Nurses' autonomy in sleep management improves patients' sleep quality: A cross-sectional study.

Abstract:

BACKGROUND:The current literature indicates that intensive care (ICU) patients' sleep quality is generally poor, which is associated with serious physical and psychological consequences. AIMS AND OBJECTIVES:To describe the practices nurses use to provide good-quality sleep to adult ICU patients and assess nurses' perceptions of patients' sleep quality and nurses' professional autonomy in sleep management. DESIGN:A descriptive-correlational, cross-sectional study. METHODS:A total of 232 ICU nurses from four hospitals in Poland were recruited. Data were collected between May and August 2019 using a previously developed questionnaire and analysed using descriptive statistics and non-parametric tests. RESULTS:A total of 119 nurses took part in the study (response rate: 51%). On average, nurses rated patients' sleep quality as moderate (4.44 ± 2.23, scale 0-10). Most of the respondents (95.8%) said they did not use any sleep protocol. Various strategies to improve patients' sleep were used sporadically (2.64 ± 1.55, scale 1-5). The use of sleep quality assessment methods was positively correlated with patients' sleep quality (rho = 0.22, P = .02). Nurses' professional autonomy regarding sleep management was assessed as average (4.34 ± 2.43, scale 0-10) and was correlated with the patients' sleep quality (rho = 0.25, P < .01). Nurses who rated their autonomy in patients' sleep management more highly (rho = 0.29, P < .01) and more often influenced patients' sleep decisions (rho = 0.24, P < .01) used more methods to improve patients' sleep. CONCLUSIONS:Strengthening the professional autonomy of ICU nurses and creating a reliable sleep assessment and improvement tool, which would describe strategies nurses can implement independently could increase sleep quality among ICU patients. RELEVANCE TO CLINICAL PRACTICE:Addressing organizational problems, which hamper the patients' sleep management by ICU nurses could result in using more strategies to provide good-quality sleep to ICU patients. There is a need for clinical guidelines regarding patients' sleep management to help educate and guide nurses how to independently use sleep improvement methods.

journal_name

Nurs Crit Care

journal_title

Nursing in critical care

authors

Lis K,Sak-Dankosky N,Czarkowska-Pączek B

doi

10.1111/nicc.12579

subject

Has Abstract

pub_date

2020-12-08 00:00:00

eissn

1362-1017

issn

1478-5153

pub_type

杂志文章
  • Sustaining care delivery--team nursing with intensive care assistants.

    abstract::The Cardiothoracic Centre Liverpool faced an acute nursing recruitment problem, which is accentuated in the specialist area of intensive care. To ensure that activity through the 20-bedded unit remains broadly in line with contracted levels, a number of initiatives were implemented to help maximise the financial and n...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:

    authors: Roberts S,Cleary V

    更新日期:2000-03-01 00:00:00

  • Barbara's story: a thematic analysis of a relative's reflection of being in the intensive care unit.

    abstract:AIM:The aim of this reflective account is to provide a view of the intensive care unit (ICU) relative's experiences of supporting and being supported in the ICU. BACKGROUND:Understanding the relatives' experiences of ICU is important especially because a recent work has identified the potential for this group to devel...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12145

    authors: Christensen M,Probst B

    更新日期:2015-03-01 00:00:00

  • Self-reported sleep and health among Norwegian hospital nurses in intensive care units.

    abstract:AIM AND BACKGROUND:Shift work, and especially night work, is associated with poor health. Nurses, work a variety of work schedules including night work. So far, few studies have specifically investigated sleep and health among intensive care nurses. DESIGN AND METHODS:We investigated sleep, sleepiness, fatigue, subjec...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/j.1478-5153.2012.00504.x

    authors: Bjorvatn B,Dale S,Hogstad-Erikstein R,Fiske E,Pallesen S,Waage S

    更新日期:2012-07-01 00:00:00

  • An observational pilot study of CSF diversion in subarachnoid haemorrhage.

    abstract:BACKGROUND:A primary focus of hospital treatment following admission for subarachnoid haemorrhage (SAH) is a prevention of cerebral artery vasospasm, which may result in ischaemic stroke. Intraventricular catheter (IVC) insertion to facilitate cerebral spinal fluid (CSF) drainage and intracranial pressure (ICP) monitor...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/j.1478-5153.2010.00444.x

    authors: Amato A,Britz GW,James ML,Graffagnino C,Zomorodi AR,Zomorodi ME,Olson DM

