IMPLEMENTATION OF SLEEP PROTOCOL TO IMPROVE SLEEP QUALITY IN ADULT ICU PATIENTS
Disciplines
Critical Care Nursing
Abstract (300 words maximum)
Sleep disturbance and deprivation are commonly encountered amongst critically ill patients and contributes to significant deterioration in patient’s health. Lack of sleep increases the risk of developing delirium, immune system impairment, and inability to recover which leads to prolonged length of stay. It does not help that ICU nurses face many challenges to facilitating sleep in their patients. With its high noise levels, constant bright lights, and tasks to complete every hour, the ICU does not promote a healthy sleep environment. There are not current practices or protocols that are enforced to promote sleep, despite many studies that show health professionals recognizing the importance of sleep to improve patient recovery.
The purpose of this project is to promote a specific sleep protocol using evidence-based practice of nursing care activities to promote adult intensive care patient’s sleep. This protocol will include the use of sleep aids such as ear plugs and eye masks, implementation of clustered care, and a specific block of time that is restricts non-urgent bedside care during times between 00:00 to 02:59. During this time, the sound and light will be decreased to promote a quality sleep environment. Eligible patients will include those that were admitted less than 24 hours, not expected to pass within the next 24 hours, and who are able to provide responses in order to their evaluate sleep.
The evaluation of sleep will be performed using both subjective and objective tools. Subjective tools will include the Richard Campbell Sleep Questionnaire (RCSQ) and clinical observation. Objective assessment of sleep will be through the use of a polysomnography, the current gold standard in identifying quality and quantity of sleep. This proposal will be considered successful if patient’s RCSQ score and polysomnography’s sleep efficiency are higher than those of the control group, those with no sleep interventions.
Academic department under which the project should be listed
Nursing
Primary Investigator (PI) Name
Courtney Thompsoon
Additional Faculty
Dr. Courtney Thompson, Nursing, cthom518@kennesaw.edu
Dr. Christie Emerson, Nursing, cemerson@kennesaw.edu
IMPLEMENTATION OF SLEEP PROTOCOL TO IMPROVE SLEEP QUALITY IN ADULT ICU PATIENTS
Sleep disturbance and deprivation are commonly encountered amongst critically ill patients and contributes to significant deterioration in patient’s health. Lack of sleep increases the risk of developing delirium, immune system impairment, and inability to recover which leads to prolonged length of stay. It does not help that ICU nurses face many challenges to facilitating sleep in their patients. With its high noise levels, constant bright lights, and tasks to complete every hour, the ICU does not promote a healthy sleep environment. There are not current practices or protocols that are enforced to promote sleep, despite many studies that show health professionals recognizing the importance of sleep to improve patient recovery.
The purpose of this project is to promote a specific sleep protocol using evidence-based practice of nursing care activities to promote adult intensive care patient’s sleep. This protocol will include the use of sleep aids such as ear plugs and eye masks, implementation of clustered care, and a specific block of time that is restricts non-urgent bedside care during times between 00:00 to 02:59. During this time, the sound and light will be decreased to promote a quality sleep environment. Eligible patients will include those that were admitted less than 24 hours, not expected to pass within the next 24 hours, and who are able to provide responses in order to their evaluate sleep.
The evaluation of sleep will be performed using both subjective and objective tools. Subjective tools will include the Richard Campbell Sleep Questionnaire (RCSQ) and clinical observation. Objective assessment of sleep will be through the use of a polysomnography, the current gold standard in identifying quality and quantity of sleep. This proposal will be considered successful if patient’s RCSQ score and polysomnography’s sleep efficiency are higher than those of the control group, those with no sleep interventions.