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Sleep in the intensive care unit - nurses' documentation and patients' perspectives
Marita Ritmala-Castren1, Anna Axelin2, Kaija Kiljunen3
1Department of Nursing Science, University of Turku, and Clinical nurse consultant, Department of Surgery/Critical Care Clinic, Helsinki University Hospital, Helsinki, Finland.
Nursing in Critical Care
|October 2, 2014
Summary
Nurses
Area of Science:
- Nursing
- Sleep Medicine
- Critical Care
Background:
- Sleep disturbances are a significant distress for intensive care unit (ICU) patients.
- Patient sleep is often perceived as light with frequent awakenings.
- Current nursing documentation of sleep is limited, focusing mainly on quantity and general quality.
Purpose of the Study:
- To analyze the content of nurses' documentation regarding ICU patients' sleep.
- To compare nurses' documentation with patients' own perceptions of sleep.
- To assess the correspondence between documented sleep and patient-reported sleep experiences.
Main Methods:
- Retrospective quantitative content analysis of 90 nursing documentations.
- Cross-sectional survey of 114 ICU patients using the Richards-Campbell Sleep Questionnaire (RCSQ).
- Statistical analysis including cross-tabulation to test correspondence.
Main Results:
- Nurses documented sleep quantity (71%) and quality (27%), needs assessment, interventions, and effects.
- Patient sleep perceptions varied widely; sleep depth was rated lowest, falling asleep highest.
- Patient age correlated positively with sleep quality, depth, and falling asleep; documentation partially corresponded with patient perceptions.
Conclusions:
- Nursing documentation of ICU patient sleep is neither systematic nor comprehensive.
- Documentation only partially aligns with patients' subjective sleep experiences.
- Comprehensive sleep documentation should incorporate the entire nursing process and patient perspectives for patient-centered care.
Keywords:
Intensive care unitNursing documentationPatient experienceRichards-Campbell Sleep QuestionnaireSleepMore Related Videos
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