Interventions to improve inpatients' sleep quality in intensive care units and acute wards: a literature review

Aparício, Carlos; Panin, Francesca

doi:10.12968/bjon.2020.29.13.770

Cited by 17 publications

(12 citation statements)

References 26 publications

(29 reference statements)

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“…The effects of different non-pharmacological sleep promotion methods have mostly been studied in ICU settings (Cooke et al, 2020). Aparicio and Panin (2020) found four studies performed in acute ward setting and concluded that only light conditions and the use of sleep medications varied between ICUs and acute wards. A multi-component sleep promotion protocol including the control of the environment, minimisation of care interventions and a sleep hygiene teaching session has proven to be feasible (Gathecha et al, 2016).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Sleep improvement intervention and its effect on patients’ sleep on the ward

Ritmala-Castrén

Salanterä

Holm

et al. 2021

Journal of Clinical Nursing

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Aim and objective:The aim of the study was to investigate how the sleep improvement interventions developed for the wards were associated with patients' sleep. The objective was to promote patients' sleep. Background:The quality of sleep is vital for patients' health and recovery from illness. However, patients generally sleep poorly during hospitalisation. Sleep-disturbing factors are connected to the hospital environment, patients' physical illness, emotional state and the activities of the staff. Many sleep-disturbing factors can be influenced by appropriate nursing interventions. Design: A two-group intervention study including the development of nursing interventions aimed at supporting patients' sleep. One group received a sleep promotion intervention and the other received standard care. Both groups evaluated their sleep in the morning. Methods: A survey of participants' sleep evaluations was collected with the five-item Richards-Campbell Sleep Questionnaire. The data were analysed statistically. The STROBE checklist was used to report the study. Results: From the participants' perspective, sleep was better in the intervention group, even though statistically significantly only among men. The pain intensity correlated with sleep quality. The number of patients in the room or whether participants had had an operation had no effect on their sleep evaluations. Conclusions: Interventions targeted at supporting and promoting the sleep quality of hospital inpatients may be effective. They should be developed in collaboration with patients and nurses. Several nursing interventions can be proposed to promote better sleep among patients; however, more research is needed to confirm the results. Sleep promotion should include both standardised protocols and individualised sleep support.

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Section: Backg Rou N Dmentioning

confidence: 99%

Sleep improvement intervention and its effect on patients’ sleep on the ward

Ritmala-Castrén

Salanterä

Holm

et al. 2021

Journal of Clinical Nursing

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“…The findings in this study also support the findings of our study. Environmental noise has been found in several studies as the most common factor responsible for sleep interruptions [ 14 , 15 ]. The fact remains that it is difficult to find the ideal amount of sleep for every patient in different medical settings who is suffering from a particular disease and has comorbidities.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Self-Reported Factors Associated With Impaired Sleep in Hospitalized Adult Patients in Internal Medicine

Khalid¹,

Rafique²,

Arshad³

et al. 2022

Cureus

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Objectives To evaluate the different personal, environmental, and social factors associated with the impaired sleep of patients who were admitted for treatment in the department of internal medicine in a tertiary care hospital in Azad Kashmir. Material and methods A single-center, exploratory, prospective study was conducted at Abbas Institute of Medical Sciences (AIMS), a public sector teaching hospital of Azad Jammu and Kashmir Medical College, Muzaffarabad, between November 2021 and January 2022. A standard Performa was used to collect and document the demographic information, the duration and quality of sleep at home and after admission to the hospital. The patients were asked to identify and report the most important factors contributing to disturbed sleep in the hospital. Statistical analysis was performed using SPSS version 23.0 (SPSS Inc., Chicago, IL, USA), continuous parametric variables were reported as mean ± standard deviation; nonparametric continuous variables were reported as median; and categorical variables were expressed as percentages. Exploratory factor analysis was performed and principal components were extracted. Results As reported by the patients, the main factors contributing to disturbed sleep were underlying medical conditions, noise, overcrowding and gathering of people, pain, fever, lighting, weather conditions, and medical interventions. Exploratory component factor analysis showed significant loading of overcrowding and lighting in the ward on components 1 and 2. Component 3 was loaded with underlying illness, noise, pain and fever, uncomfortable mattress, and treatment interventions by the medical staff. Conclusions There were many personal and environmental factors, which contributed towards impaired sleep in hospitalized patients. The underlying medical conditions, noise, overcrowding, lighting, pain and fever, are the most commonly reported factors by hospitalized patients.

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“…Several areas for improvement identified in this survey involve the physical environment of the NTICU, such as high noise levels, the small waiting room, lack of privacy, and the lack of bathrooms. There is a large body of literature on the negative impact of sleep deprivation in ICUs, with mitigation of environmental factors seen as key to improving sleep 20‐22 . Of note, construction (which included jackhammering on the roof and laying of new cement) inside the unit was ongoing during the daytime hours from February 2017 to November 2017.…”

Section: Discussionmentioning

confidence: 99%

“…There is a large body of literature on the negative impact of sleep deprivation in ICUs, with mitigation of environmental factors seen as key to improving sleep. [20][21][22] Of note, construction (which included jackhammering on the roof and laying of new cement) inside the unit was ongoing during the daytime hours from February 2017 to November 2017. Also, at one point the family waiting room was closed for few weeks.…”

Section: Areas For Improvementmentioning

confidence: 99%

Family satisfaction in a neuro traumaICU

Peterson

Woerhle

Harry

et al. 2020

Nursing in Critical Care

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Objective: The purpose of this quality improvement initiative was to evaluate satisfaction of family members of patients in a neuro trauma ICU (NTICU).Methods: Adult patients (age 18+) admitted to the NTICU for at least 24 hours between June 2017 and November 2018 were identified. Near or at the time of discharge from the NTICU, the health unit coordinator or registered nurse identified the family member who was either the next-of-kin, surrogate decision-maker, or person who had been most frequently present at the patient's bedside. This person was provided a packet containing a letter of consent and the Critical Care Family Satisfaction Survey (CCFSS).Results: Surveys were completed by 78 family members, the majority of whom were the wife of the patient (n = 35, 44%), 60 years and older (n = 48, 60.8%). Fifty-seven percent of patients (n = 45) were in the ICU less than 3 days and 59% (n = 47) of medical events were injury-related. Total CCFSS scores ranged from 69 to 100 (median 95). The item with the largest number of dissatisfied responses was "Noise level in the critical care unit" (n = 4, 5.3% not satisfied). Open-ended question comments were primarily positive (n = 60, 66%), with 32% (n = 29) representing areas for improvement.Conclusions: Results of this satisfaction survey have been disseminated to leadership and have been taken into consideration in the planning of a new hospital building currently being built, including ICU patient rooms that allow for more privacy and reduced noise, and more comfortable family rooms.

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Interventions to improve inpatients' sleep quality in intensive care units and acute wards: a literature review

Cited by 17 publications

References 26 publications

Sleep improvement intervention and its effect on patients’ sleep on the ward

Sleep improvement intervention and its effect on patients’ sleep on the ward

Assessment of Self-Reported Factors Associated With Impaired Sleep in Hospitalized Adult Patients in Internal Medicine

Family satisfaction in a neuro traumaICU

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