• myGriffith
    • Staff portal
    • Contact Us⌄
      • Future student enquiries 1800 677 728
      • Current student enquiries 1800 154 055
      • International enquiries +61 7 3735 6425
      • General enquiries 07 3735 7111
      • Online enquiries
      • Staff phonebook
    View Item 
    •   Home
    • Griffith Research Online
    • Journal articles
    • View Item
    • Home
    • Griffith Research Online
    • Journal articles
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

  • All of Griffith Research Online
    • Communities & Collections
    • Authors
    • By Issue Date
    • Titles
  • This Collection
    • Authors
    • By Issue Date
    • Titles
  • Statistics

  • Most Popular Items
  • Statistics by Country
  • Most Popular Authors
  • Support

  • Contact us
  • FAQs
  • Admin login

  • Login
  • Sleep assessment by patients and nurses in the intensive care: An exploratory descriptive study

    Thumbnail
    View/Open
    AitkenPUB1409.pdf (403.0Kb)
    File version
    Accepted Manuscript (AM)
    Author(s)
    Aitken, Leanne M
    Elliott, Rosalind
    Mitchell, Marion
    Davis, Chelsea
    Macfarlane, Bonnie
    Ullman, Amanda
    Wetzig, Krista
    Datt, Ashika
    McKinley, Sharon
    Griffith University Author(s)
    Mitchell, Marion L.
    Year published
    2017
    Metadata
    Show full item record
    Abstract
    Background: Sleep disruption is common in intensive care unit (ICU) patients, with reports indicating reduced quality and quantity of sleep in many patients. There is growing evidence that sleep in this setting may be improved. Aim: To describe ICU patients’ self-report assessment of sleep, examine the relationship between patients’ self-reported sleep and their reported sleep by the bedside nurse, and describe the strategies suggested by patients to promote sleep. Methods: An exploratory descriptive study was undertaken with communicative adult patients consecutively recruited in 2014–2015. Patients reported sleep using the ...
    View more >
    Background: Sleep disruption is common in intensive care unit (ICU) patients, with reports indicating reduced quality and quantity of sleep in many patients. There is growing evidence that sleep in this setting may be improved. Aim: To describe ICU patients’ self-report assessment of sleep, examine the relationship between patients’ self-reported sleep and their reported sleep by the bedside nurse, and describe the strategies suggested by patients to promote sleep. Methods: An exploratory descriptive study was undertaken with communicative adult patients consecutively recruited in 2014–2015. Patients reported sleep using the Richards–Campbell Sleep Questionnaire (score range 0–100 mm; higher score indicates better sleep quality), with nursing assessment of sleep documented across a five level ordinal variable. Patients were asked daily to describe strategies that helped or hindered their sleep. Ethical approval for the study was gained. Descriptive statistical analysis was performed [median (interquartile range)]; relationships were tested using Spearman’s rank correlation and differences assessed using the Kruskal–Wallis test; p < 0.05 was considered significant. Results: Participants (n = 151) were recruited [age: 60 (46–71) years; ICU length of stay 4 (2–9) days] with 356 self-reports of sleep. Median perceived sleep quality was 46 (26–65) mm. A moderate relationship existed between patients’ self-assessment and nurses’ assessment of sleep (Spearman’s rank correlation coefficient 0.39–0.50; p < 0.001). Strategies identified by patients to improve sleep included adequate pain relief and sedative medication, a peaceful and comfortable environment and physical interventions, e.g. clustering care, ear plugs. Conclusion: Patients reported on their sleep a median of 2 (1–3) days during their ICU stay, suggesting that routine use of self-report was feasible. These reports revealed low sleep quality. Patients reported multiple facilitators and barriers for sleep, with environmental and patient comfort factors being most common. Interventions that target these factors to improve patient sleep should be implemented.
    View less >
    Journal Title
    Australian Critical Care
    Volume
    30
    Issue
    2
    DOI
    https://doi.org/10.1016/j.aucc.2016.04.001
    Copyright Statement
    © 2016 Australian College of Critical Care Nurses Ltd. Published by Elsevier Australia. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
    Subject
    Clinical sciences
    Nursing
    Nursing not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/123759
    Collection
    • Journal articles

    Footer

    Disclaimer

    • Privacy policy
    • Copyright matters
    • CRICOS Provider - 00233E
    • TEQSA: PRV12076

    Tagline

    • Gold Coast
    • Logan
    • Brisbane - Queensland, Australia
    First Peoples of Australia
    • Aboriginal
    • Torres Strait Islander