Creating Naptime: An Overnight, Nonpharmacologic Intensive Care Unit Sleep Promotion Protocol

Journal of Patient Experience

Melissa PKnauert¹ 

关键词: delirium;    intensive care unit;    sleep;    circadian rhythm;    clustered care;   

DOI  :  10.1177/2374373517747242

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Introduction:Patients in the intensive care unit (ICU) have significantly disrupted sleep. Sleep disruption is believed to contribute to ICU delirium, and ICU delirium is associated with increased mortality. Experts recommend sleep promotion as a means of preventing or shortening the duration of delirium. ICU Sleep promotion protocols are highly complex and difficult to implement. Our objective is to describe the development, pilot implementation, and revision of a medical ICU sleep promotion protocol.Methods:Naptime is a clustered-care intervention that provides a rest period between 00:00 and 04:00. We used literature review, medical chart review, and stakeholder interviews to identify sources of overnight patient disturbance. With stakeholder input, we developed an initial protocol that we piloted on a small scale. Then, using protocol monitoring and stakeholder feedback, we revised Naptime and adapted it for unitwide implementation.Results:We identified sound, patient care, and patient anxiety as impo...

【 授权许可】

CC BY