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Sleep in cardiac arrest survivors
Amanda Hellström1, Anders Bremer1, Lise-Lotte Gunnarsson1
1Faculty of Health and Life Sciences, Linnaeus University, Kalmar/Växjö, Sweden.
Nursing in Critical Care
|September 28, 2022
Summary
Registered nurses recognized sleep issues in sudden cardiac arrest (SCA) survivors but often overlooked consequences. Increased training is needed to address sleep problems and prevent patient suffering.
Area of Science:
- Cardiology
- Sleep Medicine
- Nursing
Background:
- Sleep disturbances like insomnia and sleep apnea are known cardiovascular disease risk factors.
- While studied in heart failure, sleep's role in sudden cardiac arrest (SCA) survivors is less understood.
- Sleep-related breathing disorders and obstructive sleep apnea worsen outcomes post-SCA; post-traumatic stress also disrupts sleep.
Purpose of the Study:
- To explore registered nurses' (RNs) perceptions of sleep in sudden cardiac arrest survivors.
- To understand nurses' views on SCA survivor sleep during hospitalization and post-discharge.
Main Methods:
- An explorative interview study utilizing a phenomenographic approach.
- Nineteen registered nurses (RNs) with diverse professional backgrounds participated.
Main Results:
- Nurses' perceptions were categorized into "observer," "oblivious witness," and "practitioner."
- Nurses identified both overt and subtle sleep-related signs but were sometimes hindered by attitudes.
- Sleep was deprioritized if not overtly problematic or raised by the patient.
Conclusions:
- Nurses acknowledged SCA survivors' poor sleep but often failed to consider its impact.
- Gaps in sleep knowledge and documentation may lead to unaddressed sleep issues and patient suffering.
- Enhanced training is crucial for nurses to detect subtle sleep problems in SCA survivors.
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