    更新日期:2011-09-01 00:00:00

  • Causes of ICU psychosis: the environmental factors.

    abstract::ICU psychosis is common amongst patients admitted to critical care settings. ICU psychosis is the result of a complex interaction between physiological and psychological factors. Environmental factors will contribute to ICU psychosis (including sleep deprivation, excessive noise, separation, poor communication and imm...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,评审

    doi:

    authors: Gelling L

    更新日期:1999-01-01 00:00:00

  • Haemodynamic monitoring of the pregnant woman in intensive care.

    abstract::A brief summary of the reasons why a pregnant woman may require intensive care is outlined. The clinical relevance of the physiological changes occurring in pregnancy is discussed. The haemodynamic differences and their relevance to monitoring are highlighted. ...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,评审

    doi:

    authors: Edwards S

    更新日期:1998-05-01 00:00:00

  • Intensive care units in Turkish hospitals: do they meet the minimum standards?

    abstract:BACKGROUND:International and national standards for ICUs have been developed to ensure patient safety and provide effective and efficient service in these units. However, global economic crises along with shortages in professional health care staff affect the ability of ICUs to meet and maintain these standards. AIMS ...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12066

    authors: Türkmen E,Sevinç S,İlhan M

    更新日期:2016-09-01 00:00:00

  • Family presence during resuscitation: a descriptive study of nurses' attitudes from two Saudi hospitals.

    abstract:BACKGROUND:The presence of family in the patient care area during resuscitation events is a matter of current debate among health care professionals in many communities. Family presence is highly recommended by many health organizations worldwide for several reasons including patient and family rights. There are no pol...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/j.1478-5153.2011.00479.x

    authors: Al-Mutair AS,Plummer V,Copnell B

    更新日期:2012-03-01 00:00:00

  • Chlorhexidine and tooth-brushing as prevention strategies in reducing ventilator-associated pneumonia rates.

    abstract:BACKGROUND:Ventilator-associated pneumonia (VAP) is a common complication of mechanical ventilation after endotracheal intubation. The role of chlorhexidine and tooth-brushing has been considered as a clinical intervention to reduce infection rates, however, evidence to inform this needs appraising. AIM:This paper pre...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,评审

    doi:10.1111/j.1478-5153.2011.00465.x

    authors: Roberts N,Moule P

    更新日期:2011-11-01 00:00:00

  • The effectiveness of an oral health care program for preventing ventilator-associated pneumonia.

    abstract:AIMS AND OBJECTIVES:To determine the effectiveness of an oral health care program for preventing ventilator-associated pneumonia (VAP). BACKGROUND:Research has shown a significant correlation between oral bacteria and VAP, indicating that an oral health care program plays a very important role in VAP prevention. DESI...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12037

    authors: Liao YM,Tsai JR,Chou FH

    更新日期:2015-03-01 00:00:00

  • Diabetic ketoacidosis and hyperglycaemic hyperosmolar syndrome - clinical guidelines.

    abstract:BACKGROUND:The aim of this study was to establish a standardized approach to the initial care of patients with diabetic ketoacidosis (DKA) and hyperglycaemic hyperosmolar syndrome (HHS). DKA and HHS are metabolic emergencies. Effective and efficient management is the responsibility of the multidisciplinary team. The ad...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,评审

    doi:10.1111/j.1478-5153.2007.00259.x

    authors: De Beer K,Michael S,Thacker M,Wynne E,Pattni C,Gomm M,Ball C,Walsh D,Thomlinson A,Ullah K

    更新日期:2008-01-01 00:00:00

  • Visits to intensive care unit patients--frequency, duration and impact on outcome.

    abstract::The issue of the presence of patients' loved ones during their intensive care unit (ICU) stay is a frequently discussed topic among ICU staff. Today, ICU patients' loved ones are seen as important for the care of the patient. There is a gap in knowledge and research concerning the frequency and duration of visits by l...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/j.1478-5153.2006.00196.x

    authors: Eriksson T,Bergbom I

    更新日期:2007-01-01 00:00:00

  • Nurses' and physicians' viewpoints regarding children visiting/not visiting adult ICUs.

