Clinical practices to promote sleep in the ICU: A multinational survey

José G M Hofhuis; Louise Rose; Bronagh Blackwood; Eva Akerman; Jennifer McGaughey; Ingrid Egerod; Mariann Fossum; Helene Foss; Evanthia Georgiou; Heidi J Graff; Maria Kalafati; Riccardo Sperlinga; Alessandra Berardo; Andreas Schäfer; Aleksandra Gutysz Wojnicka; Peter E Spronk

doi:10.1016/j.ijnurstu.2018.03.001

Clinical practices to promote sleep in the ICU: A multinational survey

José G M Hofhuis, Louise Rose, Bronagh Blackwood, Eva Akerman, Jennifer McGaughey, Ingrid Egerod, Mariann Fossum, Helene Foss, Evanthia Georgiou, Heidi J Graff, Maria Kalafati, Riccardo Sperlinga, Alessandra Berardo, Andreas Schäfer, Aleksandra Gutysz Wojnicka, Peter E Spronk

Institut for Klinisk Medicin

7 Citationer (Scopus)

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.

Originalsprog	Engelsk
Tidsskrift	International Journal of Nursing Studies
Vol/bind	81
Sider (fra-til)	107-114
ISSN	0020-7489
DOI	https://doi.org/10.1016/j.ijnurstu.2018.03.001
Status	Udgivet - maj 2018

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10.1016/j.ijnurstu.2018.03.001

Citationsformater

Hofhuis, J. G. M., Rose, L., Blackwood, B., Akerman, E., McGaughey, J., Egerod, I., Fossum, M., Foss, H., Georgiou, E., Graff, H. J., Kalafati, M., Sperlinga, R., Berardo, A., Schäfer, A., Wojnicka, A. G., & Spronk, P. E. (2018). Clinical practices to promote sleep in the ICU: A multinational survey. International Journal of Nursing Studies, 81, 107-114. https://doi.org/10.1016/j.ijnurstu.2018.03.001

Hofhuis, JGM, Rose, L, Blackwood, B, Akerman, E, McGaughey, J, Egerod, I, Fossum, M, Foss, H, Georgiou, E, Graff, HJ, Kalafati, M, Sperlinga, R, Berardo, A, Schäfer, A, Wojnicka, AG & Spronk, PE 2018, 'Clinical practices to promote sleep in the ICU: A multinational survey', International Journal of Nursing Studies, bind 81, s. 107-114. https://doi.org/10.1016/j.ijnurstu.2018.03.001

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title = "Clinical practices to promote sleep in the ICU: A multinational survey",

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.",

keywords = "Adult, Freedom, Humans, Intensive Care Units, Internationality, Nurse-Patient Relations, Sleep, Surveys and Questionnaires",

author = "Hofhuis, {Jos{\'e} G M} and Louise Rose and Bronagh Blackwood and Eva Akerman and Jennifer McGaughey and Ingrid Egerod and Mariann Fossum and Helene Foss and Evanthia Georgiou and Graff, {Heidi J} and Maria Kalafati and Riccardo Sperlinga and Alessandra Berardo and Andreas Sch{\"a}fer and Wojnicka, {Aleksandra Gutysz} and Spronk, {Peter E}",

year = "2018",

month = may,

doi = "10.1016/j.ijnurstu.2018.03.001",

language = "English",

volume = "81",

pages = "107--114",

journal = "Nursing",

issn = "0020-7489",

publisher = "Elsevier",

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TY - JOUR

T1 - Clinical practices to promote sleep in the ICU

T2 - 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

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.

KW - Adult

KW - Freedom

KW - Humans

KW - Intensive Care Units

KW - Internationality

KW - Nurse-Patient Relations

KW - Sleep

KW - Surveys and Questionnaires

U2 - 10.1016/j.ijnurstu.2018.03.001

DO - 10.1016/j.ijnurstu.2018.03.001

M3 - Journal article

C2 - 29567559

SN - 0020-7489

VL - 81

SP - 107

EP - 114

JO - Nursing

JF - Nursing

ER -

Clinical practices to promote sleep in the ICU: A multinational survey

Abstract

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