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Promoting Sleep in the Intensive Care Unit.

Jorunn Beck Edvardsen1, Fredrik Hetmann2

  • 1Department of Postoperative and Critical Care, Division of Emergencies and Critical Care, Oslo University Hospital.

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|January 8, 2021
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Summary

Promoting sleep in intensive care units (ICUs) is crucial for critically ill patients. Implementing evidence-based nursing interventions can improve sleep quality and patient outcomes.

Keywords:
bundlecircadian rhythmcritical care nursingintensive caresleep

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Area of Science:

  • Critical Care Nursing
  • Sleep Medicine

Background:

  • Intensive care environments disrupt patient sleep due to noise, light, and activity.
  • Sleep deprivation in ICUs increases risks of delirium and impaired healing.

Purpose of the Study:

  • To develop an evidence-based bundle of nursing interventions to promote sleep in adult intensive care patients.

Main Methods:

  • Systematic literature search across multiple databases (PubMed, CINAHL, Cochrane, McMaster).
  • Identified keywords included sleep, intensive care unit, critical care nursing, and non-pharmacological interventions.
  • Synthesized findings into actionable recommendations for nursing practice.

Main Results:

  • Eight key recommendations for sleep promotion were identified.
  • Interventions include noise reduction, use of earplugs/eye masks, music therapy, circadian rhythm management, pain management, quiet time, care clustering, and ventilator optimization.

Conclusions:

  • Enhancing sleep in intensive care patients should be a nursing priority.
  • Sustaining natural circadian rhythms is vital for patient recovery.
  • Further research may refine existing recommendations and introduce new ones.