Sleep and sedation practices of Intensive Care nurses: a United Kingdom survey

Research output: Contribution to conferencePoster

Abstract

Introduction The use of non-pharmacological for sleep promotion are suggested as an alternative to pharmacological interventions to prevent ICU delirium (Hu et al 2015). Little is known regarding nurses' role in ICU sleep and sedation practices. Aim The aim of this study was to undertake a survey of existing practice to determine current sleep and sedation practices in ICU in the United Kingdom. Setting & participants ICUs across the United Kingdom were surveyed as part of a larger international study. Lead nurses in each ICU completed a questionnaire which was adapted from a previous version developed in the Netherlands (Hofhuis et al 2012). Methods The Critical Care National Network Nurse Leads Forum (CC3N) distributed a cover letter and web link to all Lead Nurses in England, Wales and Northern Ireland. Questionnaires were distributed to 150 ICUs using Survey Monkey. Submission of completed questionnaires was taken as consent. Data was analysed in Excel. Results Forty-eight ICUs responded to the questionnaire. The most commonly identified reason for poor sleep quality was disturbed night/ day cycle (14%) or delirium (12%). Non-pharmacological interventions routinely used by nurses to improve sleep were reducing ICU staff noise (47%), turning room lights off (79%)and delaying routine blood work until morning (62%). However, earplugs (70%) or eye masks (83%) interventions were seldom or never used. The majority of units did not have a sleep protocol (96%). The RASS-score was the most common sedation tool (81%) used every 1-2 hours (54%) day and night (71%). Clinical assessment and sedation score (36%) were used by nurses and physicians (60%) to determine sleep medication. Remifentanyl (46%)and Propofol (36%) were the most frequent medications used for sleep. Conclusion There is a need for further research to understand the challenges to enhancing sleep and sedation practices in ICU. References Hu RE et al (2015) Non-pharmacological interventions for sleep promotion in the intensive care unit Cochrane Database of Systematic Reviews
LanguageEnglish
Publication statusPublished - 2017
EventEuropean federation of Critical Care Nurses conference -
Duration: 18 Feb 2016 → …

Conference

ConferenceEuropean federation of Critical Care Nurses conference
Period18/02/2016 → …

Fingerprint

Critical Care
Sleep
Nurses
Delirium
Ear Protective Devices
Surveys and Questionnaires
United Kingdom
Northern Ireland
Nurse's Role
Wales
Propofol
Masks
England
Netherlands
Haplorhini
Intensive Care Units
Noise
Databases
Pharmacology
Physicians

Keywords

  • Critical Care

Cite this

McGaughey, J., Shyamsundar, M., Richardson, A., & Blackwood, B. (2017). Sleep and sedation practices of Intensive Care nurses: a United Kingdom survey. Poster session presented at European federation of Critical Care Nurses conference, .
McGaughey, Jennifer ; Shyamsundar, Murali ; Richardson, Annette ; Blackwood, Bronagh. / Sleep and sedation practices of Intensive Care nurses: a United Kingdom survey. Poster session presented at European federation of Critical Care Nurses conference, .
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title = "Sleep and sedation practices of Intensive Care nurses: a United Kingdom survey",
abstract = "Introduction The use of non-pharmacological for sleep promotion are suggested as an alternative to pharmacological interventions to prevent ICU delirium (Hu et al 2015). Little is known regarding nurses' role in ICU sleep and sedation practices. Aim The aim of this study was to undertake a survey of existing practice to determine current sleep and sedation practices in ICU in the United Kingdom. Setting & participants ICUs across the United Kingdom were surveyed as part of a larger international study. Lead nurses in each ICU completed a questionnaire which was adapted from a previous version developed in the Netherlands (Hofhuis et al 2012). Methods The Critical Care National Network Nurse Leads Forum (CC3N) distributed a cover letter and web link to all Lead Nurses in England, Wales and Northern Ireland. Questionnaires were distributed to 150 ICUs using Survey Monkey. Submission of completed questionnaires was taken as consent. Data was analysed in Excel. Results Forty-eight ICUs responded to the questionnaire. The most commonly identified reason for poor sleep quality was disturbed night/ day cycle (14{\%}) or delirium (12{\%}). Non-pharmacological interventions routinely used by nurses to improve sleep were reducing ICU staff noise (47{\%}), turning room lights off (79{\%})and delaying routine blood work until morning (62{\%}). However, earplugs (70{\%}) or eye masks (83{\%}) interventions were seldom or never used. The majority of units did not have a sleep protocol (96{\%}). The RASS-score was the most common sedation tool (81{\%}) used every 1-2 hours (54{\%}) day and night (71{\%}). Clinical assessment and sedation score (36{\%}) were used by nurses and physicians (60{\%}) to determine sleep medication. Remifentanyl (46{\%})and Propofol (36{\%}) were the most frequent medications used for sleep. Conclusion There is a need for further research to understand the challenges to enhancing sleep and sedation practices in ICU. References Hu RE et al (2015) Non-pharmacological interventions for sleep promotion in the intensive care unit Cochrane Database of Systematic Reviews",
keywords = "Critical Care",
author = "Jennifer McGaughey and Murali Shyamsundar and Annette Richardson and Bronagh Blackwood",
year = "2017",
language = "English",
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McGaughey, J, Shyamsundar, M, Richardson, A & Blackwood, B 2017, 'Sleep and sedation practices of Intensive Care nurses: a United Kingdom survey' European federation of Critical Care Nurses conference, 18/02/2016, .

