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Sleep in the cardiothoracic intensive care unit
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Narasimhan, Sarulatha. Sleep in the cardiothoracic intensive care unit. Retrieved from https://doi.org/doi:10.7282/t3-4jp7-hx73

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TitleSleep in the cardiothoracic intensive care unit
NameNarasimhan, Sarulatha (author); Percy, Melanie (chair); Rutgers University; School of Nursing - RBHS
Date Created2020
Other Date2020-10 (degree)
SubjectAdult-Gerontology Acute Care Nurse Practitioner, Sleep
Extent1 online resource (87 pages) : illustrations
DescriptionBackground: Environmental factors such as noise, light, early morning care activities, alarms from monitors, and conversations between health care personnel may prevent patients from achieving adequate rest in the ICU. The purpose of this project was to implement a protocol for a designated Quiet Time to promote sleep in the CTICU.

Method: Men and women who could read and write in English; between the age of 18 and under 89 years; post-op patients who were in the CTICU for at least 48 hours post-extubation, The Quiet Time (12 am to 4 am), protocol interventions included delaying specific activities that are commonly done at the convenience of the hospital staff. Patients were provided with Quiet Time kits including an eye mask and earplugs. Nursing staff clustered their care activities. Sleep quality was evaluated using the Richards-Campbell Sleep Questionnaire (RCSQ) (a visual analog scale, ranging 0–100)

Results/Outcomes: Data from 44 patients (22 in the pre-intervention group, 22 in the intervention group) were analyzed. Significant differences were found between groups in the depth of sleep, falling asleep, awakenings, falling asleep again after awakening, and overall sleep quality (p < 0.05). Sleep quality was improved and noise levels were decreased.

The Implication of Practice: Quiet Time interventions are useful for promoting sleep in ICU adult patients; larger sample studies are needed to examine the influences of these factors in improving sleep in hospitalized patients.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-4jp7-hx73
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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