 On a larger scale, such changes may manifest as respiratory drive abnormalities, blood pressure deviations, unnecessary inflammatory responses, insulin resistance, and decreased pain thresholds, all of which are detrimental to the critically ill patient.…”

Section: Introductionmentioning

confidence: 99%

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Nighttime medication administration and patient perception of sleep in the intensive care unit

Howell

Seung

et al. 2023

J Am Coll Clin Pharm

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Introduction Environmental, patient, disease, and care‐related factors can lead to sleep disruption in the intensive care unit (ICU). Medication administration is a potentially modifiable factor in this setting that has not been well described as a target for sleep improvement. Objectives To determine characteristics of nighttime medication administration practices in the ICU, evaluate the effect on patient perceived sleep, and assess the opportunity for pharmacist‐led nighttime medication administration stewardship. Methods This was a multicenter, retrospective, observational cohort study. Patients included for chart review had perceived sleep measured using the Richards‐Campbell Sleep Questionnaire (RCSQ). Data were collected on patient characteristics, ICU exposures, and nighttime medications administered. Four RCSQ groups defined for comparison were RCSQ 0–25 indicating “very poor” sleep, 26–50 “poor” sleep, 51–75 “good” sleep, and 76–100 “very good” sleep. Results Overall, 115 patients with RCSQ assessments and 435 nighttime medication administrations were included. Nighttime medications were most commonly cardiovascular (28.9%) and central nervous system (21.4%) agents, administered via intravenous (54.5%) and oral (22.7%) routes. Patient characteristics were comparable between the four groups except for history of head trauma. Patients reporting very poor sleep had a significantly higher median number of nighttime medications administered as compared to patients reporting very good sleep (4.0 [interquartile range (IQR) (2, 6)] vs. 2.5 [IQR 1, 4], adjusted p = 0.048). Approximately three‐quarters of nighttime medications occurred between the hours of 22:00–0:59 and 5:00–5:59. Nearly 40% of nighttime medications could have been retimed for daytime administration. Conclusions Unnecessary nighttime medication administration is common and associated with poor patient perceived sleep in the ICU. Pharmacists are well‐positioned to evaluate timing of medication administration and cluster medication‐related care for daytime hours, when appropriate. Nighttime medication stewardship optimization by pharmacists is an opportunity to improve patient perceived sleep in the ICU.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nighttime medication administration and patient perception of sleep in the intensive care unit

Howell

Seung

et al. 2023

J Am Coll Clin Pharm

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“…The validity and reliability of the RCSQ were first established in a sample of 70 male patients treated in a cardiology ward in a veteran hospital in North America using polysomnography (Richards et al, 2000). Since then, the RCSQ has been translated into many languages including German (Krotsetis et al, 2017), Portuguese (Biazim et al, 2020) and Chinese (Chen et al, 2019) and has been found to be valid and reliable. It has been used extensively to assess sleep quality by patients treated in intensive care units (ICU) and acute hospital wards (Richards et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Sensitivity and specificity of proposed Richards‐Campbell Sleep Questionnaire cut‐off scores for good quality sleep during an ICU stay

Elliott

Axelin

Richards

et al. 2022

Journal of Clinical Nursing

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Background: The 5-visual analogue scale Richards-Campbell Sleep Questionnaire subjective sleep measure is widely used in intensive care. A cut-off score indicative of good quality sleep has not been established and is required to guide the categorisation of individual patient and unit wide sleep quality. Design and Methods: The aim was to determine the global Richards-Campbell Sleep Questionnaire cut-off score for good to very good sleep during an intensive care unit stay in non-ventilated patients. The study was a secondary (cohort) retrospective analysis of patient self-report data (n = 32) from an interventional study testing a sleep promotion bundle. The Standards for Reporting Diagnostic Accuracy studies statement were used to report the study. The study was conducted in two mixed adult 12 and 20-bed ICUs of a tertiary referral hospital in a metropolitan area. In the morning, eligible patients were administered the Richards-Campbell SleepQuestionnaire together with a 5-category item Likert scale in which patients rated their nocturnal sleep quality as 'very poor', 'poor', 'fair', 'good' and 'very good'. Receiver Operator Curve analysis was performed.Results: Thirty-seven per cent (n = 32) of the total sample of 84 adult intensive care patients were females. The median age was 61.5 (51, 72) years. Self-reported median global Richards-Campbell Sleep Questionnaire score was 54.4 (30.1, 77.1) mm.A global score of ≥63.4 mm was the optimal cut-off for self-reported 'good sleep' (sensitivity: 87%, specificity: 81% and area under the curve: 0.896).Conclusions: Although the study requires replication in ventilated patients and other ICU settings, the cut-off score (63 mm) could be used to guide the categorisation of individual patient and unit wide sleep quality.

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“…The Richards-Campbell Sleep Questionnaire® (RCSQ®) is a widely available, easily applicable instrument with excellent internal consistency and moderate correlation with polysomnography, ( 14 , 15 ) and it has been cross-culturally translated into Brazilian Portuguese. ( 16 )…”

Section: Introductionmentioning

confidence: 99%

Viability and validity of the bispectral index to measure sleep in patients in the intensive care unit

Pedrão

Riella

Richards

et al. 2020

Revista Brasileira De Terapia Intensiva

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The Richards-Campbell Sleep Questionnaire and Sleep in the Intensive Care Unit Questionnaire: translation to Portuguese and cross-cultural adaptation for use in Brazil

Cited by 8 publications

References 38 publications

Nighttime medication administration and patient perception of sleep in the intensive care unit

Nighttime medication administration and patient perception of sleep in the intensive care unit

Sensitivity and specificity of proposed Richards‐Campbell Sleep Questionnaire cut‐off scores for good quality sleep during an ICU stay

Viability and validity of the bispectral index to measure sleep in patients in the intensive care unit

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