Interventions to improve inpatients' sleep quality in intensive care units and acute wards: a literature review.

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  • Author(s): Aparício, Carlos; Panin, Francesca
  • Source:
    British Journal of Nursing (BR J NURS), 7/9/2020; 29(13): 770-776. (7p)
  • Publication Type:
    Article - research, systematic review, tables/charts
  • Language:
    English
  • Additional Information
    • Affiliation:
      Professional Doctorate Student, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge
      Lecturer, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background: Sleep is essential for the physical and psychological restoration of inpatients, and lack of sleep results in sleep deprivation and poor sleep quality, with potentially harmful consequences. Aim: To summarise sleep-promoting interventions in the Intensive care unit (ICU) and acute ward setting. Method and results: Six databases were searched to obtain studies for review and eight studies were selected, appraised, analysed and produced two themes: sleep-disturbing factors and sleep-promoting strategies. Sleep-disturbing factors included environmental factors (such as light and noise), illness-related factors (such as pain, anxiety and discomfort), clinical care and diagnostics. Sleep-promoting strategies included using pharmacological aids (medication) and non-pharmacological aids (reducing noise and disturbances, eye masks, earplugs and educational and behavioural changes). Conclusion: The literature review showed that both ICU and acute ward settings affect patients' sleep and both use similar strategies to improve this. Nevertheless, noise and sleep disturbances remain the most critical sleep-inhibiting factors in both settings. The review recommended future research should focus on behavioural changes among health professionals to reduce noise and improve patients' sleep.
    • Journal Subset:
      Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland
    • Special Interest:
      Evidence-Based Practice
    • Instrumentation:
      Critical Appraisal Skill Programme (CASP)
    • ISSN:
      0966-0461
    • MEDLINE Info:
      NLM UID: 9212059
    • Publication Date:
      20200716
    • Publication Date:
      20200717
    • DOI:
      http://dx.doi.org/10.12968/bjon.2020.29.13.770
    • Accession Number:
      144505139
  • Citations
    • ABNT:
      APARÍCIO, C.; PANIN, F. Interventions to improve inpatients’ sleep quality in intensive care units and acute wards: a literature review. British Journal of Nursing, [s. l.], v. 29, n. 13, p. 770–776, 2020. DOI 10.12968/bjon.2020.29.13.770. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144505139. Acesso em: 7 ago. 2020.
    • AMA:
      Aparício C, Panin F. Interventions to improve inpatients’ sleep quality in intensive care units and acute wards: a literature review. British Journal of Nursing. 2020;29(13):770-776. doi:10.12968/bjon.2020.29.13.770
    • APA:
      Aparício, C., & Panin, F. (2020). Interventions to improve inpatients’ sleep quality in intensive care units and acute wards: a literature review. British Journal of Nursing, 29(13), 770–776. https://doi.org/10.12968/bjon.2020.29.13.770
    • Chicago/Turabian: Author-Date:
      Aparício, Carlos, and Francesca Panin. 2020. “Interventions to Improve Inpatients’ Sleep Quality in Intensive Care Units and Acute Wards: A Literature Review.” British Journal of Nursing 29 (13): 770–76. doi:10.12968/bjon.2020.29.13.770.
    • Harvard:
      Aparício, C. and Panin, F. (2020) ‘Interventions to improve inpatients’ sleep quality in intensive care units and acute wards: a literature review’, British Journal of Nursing, 29(13), pp. 770–776. doi: 10.12968/bjon.2020.29.13.770.
    • Harvard: Australian:
      Aparício, C & Panin, F 2020, ‘Interventions to improve inpatients’ sleep quality in intensive care units and acute wards: a literature review’, British Journal of Nursing, vol. 29, no. 13, pp. 770–776, viewed 7 August 2020, .
    • MLA:
      Aparício, Carlos, and Francesca Panin. “Interventions to Improve Inpatients’ Sleep Quality in Intensive Care Units and Acute Wards: A Literature Review.” British Journal of Nursing, vol. 29, no. 13, July 2020, pp. 770–776. EBSCOhost, doi:10.12968/bjon.2020.29.13.770.
    • Chicago/Turabian: Humanities:
      Aparício, Carlos, and Francesca Panin. “Interventions to Improve Inpatients’ Sleep Quality in Intensive Care Units and Acute Wards: A Literature Review.” British Journal of Nursing 29, no. 13 (July 9, 2020): 770–76. doi:10.12968/bjon.2020.29.13.770.
    • Vancouver/ICMJE:
      Aparício C, Panin F. Interventions to improve inpatients’ sleep quality in intensive care units and acute wards: a literature review. British Journal of Nursing [Internet]. 2020 Jul 9 [cited 2020 Aug 7];29(13):770–6. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144505139