    abstract::Allowing children to visit adult intensive care units (ICUs) has been an area of controversy. There is a lack of recent research dealing with visits by children and physicians' views and whether differences exist between the views held by nurses and physicians regarding visits by children. The aim of this study was to...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/j.1478-5153.2007.00209.x

    authors: Knutsson S,Bergbom I

    更新日期:2007-03-01 00:00:00

  • Survived so what? Identifying priorities for research with children and families post-paediatric intensive care unit.

    abstract::The involvement of patients and the public in the development, implementation and evaluation of health care services and research is recognized to have tangible benefits in relation to effectiveness and credibility. However, despite >96% of children and young people surviving critical illness or injury, there is a pau...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12298

    authors: Manning JC,Hemingway P,Redsell SA

    更新日期:2018-03-01 00:00:00

  • Non-pharmacologic interventions for the prevention of delirium in the intensive care unit: An integrative review.

    abstract:INTRODUCTION:Delirium in the intensive care unit (ICU) is associated with increased mortality, longer hospital stays, and increased odds of institutionalization after discharge. Delirium is a significant complication that occurs frequently in ICU yet lacks a standardized treatment protocol. Because of the limited effec...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12594

    authors: Sahawneh F,Boss L

    更新日期:2021-01-20 00:00:00

  • Comparing the effectiveness of two types of cooling blankets for febrile patients.

    abstract::A randomized controlled trial was conducted to compare the effectiveness of airflow- and waterflow-cooling blankets for febrile patients in intensive care unit. More patients in the airflow than in the waterflow-cooling blanket group reached the desired temperature of <38 degrees C at the end of 8h (94.1 versus 60.0%,...

    journal_title:Nursing in critical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1362-1017.2005.00133.x

    authors: Loke AY,Chan HC,Chan TM

    更新日期:2005-09-01 00:00:00

  • How do intensive care nurses assess patients' pain?

    abstract::Identification and evaluation of pain in critical care patients may be difficult because of communication problems. Moreover, at present there are very few nursing studies that examine the attitudes of critical care nurses towards the assessment of patients' pain. This study was designed to determine the approach of c...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1046/j.1478-5153.2003.00006.x

    authors: Aslan FE,Badir A,Selimen D

    更新日期:2003-03-01 00:00:00

  • The needs of parents with a child on an adult intensive therapy unit.

    abstract::This review examines, by means of a literature search, the needs of parents who have a critically ill child on adult intensive therapy units. These needs are compared with the needs of relatives of adult patients in ITUs. Whether nurses trained in adult nursing have the necessary skills, knowledge and attitudes to car...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,评审

    doi:

    authors: Plowright C

    更新日期:1997-05-01 00:00:00

  • Psychological support and outcomes for ICU patients.

    abstract:AIMS AND OBJECTIVES:To critically review evidence on the effects of psychological support during intensive care unit (ICU) treatment on adult ICU patients' psychological and physiological outcomes. Evidence from intervention studies on imagery and relaxation has been included, as well. BACKGROUND:Stress and negative e...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,评审

    doi:10.1111/j.1478-5153.2009.00383.x

    authors: Papathanassoglou ED

    更新日期:2010-05-01 00:00:00

  • Family members' opinions about bereavement care after cardiac intensive care unit patients' deaths.

    abstract:BACKGROUND:Critical care consensus groups recommend providing bereavement support; however, little is known about what cardiac intensive care patients' families would find useful and beneficial in their grieving process. AIM AND OBJECTIVES:To describe cardiac intensive care unit (ICU) patients' families' opinions on s...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12439

    authors: Erikson A,Puntillo K,McAdam J

    更新日期:2019-07-01 00:00:00

  • Complications related to early mobilization of mechanically ventilated patients on Intensive Care Units.

    abstract:AIMS AND OBJECTIVES:To compare international literature on the detection of complications associated with early mobilization of mechanically ventilated patients in intensive care units (ICUs). BACKGROUND:Early mobilization of mechanically ventilated ICU patients is considered to be a more beneficial approach to treatm...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12134

    authors: Nydahl P,Ewers A,Brodda D

    更新日期:2014-11-07 00:00:00

  • Care bundles in critical care: a practical approach to evidence-based practice.

    abstract::The care bundle is a new concept in critical care, which is currently being promoted by the National Health Service Modernisation Agency for Critical Care. Care bundles originated in North America and are described best as groups of evidence-based practice interventions. The theory behind care bundles is that when sev...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,评审

    doi:10.1111/j.1362-1017.2003.00039.x

    authors: Fulbrook P,Mooney S

    更新日期:2003-11-01 00:00:00

  • Sedation practice in Nordic and non-Nordic ICUs: a European survey.

