Interventions to Improve Inpatients’ Sleep Quality in the Intensive Care Unit and Acute Ward Settings: A Qualitative Literature Review

Aparício, Carlos and Panin, Francesca (2020) Interventions to Improve Inpatients’ Sleep Quality in the Intensive Care Unit and Acute Ward Settings: A Qualitative Literature Review. British Journal of Nursing, 29 (13). ISSN 2052-2819

[img]
Preview
Text
Accepted Version
Available under the following license: Creative Commons Attribution Non-commercial No Derivatives.

Download (1MB) | Preview
Official URL: https://doi.org/10.12968/bjon.2020.29.13.770

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.

Item Type: Journal Article
Additional Information: This document is the Accepted Manuscript version of a Published Work that appeared in final form in BJN, copyright © MA Healthcare, after peer review and technical editing by the publisher.
Keywords: Sleep-deprivation, Sleep-promotion, Sleep-quality, ICU, Acute Ward
Faculty: Faculty of Health, Education, Medicine & Social Care
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 20 Apr 2020 09:13
Last Modified: 09 Sep 2021 18:52
URI: https://arro.anglia.ac.uk/id/eprint/705424

Actions (login required)

Edit Item Edit Item