Sleep and sedation practices of Intensive Care nurses: a United Kingdom survey. / McGaughey, Jennifer; Shyamsundar, Murali; Richardson, Annette ; Blackwood, Bronagh.

2017. Poster session presented at European federation of Critical Care Nurses conference, .

Research output: Contribution to conferencePoster

TY - CONF

T1 - Sleep and sedation practices of Intensive Care nurses: a United Kingdom survey

AU - McGaughey, Jennifer

AU - Shyamsundar, Murali

AU - Richardson, Annette

AU - Blackwood, Bronagh

PY - 2017

Y1 - 2017

N2 - Introduction The use of non-pharmacological for sleep promotion are suggested as an alternative to pharmacological interventions to prevent ICU delirium (Hu et al 2015). Little is known regarding nurses' role in ICU sleep and sedation practices. Aim The aim of this study was to undertake a survey of existing practice to determine current sleep and sedation practices in ICU in the United Kingdom. Setting & participants ICUs across the United Kingdom were surveyed as part of a larger international study. Lead nurses in each ICU completed a questionnaire which was adapted from a previous version developed in the Netherlands (Hofhuis et al 2012). Methods The Critical Care National Network Nurse Leads Forum (CC3N) distributed a cover letter and web link to all Lead Nurses in England, Wales and Northern Ireland. Questionnaires were distributed to 150 ICUs using Survey Monkey. Submission of completed questionnaires was taken as consent. Data was analysed in Excel. Results Forty-eight ICUs responded to the questionnaire. The most commonly identified reason for poor sleep quality was disturbed night/ day cycle (14%) or delirium (12%). Non-pharmacological interventions routinely used by nurses to improve sleep were reducing ICU staff noise (47%), turning room lights off (79%)and delaying routine blood work until morning (62%). However, earplugs (70%) or eye masks (83%) interventions were seldom or never used. The majority of units did not have a sleep protocol (96%). The RASS-score was the most common sedation tool (81%) used every 1-2 hours (54%) day and night (71%). Clinical assessment and sedation score (36%) were used by nurses and physicians (60%) to determine sleep medication. Remifentanyl (46%)and Propofol (36%) were the most frequent medications used for sleep. Conclusion There is a need for further research to understand the challenges to enhancing sleep and sedation practices in ICU. References Hu RE et al (2015) Non-pharmacological interventions for sleep promotion in the intensive care unit Cochrane Database of Systematic Reviews

AB - Introduction The use of non-pharmacological for sleep promotion are suggested as an alternative to pharmacological interventions to prevent ICU delirium (Hu et al 2015). Little is known regarding nurses' role in ICU sleep and sedation practices. Aim The aim of this study was to undertake a survey of existing practice to determine current sleep and sedation practices in ICU in the United Kingdom. Setting & participants ICUs across the United Kingdom were surveyed as part of a larger international study. Lead nurses in each ICU completed a questionnaire which was adapted from a previous version developed in the Netherlands (Hofhuis et al 2012). Methods The Critical Care National Network Nurse Leads Forum (CC3N) distributed a cover letter and web link to all Lead Nurses in England, Wales and Northern Ireland. Questionnaires were distributed to 150 ICUs using Survey Monkey. Submission of completed questionnaires was taken as consent. Data was analysed in Excel. Results Forty-eight ICUs responded to the questionnaire. The most commonly identified reason for poor sleep quality was disturbed night/ day cycle (14%) or delirium (12%). Non-pharmacological interventions routinely used by nurses to improve sleep were reducing ICU staff noise (47%), turning room lights off (79%)and delaying routine blood work until morning (62%). However, earplugs (70%) or eye masks (83%) interventions were seldom or never used. The majority of units did not have a sleep protocol (96%). The RASS-score was the most common sedation tool (81%) used every 1-2 hours (54%) day and night (71%). Clinical assessment and sedation score (36%) were used by nurses and physicians (60%) to determine sleep medication. Remifentanyl (46%)and Propofol (36%) were the most frequent medications used for sleep. Conclusion There is a need for further research to understand the challenges to enhancing sleep and sedation practices in ICU. References Hu RE et al (2015) Non-pharmacological interventions for sleep promotion in the intensive care unit Cochrane Database of Systematic Reviews

KW - Critical Care

M3 - Poster

ER -

McGaughey J, Shyamsundar M, Richardson A, Blackwood B. Sleep and sedation practices of Intensive Care nurses: a United Kingdom survey. 2017. Poster session presented at European federation of Critical Care Nurses conference, .