    abstract:BACKGROUND AND AIMS:A trend towards lighter sedation has been evident in many intensive care units (ICUs). The aims of the survey were to describe sedation practice in European ICUs and to compare sedation practice in Nordic and non-Nordic countries. DESIGN AND METHODS:A cross-sectional survey of ICU nurses attending ...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,多中心研究

    doi:10.1111/nicc.12003

    authors: Egerod I,Albarran JW,Ring M,Blackwood B

    更新日期:2013-07-01 00:00:00

  • Family satisfaction in a neuro trauma ICU.

    abstract:OBJECTIVE:The purpose of this quality improvement initiative was to evaluate satisfaction of family members of patients in a neuro trauma ICU (NTICU). METHODS:Adult patients (age 18+) admitted to the NTICU for at least 24 hours between June 2017 and November 2018 were identified. Near or at the time of discharge from ...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12583

    authors: Peterson MJ,Woerhle T,Harry M,Heger AMC,Gerchman-Smith M,Vogel L,Hughes C,McCarty C

    更新日期:2020-12-20 00:00:00

  • Nursing home nurses conceptualize how to care for residents with cardiac vulnerability.

    abstract:BACKGROUND:With ageing, older people face cardiovascular problems as the major cause of disability and death. Although immediate medical attention is a major factor in determining outcomes of cardiac problems, lack of personnel (i.e. registered nurse, certified nursing assistant and home care aide) in nursing homes wit...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,多中心研究

    doi:10.1111/nicc.12132

    authors: Kim MS,Kim HJ,Choi JE,Kim SJ,Chang SO

    更新日期:2017-11-01 00:00:00

  • Acute cardiogenic pulmonary oedema: reflecting on the management of an intensive care unit patient.

    abstract:AIM:The aim of this paper is to reflect upon the management interventions of non-invasive ventilation (NIV) and diuretic therapy that were implemented for a patient admitted to an intensive care unit (ICU) with acute cardiogenic pulmonary oedema. BACKGROUND:Acute pulmonary oedema is a serious and life-threatening comp...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/j.1478-5153.2011.00410.x

    authors: Skinner J,McKinney A

    更新日期:2011-07-01 00:00:00

  • Twelve-hour shift on ITU: a nursing evaluation.

    abstract::This paper describes the introduction and subsequent evaluation of a 12-h shift system in a large ITU in the northeast of UK. To date, only a small number of studies has evaluated nurses working the 12-h shifts in critical care areas. To evaluate the level of staff satisfaction, data were collected by means of a quest...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1046/j.1478-5153.2003.00016.x

    authors: Richardson A,Dabner N,Curtis S

    更新日期:2003-05-01 00:00:00

  • An exploration of the handover process of critically ill patients between nursing staff from the emergency department and the intensive care unit.

    abstract::The transfer of information between nurses from emergency departments (EDs) and critical care units is essential to achieve a continuity of effective, individualized and safe patient care. There has been much written in the nursing literature pertaining to the function and process of patient handover in general nursin...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1478-5153.2007.00244.x

    authors: McFetridge B,Gillespie M,Goode D,Melby V

    更新日期:2007-11-01 00:00:00

  • An unsafe environment: the reflection of a clinical manager.

    abstract::This reflection considers of the actions of the author, a junior ward sister working on a cardiology ward. The reflection is triggered by the unsafe environment found when arriving on the ward unexpectedly, and the report from a staff member. It explores the actions taken in relation to the staff involved, considers t...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,评审

    doi:

    authors: Melifonwu R

    更新日期:1997-09-01 00:00:00

  • Appointing nurses trained in organ donation to improve family consent rates.

    abstract:BACKGROUND:One of the most important bottlenecks in the organ donation process worldwide is the high family refusal rate. AIMS AND OBJECTIVES:The main aim of this study was to examine whether family guidance by trained donation practitioners increased the family consent rate for organ donation. DESIGN:This was a pros...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12462

    authors: Witjes M,Jansen NE,van Dongen J,Herold IHF,Otterspoor L,Haase-Kromwijk BJJM,van der Hoeven JG,Abdo WF

    更新日期:2020-09-01 00:00:00