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Sleep in the cardiothoracic intensive care unit
Descriptive
TitleInfo
Title
Sleep in the cardiothoracic intensive care unit
Name
(type = personal)
NamePart
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Narasimhan
NamePart
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Sarulatha
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Sarulatha Narasimhan
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author
Name
(type = personal)
NamePart
(type = family)
Percy
NamePart
(type = given)
Melanie
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Melanie Percy
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Advisory Committee
Role
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(authority = RULIB)
chair
Name
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Rutgers University
Role
RoleTerm
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degree grantor
Name
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NamePart
School of Nursing - RBHS
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school
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Text
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theses
Genre
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ETD doctoral
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2020
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2020-10
Language
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English
Abstract
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Background: 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.
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.
Subject
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Topic
Adult-Gerontology Acute Care Nurse Practitioner
Subject
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Topic
Sleep
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Rutgers University Electronic Theses and Dissertations
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ETD_11033
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application/pdf
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text/xml
Extent
1 online resource (87 pages) : illustrations
Note
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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NjNbRU
Identifier
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doi:10.7282/t3-4jp7-hx73
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Rights
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The author owns the copyright to this work.
RightsHolder
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Name
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Narasimhan
GivenName
Sarulatha
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Copyright Holder
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Permission or license
DateTime
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2020-07-08 22:05:37
AssociatedEntity
Name
Sarulatha Narasimhan
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Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Embargo
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2020-10-31
DateTime
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2099-12-31
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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