Abstract
PURPOSE: To describe sleep assessment and strategies to promote sleep in adult ICUs in ten countries.
METHODS: Multicenter, self-administered survey sent to nurse managers.
RESULTS: Response rate was 66% with 522 ICUs providing data. 'Lying quietly with closed eyes' was the characteristic most frequently perceived as indicative of sleep by >60% of responding ICUs in all countries except Italy. Few ICUs (9%) had a protocol for sleep management or used sleep questionnaires (1%). Compared to ICUs in Northern Europe, those in central Europe were more likely to have a sleep promoting protocol (p < 0.001), and to want to implement a protocol (p < 0.001). In >80% of responding ICUs, the most common non-pharmacological sleep-promoting interventions were reducing ICU staff noise, light, and nurse interventions at night; only 18% used earplugs frequently. Approximately 50% of ICUs reported sleep medication selection and assessment of effect were performed by physicians and nurses collaboratively. A multivariable model identified perceived nursing influence on sleep decision-making was associated with asking patients or family about sleep preferences (p = 0.004).
CONCLUSIONS: We found variation in sleep promotion interventions across European regions with few ICUs using sleep assessment questionnaires or sleep promoting protocols. However, many ICUs perceive implementation of sleep protocols important, particularly those in central Europe.
| Language | English |
|---|---|
| Pages | 107-114 |
| Number of pages | 8 |
| Journal | International Journal of Nursing Studies |
| Volume | 81 |
| Early online date | 05 Mar 2018 |
| DOIs | |
| Publication status | Published - May 2018 |
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Clinical practices to promote sleep in the ICU: A multinational survey. / Hofhuis, José G M; Rose, Louise; Blackwood, Bronagh; Akerman, Eva; McGaughey, Jennifer; Egerod, Ingrid; Fossum, Mariann; Foss, Helene; Georgiou, Evanthia; Graff, Heidi J; Kalafati, Maria; Sperlinga, Riccardo; Berardo, Alessandra; Schäfer, Andreas; Wojnicka, Aleksandra Gutysz; Spronk, Peter E.
In: International Journal of Nursing Studies, Vol. 81, 05.2018, p. 107-114.Research output: Contribution to journal › Article
TY - JOUR
T1 - Clinical practices to promote sleep in the ICU: A multinational survey
AU - Hofhuis, José G M
AU - Rose, Louise
AU - Blackwood, Bronagh
AU - Akerman, Eva
AU - McGaughey, Jennifer
AU - Egerod, Ingrid
AU - Fossum, Mariann
AU - Foss, Helene
AU - Georgiou, Evanthia
AU - Graff, Heidi J
AU - Kalafati, Maria
AU - Sperlinga, Riccardo
AU - Berardo, Alessandra
AU - Schäfer, Andreas
AU - Wojnicka, Aleksandra Gutysz
AU - Spronk, Peter E
N1 - Copyright © 2018 Elsevier Ltd. All rights reserved.
PY - 2018/5
Y1 - 2018/5
N2 - PURPOSE: To describe sleep assessment and strategies to promote sleep in adult ICUs in ten countries.METHODS: Multicenter, self-administered survey sent to nurse managers.RESULTS: Response rate was 66% with 522 ICUs providing data. 'Lying quietly with closed eyes' was the characteristic most frequently perceived as indicative of sleep by >60% of responding ICUs in all countries except Italy. Few ICUs (9%) had a protocol for sleep management or used sleep questionnaires (1%). Compared to ICUs in Northern Europe, those in central Europe were more likely to have a sleep promoting protocol (p < 0.001), and to want to implement a protocol (p < 0.001). In >80% of responding ICUs, the most common non-pharmacological sleep-promoting interventions were reducing ICU staff noise, light, and nurse interventions at night; only 18% used earplugs frequently. Approximately 50% of ICUs reported sleep medication selection and assessment of effect were performed by physicians and nurses collaboratively. A multivariable model identified perceived nursing influence on sleep decision-making was associated with asking patients or family about sleep preferences (p = 0.004).CONCLUSIONS: We found variation in sleep promotion interventions across European regions with few ICUs using sleep assessment questionnaires or sleep promoting protocols. However, many ICUs perceive implementation of sleep protocols important, particularly those in central Europe.
AB - PURPOSE: To describe sleep assessment and strategies to promote sleep in adult ICUs in ten countries.METHODS: Multicenter, self-administered survey sent to nurse managers.RESULTS: Response rate was 66% with 522 ICUs providing data. 'Lying quietly with closed eyes' was the characteristic most frequently perceived as indicative of sleep by >60% of responding ICUs in all countries except Italy. Few ICUs (9%) had a protocol for sleep management or used sleep questionnaires (1%). Compared to ICUs in Northern Europe, those in central Europe were more likely to have a sleep promoting protocol (p < 0.001), and to want to implement a protocol (p < 0.001). In >80% of responding ICUs, the most common non-pharmacological sleep-promoting interventions were reducing ICU staff noise, light, and nurse interventions at night; only 18% used earplugs frequently. Approximately 50% of ICUs reported sleep medication selection and assessment of effect were performed by physicians and nurses collaboratively. A multivariable model identified perceived nursing influence on sleep decision-making was associated with asking patients or family about sleep preferences (p = 0.004).CONCLUSIONS: We found variation in sleep promotion interventions across European regions with few ICUs using sleep assessment questionnaires or sleep promoting protocols. However, many ICUs perceive implementation of sleep protocols important, particularly those in central Europe.
U2 - 10.1016/j.ijnurstu.2018.03.001
DO - 10.1016/j.ijnurstu.2018.03.001
M3 - Article
VL - 81
SP - 107
EP - 114
JO - International Journal of Nursing Studies
T2 - International Journal of Nursing Studies
JF - International Journal of Nursing Studies
SN - 0020-7489
ER -