Intensive Care Unit Sleep Promotion Bundle: Impact on Sleep Quality, Delirium, and Other Patient Outcomes

Area of Science:

• Critical care medicine
• Sleep science
• Patient recovery

Background:

• High-quality sleep is crucial for patient recovery.
• Sleep deprivation in hospitals can negatively impact patient outcomes.

Purpose of the Study:

• To evaluate the effect of a sleep promotion bundle in intensive care units (ICUs).
• To assess the impact on delirium, agitation, restraint use, and length of stay.

Main Methods:

• An evidence-based sleep promotion bundle was implemented in two ICUs.
• Data on delirium (Confusion Assessment Method for the ICU), agitation (Richmond Agitation-Sedation Scale), Glasgow Coma Scale, restraint use, and length of stay were collected pre- and post-intervention.

Main Results:

• A non-significant 9% decrease in delirium incidence was observed.
• Significant reductions in ICU and hospital length of stay were found.
• A significant decrease in high Richmond Agitation-Sedation Scale scores for mechanically ventilated patients was noted.

Conclusions:

• Critical care nurses are well-positioned to implement sleep promotion strategies.
• Further research is necessary to fully understand the benefits of sleep promotion bundles.